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老龄化的一线希望:老龄化话语及老年人在社会医疗保险领域的定位

The silver lining of greying: Ageing discourses and positioning of ageing persons in the field of social health insurance.

作者信息

Van den Bogaert Sarah, Ceuterick Melissa, Bracke Piet

机构信息

Ghent University, Belgium.

出版信息

Health (London). 2020 Mar;24(2):169-186. doi: 10.1177/1363459318800171. Epub 2018 Sep 12.

Abstract

Contemporary ageing discourses and policies perceive being active as the key to a good later life and thereby focus on individual responsibility and self-care. Drawing on website articles and press releases of Belgian sickness fund agencies, this study analyses the ageing discourses and positioning of ageing persons of these organisations. A discourse analysis was performed using positioning theory to analyse how sickness fund agencies discursively construct the ageing process and position ageing persons, and to investigate how these positioning acts are related to sickness fund agencies' roles as social insurer, social movement, social entrepreneur and private insurer. Our results reveal three storylines on ageing; ageing as a medical problem, ageing as a new stage in life and ageing as a natural life process. These storylines are applied to construct ageing and position ageing persons in different ways. Depending on their role, sickness fund agencies take on a different position drawing on these different storylines. We also show how these storylines reproduce the moral framework on how to age well and thereby disempower ageing persons. Our results underline the importance of multidimensional perspectives on ageing.

摘要

当代关于老龄化的论述和政策将保持活跃视为美好晚年生活的关键,因此侧重于个人责任和自我照顾。本研究借鉴比利时疾病基金机构的网站文章和新闻稿,分析了这些组织关于老龄化的论述以及对老年人的定位。运用定位理论进行话语分析,以剖析疾病基金机构如何通过话语构建老龄化进程并对老年人进行定位,并探究这些定位行为与疾病基金机构作为社会保险人、社会运动、社会企业家和私人保险人的角色之间的关系。我们的研究结果揭示了关于老龄化的三条叙事线索;老龄化是一个医学问题、老龄化是人生的一个新阶段以及老龄化是一个自然生命过程。这些叙事线索以不同方式被用于构建老龄化并对老年人进行定位。根据其角色,疾病基金机构依据这些不同的叙事线索采取不同的立场。我们还展示了这些叙事线索如何再现关于如何安享晚年的道德框架,从而削弱老年人的权力。我们的研究结果强调了对老龄化采取多维视角的重要性。

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