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The healthcare experience of prostate cancer patients: exploring the intersection of age and gender 前列腺癌症患者的医疗保健体验:探索年龄和性别的交叉点
Q1 Social Sciences Pub Date : 2019-12-11 DOI: 10.3384/ijal.1652-8670.19453
L. Braverman
Although researchers have conducted extensive studies of the psychoso­cial impacts of prostate cancer and its treatment on men’s bodies, mascu­linity and sexuality, little attention has been devoted to the intersection of gender and age in the healthcare experience of this illness. Based on data collected through direct observation in four French public hospitals, and 65 semi-directive interviews with prostate cancer patients, their relatives and healthcare professionals, this article aims to examine how age and gender shape care pathways. We argue that combining the concept of hegemonic masculinity with an intersectional approach may provide an adequate theoretical framework for analysing the plurality of men’s pros­tate cancer healthcare experience. Four steps of the patient care process are successively analysed to assess how the patient experience of illness may be influenced by power relations that interact with individual charac­teristics: screening, diagnosis, treatment and follow-up care.
尽管研究人员对癌症及其治疗对男性身体、男性和性的心理社会影响进行了广泛的研究,但在这种疾病的医疗体验中,很少关注性别和年龄的交叉。基于在四家法国公立医院通过直接观察收集的数据,以及对癌症患者、其亲属和医疗保健专业人员的65次半指导性访谈,本文旨在研究年龄和性别如何影响护理途径。我们认为,将霸权男性的概念与交叉方法相结合,可以为分析多个男性的癌症专业医疗经验提供足够的理论框架。依次分析了患者护理过程的四个步骤,以评估患者的疾病体验如何受到与个人特征相互作用的权力关系的影响:筛查、诊断、治疗和后续护理。
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引用次数: 1
Paul Higgs and Chris Gilleard (2016). Personhood, Identity and Care in Advanced Old Age. Bristol: Policy Press. ISBN 978-1-4473-1906-1 (Paperback) Paul Higgs和Chris Gilleard(2016)。老年人的人格、身份和关怀。布里斯托尔:政策出版社。ISBN 978-1-4473-1906-1(平装本)
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.13_2b
M. Fine
No abstract available
没有摘要
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引用次数: 0
Live-in migrant care worker arrangements in Germany and the Netherlands: motivations and justifications in family decision-making 德国和荷兰的移民护理人员安排:家庭决策的动机和理由
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/IJAL.1652-8670.18410
Vincent Horn, C. Schweppe, A. Böcker, María Bruquetas-Callejo
Private households in ageing societies increasingly employ live-in migrant carers (LIMCs) to care for relatives in need of 24/7 care and supervision. Whilst LIMC arrangements are a common practice in Germany, they are only recently emerging in the Netherlands. Taking this development as a starting point, this study uses the countries’ different long-term care (LTC) regimes as the analytical framework to explore and compare the motivations and justifications of German and Dutch family carers who opt for an LIMC arrangment. Findings show that Dutch and German LTC regimes impact differently the decision-making processes of families, as well as on patterns of justification, through a combination of policies and social norms and their related expectations towards care and care work in old age.
老龄化社会的私人家庭越来越多地雇用住家移民照顾者(limc)来照顾需要全天候照顾和监督的亲属。虽然LIMC安排在德国是一种常见的做法,但它们最近才在荷兰出现。以这一发展为出发点,本研究以两国不同的长期照护制度为分析框架,探讨和比较德国和荷兰家庭照护者选择长期照护制度的动机和理由。研究结果表明,荷兰和德国的LTC制度通过政策和社会规范及其对老年护理和护理工作的相关期望的结合,对家庭的决策过程以及正当性模式产生了不同的影响。
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引用次数: 23
Transnational mobilities of care in old age 老年护理的跨国流动
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.18-181227
Vincent Horn, C. Schweppe
The world’s population is ageing. Particularly industrialised countries in Europe and elsewhere are experiencing rapid growth in the number and proportion of older people in their societies. The economic and sociocultural challenges that population ageing poses to labour markets, welfare states and families in Europe have been dealt with extensively (e.g. Harper 2016). An area in which different challenges conflate and reinforce each other is that of long-term care (LTC) in old age. “LTC in old age” refers to all kinds of formal and informal care and support services provided to older people on a regular basis. LTC in old age is provided in different settings (at home, in day-care and short-stay services or in LTC facilities) by a network of care providers, including the family, public services, market-based and third sector organisations. With more people living longer, the demand for LTC services in old age is projected to rise steadily across European countries, raising concerns about the fiscal sustainability of LTC systems (Greve 2017). Other societal changes, such as the increased participation of women in the labour market, put additional pressure on policymakers to find affordable solutions for the delivery of good quality LTC services tailored to the diverse needs of older people. European countries are responding to the growing need for LTC against the backdrop of very different traditions and institutional contexts.
