Zhai Xiaomei, Qiu Ren Zong
Center for Bioethics, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
J Med Philos. 2007 Sep-Oct;32(5):425-45. doi: 10.1080/03605310701631695.
This article documents the results of a study on the perceptions of long-term elder care in Beijing in the People's Republic of China by those most intimately involved. The study asked a sample of elderly, family members, and health care professionals, all of whom are involved in care at a variety of long-term care facilities in Beijing, about their perceptions of the care given at these facilities from their particular standpoints as regards issues such as the quality and ideal location of care, decision-making regarding the care receiving, who should be responsible for the financing of care, and the meaning of dignity for the elderly in these facilities. The results showed adherence to traditional family values at least on one level regarding the ideal location of care being with the family and in the home, but also the desire to pass on financing of long-term care facilities and the health care they provide the elderly on to the government. These results are not altogether surprising, but they also clearly demonstrate the larger conflict between traditional views about morality and economic considerations regarding health care financing in the China.
本文记录了一项针对中华人民共和国北京地区长期老年护理观念的研究结果,该研究的对象为最密切相关的人群。该研究询问了一组老年人、家庭成员和医疗保健专业人员,他们都参与了北京各类长期护理机构的护理工作,从他们各自的特定立场出发,询问他们对这些机构所提供护理的看法,涉及护理质量和理想地点、接受护理的决策、护理资金应由谁负责以及这些机构中老年人尊严的意义等问题。结果显示,至少在护理的理想地点是与家人在一起并在家中这一层面上,人们坚持传统家庭价值观,但同时也希望将长期护理机构及其为老年人提供的医疗保健的资金转由政府承担。这些结果并不完全令人惊讶,但它们也清楚地表明了中国在医疗保健融资方面传统道德观念与经济考量之间存在的更大冲突。