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“这不一定是地图上的距离……”:利用地点作为分析工具来阐明与农村姑息治疗相关的地理问题。

"It's not necessarily the distance on the map...": using place as an analytic tool to elucidate geographic issues central to rural palliative care.

机构信息

School for Resource and Environmental Studies, Dalhousie University, Kenneth C. Rowe Management Building, Nova Scotia, Canada B3H 3J5.

出版信息

Health Place. 2010 Mar;16(2):284-90. doi: 10.1016/j.healthplace.2009.10.011. Epub 2009 Oct 28.

Abstract

Palliative care is intimately connected with place, yet little research has explored these relationships in depth, especially with respect to rural and remote settings. This paper uses multiple dimensions of the concept 'place' as an analytic tool to understand the nature of palliative care provision in a rural region of British Columbia, Canada. We draw upon primary data from formal and informal providers (n = 31) to explore the social and physical place of rural palliative care. We unpack four highly geographic issues raised by participants, namely: (1) distance, (2) location, (3) aesthetics, and (4) sites of care. This analysis reveals a rich and complex experience of rural care-giving long overlooked in palliative care research and policy.

摘要

姑息治疗与地点密切相关,但很少有研究深入探讨这些关系,特别是在农村和偏远地区。本文使用“地点”概念的多个维度作为分析工具,以了解加拿大不列颠哥伦比亚省农村地区姑息治疗的性质。我们利用正式和非正式提供者的主要数据(n = 31)来探讨农村姑息治疗的社会和物理位置。我们详细分析了参与者提出的四个高度地理问题,即:(1)距离,(2)位置,(3)美学,和(4)护理地点。这项分析揭示了在姑息治疗研究和政策中长期被忽视的农村护理的丰富而复杂的体验。

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