Innes Anthea, Manthorpe Jill
School of Health and Social Care, Bournemouth University, UK.
Dementia (London). 2013 Nov;12(6):682-96. doi: 10.1177/1471301212442583. Epub 2012 Apr 8.
This paper discusses theoretical models for understanding dementia and how these are emerging in the formation and development of dementia care policy across the UK. Dementia attracts multi-disciplinary and multi-professional questions and responses. Three broad theoretical models underpin dementia care policy (as well as practice and research): biomedical, psycho-social and social-gerontological. These are critically assessed and discussed in relation to illustrative examples of dementia policy across three policy regions of the devolved UK. The contribution and implications of theoretical models of dementia policy highlight the importance of recognising how different theoretical understandings of dementia influence dementia policy. The development and improvement of policy and practice in the area of dementia care require an understanding of the often implicit theoretical approaches to dementia.
本文讨论了用于理解痴呆症的理论模型,以及这些模型如何在英国痴呆症护理政策的形成和发展中出现。痴呆症引发了多学科和多专业的问题及应对措施。有三种广泛的理论模型支撑着痴呆症护理政策(以及实践和研究):生物医学模型、心理社会模型和社会老年学模型。结合英国权力下放后的三个政策区域中痴呆症政策的示例,对这些模型进行了批判性评估和讨论。痴呆症政策理论模型的贡献和影响凸显了认识痴呆症的不同理论理解如何影响痴呆症政策的重要性。痴呆症护理领域政策和实践的发展与改进需要理解对痴呆症通常隐含的理论方法。