Division of Health Research, Lancaster University, Lancaster LA1 4YT, United Kingdom.
Soc Sci Med. 2011 Feb;72(3):347-54. doi: 10.1016/j.socscimed.2010.08.014. Epub 2010 Sep 15.
'Telecare solutions' are seen as a potential means of addressing the future care needs of ageing societies in Western economies. The development of these remote care systems runs in parallel with policies aimed at 'ageing in place'; and is targeted at supporting the perceived care needs of frail older people within the home. Drawing on ethnographic and deliberative panel data from European Community funded research, we consider how these developments contribute to a reshaping of the place and experience of care for older people. We do so by addressing the ways in which remote care systems can, firstly, act to change the experience of home; and secondly, re-order the place of care-work and responsibilities to care as new actors become enrolled within the care network and existing care-givers take on differing roles and responsibilities. Finally, we consider how this paper contributes to conceptual debates around institution and extitution - that is, the de-territorialisation of the physical structure of the institution and its re-manifestation through new spaces and times that seek to end interior and exterior distinctions.
“远程医疗解决方案”被视为解决西方经济体老龄化社会未来护理需求的一种潜在手段。这些远程护理系统的发展与旨在“就地老龄化”的政策并行不悖；旨在满足家庭中体弱老年人的护理需求。本研究借鉴了欧洲共同体资助的研究中的民族志和审议小组数据，探讨了这些发展如何有助于重塑老年人的护理场所和体验。我们通过解决远程护理系统首先如何改变家庭体验，其次如何重新安排护理工作和责任的方式来实现这一目标，因为新的参与者被纳入护理网络，而现有护理人员则承担不同的角色和责任。最后，我们考虑本文如何有助于围绕机构和安置的概念辩论——即机构的物理结构的去领土化及其通过试图消除内部和外部区别的新空间和时间的重新表现。
