Ethnic factors in managing black and minority ethnic patients

2011 ◽  
Vol 24 (4) ◽  
pp. 313-317 ◽  
Author(s):  
Gurvinder Kalra ◽  
Dinesh Bhugra
2002 ◽  
Vol 50 (2) ◽  
pp. 241-257 ◽  
Author(s):  
Balihar Sanghera

Microbusinesses are embedded in wider social processes, and it is the nature of this social embeddedness that is the principal focus of the article. In particular, ‘domestic embedding’ of petty commerce is crucial, and involves a mixture of competition, domination, negotiation, and custom (Wheelock and Mariussen, 1997). Furthermore, as a socio-economic group, petty traders and producers occupy an ambivalent position in the class structure, as they are vulnerable both to upward and downward social mobility. While the petty capital class has the advantage of possessing property assets, many members lack significant symbolic and cultural assets. Nonetheless, property assets offer the most robust bases for class formation (Savage et al., 1992). In addition, the embedding of petty commerce can be both ‘identity-sensitive’ and ‘identity-neutral’ (Sayer, 1995; 2000; Fraser, 1995). Extra-ethnic factors are significant in this process. The research uses formal interviews and ‘quasi-ethnographic’ methodology to explore the different contexts in which restaurateurs and market traders operated in Birmingham, UK. The article draws critically on several literatures on industrial organisation, economic sociology, family businesses and minority ethnic businesses. One aim is to give the rather indifferent concept of ‘embedding’ substantive content, and in this way to make an empirically informed contribution to ‘new economic sociology’.


Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 268-272
Author(s):  
Sean Cross ◽  
Dinesh Bhugra ◽  
Paul I. Dargan ◽  
David M. Wood ◽  
Shaun L. Greene ◽  
...  

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.


Nature ◽  
2020 ◽  
Vol 582 (7812) ◽  
pp. 341-341
Author(s):  
Devang Mehta
Keyword(s):  

2014 ◽  
Vol 23 (4) ◽  
pp. 419-444
Author(s):  
Josephine Casserly

This article explores the voice of black minority ethnic (BME) women in devolved Scotland. Particular attention is given to examining multicultural policies and devolved political processes and how these impact on the position of BME women in the political life of Scotland. The study is based on secondary analysis of existing survey and focus group data, and primary data drawn from qualitative interviews conducted with a sample of respondents from political and non-governmental organisations. Drawing on feminist theories of multiculturalism, culture is perceived as dynamic and contested and the research depicts BME women as agents engaged in shaping Scotland and their own cultures. The findings show that devolution has created a political opportunity structure more favourable to the voices of BME women. However, this voice remains quiet and is limited by barriers within and outside of BME communities. The research also highlights the role of third sector organisations in enabling the voice of BME women. The author concludes by arguing that successive devolved governments’ promotion of multiculturalism in Scotland has benefited BME women but with important limitations.


2013 ◽  
Vol 7 (2) ◽  
Author(s):  
Sharon Smith

This article discusses fieldwork in two research projects on Buddhists in London. It explores issues involved in researching lesbian, gay, bisexual, transgendered, questioning and/or intersex (LGBTQI) Buddhists. It also considers issues around heterosexual identities in Buddhist communi-ties. In researching dynamics of gender and sexual identification of participants it was observed that at times participant narratives treated these identities for these axes of difference as provisional and contingent rather than essential, fixed and a basis for socio-political organization. This contrasts with much of the work on religion and sexuality in mainstream theistic traditions, where their LGBTQI members often argue a “reverse discourse” asserting their place in a “Divine Order” in which their sexual/gender identity is a key part of “who they are.” It is argued that theoretical approaches based on queer theorizing could be particularly applicable to research on Western Buddhist perspectives on gender and sexual identities. This is attributed to the anti-essentialist approach Buddhism takes to questions of subjectivity and identification and its non-hegemonic status in the West. Such queer theorizing would, however, need to acknowledge the constraints to “border crossings” between identity positions arising from oppressive forces from gender minoritization, class status, minority ethnic origin, and so on. It is also suggested that research on the heterosexual majority can elucidate ways in which faith communities are gendered, racialized and stratified by class.


2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711125
Author(s):  
Sebastian Kalwij

BackgroundThe NHS Workforce Race Equality Standard (WRES) was introduced in 2015 and is mandatory for NHS trusts. Nine indicators have been created to evaluate the experiences of black and minority ethnic (BME) staff compared with the rest of the workforce. The trust data published showed a poor experience of BME staff compared with non BME staff.AimTo introduce the concept of WRES into general practice and create a baseline from which improvement can be made. A diverse workforce will better serve its population and this will improve health outcomes.MethodWe conducted a survey among all general practice staff members, clinicians, and non-clinicians and asked open-ended questions built around four WRES indicators most applicable to general practice, over a 6-week period in August and September 2019.ResultsWe collected 151 responses out of a total workforce of around 550. The response rate between clinicians and non-clinicians was equal 50.6% versus 49.4%. The distribution of non BME staff 51% versus BME staff 49% mirrors the diverse population of Lewisham. 54% of BME staff experienced bullying from patients, their relatives, and members of the public. 25% experienced bullying from a colleague or staff member in the workplace and 22% of BME staff changed jobs as a result of this.ConclusionBME staff in general practice report high levels of racism, especially from service users. In 22% this led to a career change. A zero-tolerance policy needs to be enforced and a multi-pronged approach is required to address this.


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