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西班牙老年女性的长期护理:进展与局限。

Long-term care for elder women in Spain: advances and limitations.

机构信息

a Professor of Applied Economics , Universidad Autónoma de Madrid , Campus de Cantoblanco, Madrid , Spain.

出版信息

J Aging Soc Policy. 2014;26(4):347-69. doi: 10.1080/08959420.2014.939894.

Abstract

In Spain, elder women are the largest group in need of long-term care. Significant improvements in this issue took place between 2007 and 2011, thanks to the Dependency Law (2006). But severe limitations showed the difficulty of overcoming the historical backwardness of Spanish social policy. This article describes the situation of Spanish people with dependency in activities of daily living. It analyzes changes driven by this law, especially in their impacts on elder women. It assesses the extent to which those changes can alter the traditional model of care. There are three major findings: First, measures promoted by the law have improved the previous situation but are incapable of developing a new model. Care for elders still relies on family, with lack of professionalism, little socialization, and expanding commodification. Second, the current care model is fundamentally detrimental to older women and women caregivers. Third, this kind of model hinders the overcoming of gender inequalities in intrafamily, generational, and social relations.

摘要

在西班牙,老年女性是最需要长期护理的群体。2007 年至 2011 年期间,由于《依赖法》(2006 年)的实施,这一问题得到了显著改善。但严重的局限性表明,克服西班牙社会政策历史滞后性的困难重重。本文描述了西班牙日常生活活动依赖者的状况。它分析了该法律带来的变化,特别是对老年女性的影响。它评估了这些变化在多大程度上可以改变传统的护理模式。主要有三个发现:首先,法律推动的措施改善了以前的状况,但无法发展出新的模式。对老年人的护理仍然依赖家庭,缺乏专业性、社会化程度低且不断商品化。其次,当前的护理模式从根本上对老年女性和女性照顾者不利。第三,这种模式阻碍了在家庭内、代际和社会关系中克服性别不平等。

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