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弥合政策与实践之间的差距:残疾与老龄化治理面临的挑战与机遇。

Bridging policies and practice: challenges and opportunities for the governance of disability and ageing.

机构信息

Department of Political Science, University of Vienna, Austria.

出版信息

Int J Integr Care. 2010 Apr 12;10:e041. doi: 10.5334/ijic.522.

Abstract

INTRODUCTION

In the context of an increasingly ageing society with a growing number of persons diagnosed with chronic disabling conditions including dementia and persons with disabilities, ageing and disability represent two policy fields which need to be jointly re-thought. So far, policymakers and other political actors have not adequately reacted to these changing demographics.

DESCRIPTION OF POLICY AND PRACTICE

The two policy fields are based upon different presuppositions. Also, disability and ageing interest groups set different agendas. As several political actor groups with diverse interests and goals operate in the political space, efforts to bridge policies and practices in ageing and disability are confronted with several challenges.

CONCLUSION AND DISCUSSION

In order to create a policy framework for disability and ageing, shared political priorities need to be developed. It is necessary to re-think current disability and ageing policies and the objectives formulated by diverse interest groups in both fields, and future policies should not only focus on 'active/healthy/normal ageing' vs. 'non-healthy/non-normal ageing'. Overlap of contents between disability and ageing policies exists with both fields informing one another. This mutual influence will shape policymaking and policy practices with regard to an ageing population with a growing number of persons with disabilities.

摘要

引言

在一个老龄化社会和越来越多患有慢性残疾疾病(包括痴呆症)和残疾人士的背景下,老龄化和残疾是两个需要重新思考的政策领域。迄今为止,政策制定者和其他政治行为者并没有对这些不断变化的人口统计数据做出充分反应。

政策和实践描述

这两个政策领域基于不同的假设。此外,残疾和老龄化利益集团制定了不同的议程。由于有几个政治行为者群体在政治领域中具有不同的利益和目标,因此在弥合老龄化和残疾政策方面存在着各种挑战。

结论和讨论

为了制定残疾和老龄化政策框架,需要制定共同的政治优先事项。有必要重新思考当前的残疾和老龄化政策以及两个领域中不同利益集团制定的目标,未来的政策不仅应关注“积极/健康/正常老龄化”与“非健康/非正常老龄化”之间的区别。残疾和老龄化政策之间存在内容重叠,这两个领域相互影响,将塑造有关人口老龄化和残疾人士日益增多的政策制定和政策实践。

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