世界人口正在老龄化。特别是欧洲和其他地方的工业化国家,其社会中老年人的数量和比例正在迅速增长。人口老龄化给欧洲的劳动力市场、福利国家和家庭带来的经济和社会文化挑战已经得到了广泛的研究(例如Harper 2016)。老年长期护理(LTC)是一个不同挑战相互融合和加强的领域。“长者养老服务”是指定期为老年人提供的各种正式和非正式的照顾和支持服务。长者长期护理服务在不同的环境中提供(在家、日间护理和短期住宿服务或长期护理服务设施),由包括家庭、公共服务、市场和第三部门机构在内的护理提供者网络提供。随着越来越多的人寿命延长,预计欧洲各国对老年人长期服务的需求将稳步上升,这引发了人们对长期服务系统财政可持续性的担忧(Greve 2017)。其他社会变化,如妇女更多地参与劳动力市场,给政策制定者带来了额外的压力,要求他们找到负担得起的解决办法,提供适合老年人不同需求的优质长期服务。欧洲国家在不同的传统和体制背景下应对日益增长的LTC需求。
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引用次数: 4
Meaning in life and the experience of older people 生活的意义和老年人的经历
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.19467
Peter Derkx, Pien Bos, H. Laceulle, Anja Machielse
In this article, we introduce a general theory about meaning in life developed by our first author, and apply it to the context of ageing. The seven components of meaning distinguished by this theory – purpose, moral worth, selfworth, control, coherence, excitement and connectedness – are discussed in turn. After presenting the theory, we confront the seven  components with extensive life narratives of two older men – in a first empirical qualitative exploration of how meaning dimensions appear in the life experiences of older people. This dialogue between theory and narrative is used to provide concretisation and clarification of the seven components, thereby enhancing the understanding of the theory, while at the same time suggesting possible refinements and directions for future exploration of meaning in life in the context of ageing.
在这篇文章中,我们介绍了第一作者提出的关于生命意义的一般理论,并将其应用于衰老的背景。该理论区分的意义的七个组成部分——目的、道德价值、自我价值、控制、连贯、兴奋和连通性——依次进行了讨论。在提出这一理论后,我们用两位老年人的广泛生活叙事来面对这七个组成部分——这是对老年人生活经历中意义维度如何出现的第一次实证定性探索。这种理论与叙事之间的对话用于对七个组成部分进行具体化和澄清,从而增强对理论的理解,同时为未来在老龄化背景下探索生活意义提出可能的改进和方向。
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引用次数: 8
Stephen Katz (ed.) (2018). Ageing in Everyday Life. Materialities and Embodiments. Bristol: Policy Press, 208 pp. ISBN 978-1447335917 (hardback) 斯蒂芬·卡茨(Stephen Katz)主编(2018)。日常生活中的衰老。物质性和实施例。布里斯托尔:政策出版社,208页。ISBN 978-1447335917(精装本)
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.13_2c
J. Weil
No abstract available.
