Brotman Shari, Ryan Bill, Cormier Robert
McGill School of Social Work, Montreal, Quebec, Canada.
Gerontologist. 2003 Apr;43(2):192-202. doi: 10.1093/geront/43.2.192.
This article reports the findings of a study, undertaken in 2000, whose purpose was to gather information about the experiences and realities of gay and lesbian seniors and their families from across Canada in accessing a broad range of health and social services in the community, and to examine the role of health care and social service organizations in shaping access and service delivery.
This study used a qualitative exploratory design based on focus group interviews. Perspectives of older gay men and lesbians and their families involved in organizations addressing these issues, as well as professionals from both gay and lesbian health organizations and mainstream elder care organizations were sought.
Specific reference was made to the impact of discrimination on the health and access to health services of these populations. Issues relating to invisibility, historic and current barriers to care, and the nature of service options are identified.
Recommendations for change are highlighted, including those related to best practice programs and policies in the long-term care sector.
本文报告了一项2000年开展的研究结果,该研究旨在收集加拿大各地同性恋老年人及其家庭在获取社区广泛的健康和社会服务方面的经历与实际情况,并考察医疗保健和社会服务组织在塑造服务获取与提供方面所起的作用。
本研究采用基于焦点小组访谈的定性探索性设计。研究对象包括参与解决这些问题的组织中的老年男同性恋者、女同性恋者及其家庭,以及同性恋健康组织和主流老年护理组织的专业人员。
具体提到了歧视对这些人群的健康及获得医疗服务的影响。确定了与隐形、历史和当前的护理障碍以及服务选择的性质相关的问题。
强调了变革建议,包括与长期护理部门最佳实践项目和政策相关的建议。