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Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice

机译:种族风格的规定:在临床实践指导方面颁布种族/种族,并在临床实践中

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Abstract This article examines the articulation and enactment of racialised classifications in clinical practice guidelines and in accounts of clinical practice. It contributes to debates about racialisation in medicine and its consequences. The research centred on the case study of prescribing guidelines for hypertension in England and Wales, drawing on documentary sources and semi‐structured expert interviews. We found that conceptual and socio‐political uncertainties existed about how to interpret the designation ‘Black patients’ and about the practices for identifying patients’ race/ethnicity. To ‘close’ uncertainties, and thus produce the guidelines and treat patients, respondents drew authority from disparate elements of the ‘topologies of race’. This has implications for understanding processes of racialisation and for the future use of racialised clinical practice guidelines. We argue that clinical practice guidelines play a ‘nodal’ role in racialisation by forming an authoritative material connection that creates a path for translating racialised research into racialised healthcare practice, and that they carry with them implicit conceptual and socio‐political uncertainties that are liable to create inconsistencies in healthcare practice.
机译:摘要本文审查了临床实践指南中种族化分类的阐述和制定了临床实践。它有助于对医学中的种族化及其后果的辩论。该研究集中在英格兰和威尔士高血压指南的案例研究中,绘制了纪录片来源和半结构性专家访谈。我们发现,关于如何解释指定“黑人患者”以及识别患者种族/种族的实践,存在概念和社会政治不确定性。 “关闭”的不确定性,从而产生指南和治疗患者,受访者从“种族拓扑的拓扑”的不同元素中汲取权威。这对理解种族化进程和未来使用种族风格的临床实践指南有影响。我们认为,临床实践指南通过形成一个权威的材料联系,在种族化方面发挥“节点”作用,该授权材料建立了一种将种族化研究转化为种族化的医疗保健实践的道路,并且他们与他们携带隐含的概念和社会政治不确定性在医疗保健实践中创造不一致。

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