没有摘要。
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引用次数: 0
Book review: Mark Schweda, Larissa Pfaller, Kai Brauer, Frank Adloff & Silke Schicktanz (eds.) (2017): Planning later life. Bioethics and public health in ageing societies 书评:Mark Schweda, Larissa Pfaller, Kai Brauer, Frank Adloff & Silke Schicktanz(编)(2017):规划晚年生活。老龄化社会中的生物伦理学和公共卫生
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.2019132
Malte Völk
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引用次数: 0
Fragile familiarity in transnational home care arrangements for older people 对跨国老年人家庭护理安排的不太熟悉
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.18403
Karin van Holten, H. Kaspar, Eva Soom-Ammann
This paper examines the notion of familiarity in live-in elder care settings and how it is challenged, changed, and reestablished. Live-in care is a strategy to prevent disruptions and preserve familiarity in enabling older persons in need of extensive care to stay at home – and thus, to enable ageing in place. This paper problematizes this strategy based on interviews with family caregivers who engaged a migrant live-in care worker in Switzerland. The key argument is that live-in care arrangements constitute an all-embracing form of inserting formal, paid-for care service delivery into the informal, private, intimate space of home. The live-in care arrangement not only challenges the familiarity of the home space, but also seems to ask for strategies of adaptation to familiarize the unfamiliar. Therefore, the introduction of live-in care is consequential for all involved parties and requires largely underestimated efforts to adapt to the new home space.
本文探讨了熟悉的概念,在住在老年人护理设置和如何挑战,改变,并重新建立。住家照料是一项战略,旨在防止中断并保持熟悉,使需要广泛照料的老年人能够留在家中,从而实现就地养老。本文通过对在瑞士从事移民住家护工的家庭护理人员的访谈,对这一策略提出了问题。关键的论点是,住家护理安排构成了一种包罗万象的形式,将正式的、付费的护理服务插入非正式的、私人的、亲密的家庭空间。居家护理的安排不仅挑战了对家庭空间的熟悉,而且似乎也要求适应策略来熟悉不熟悉的环境。因此,居家护理的引入对所有相关方都是重要的,并且需要在很大程度上被低估的努力来适应新的家庭空间。
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引用次数: 4
Mark Schweda, Larissa Pfaller, Kai Brauer, Frank Adloff and Silke Schicktanz (eds.) (2017). Planning Later Life. Bioethics and Public Health in Ageing Societies. Abingdon/ New York: Taylor & Francis [Routledge Advances in Health and Social Policy], 263 pp Mark Schweda, Larissa Pfaller, Kai Brauer, Frank Adloff and Silke Schicktanz(编)(2017)。规划以后的生活。老龄化社会中的生物伦理学和公共卫生。Abingdon/ New York: Taylor & Francis [Routledge Advances in Health and Social Policy], 263页
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.13_2a
Malte Völk
No abstract available.
没有可用的摘要。
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引用次数: 0
Care facilities for Germans in Thailand and Poland: making old age care abroad legitimate 泰国和波兰的德国人护理设施:使国外的老年护理合法化
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.3384/ijal.1652-8670.18421
Désirée Bender, C. Schweppe
This article looks at old age care facilities abroad that target people who live in Germany. Such facilities have been established in Southeast Asia (mainly Thailand) and in Eastern Europe (mainly Poland). Given that they challenge central guiding orientations for old age care in Germany, considerable criticisms are levelled at them, and their use is viewed with distinct scepticism. Nevertheless, some of these facilities succeed in sustaining considerable demand from Germany over quite a few years. In this article, we therefore ask what strategies and arguments they use to make them a legitimate option for people in Germany and to be established on the German market. Based on two case studies of an old age facility in Thailandand Poland, we will show how they skilfully position themselves as “better” options for residential care even though their strategies considerably vary and result in very different models of old age care. Drawing on neo-institutional organisation theories, we will show how these strategies are essential for the facilities’ emergence as new players in the care market for older people from Germany.
这篇文章着眼于国外针对居住在德国的老年人的养老机构。此类设施已在东南亚(主要是泰国)和东欧(主要是波兰)建立。鉴于它们挑战了德国老年护理的中心指导方向,人们对它们提出了相当多的批评,人们对其使用持明显的怀疑态度。尽管如此,其中一些设施在相当长的几年内成功地维持了德国的大量需求。因此,在这篇文章中,我们要问他们使用了什么策略和论据,使其成为德国人民的合法选择,并在德国市场上站稳脚跟。基于对波兰Thailandand一家养老机构的两个案例研究,我们将展示他们如何巧妙地将自己定位为“更好”的住宿护理选择,尽管他们的策略差异很大,导致了截然不同的养老模式。根据新制度组织理论,我们将展示这些策略对这些机构在德国老年人护理市场上成为新参与者至关重要。
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引用次数: 7
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International Journal of Ageing and Later Life
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