澳大利亚老年男同性恋者和女同性恋者对居住和家庭护理服务的体验和看法。
Experiences and perceptions of residential and home care services among older lesbian women and gay men in Australia.
机构信息
Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, Melbourne, Vic., Australia.
School of Justice, Faculty of Law, Queensland University of Technology, Brisbane, Qld, Australia.
出版信息
Health Soc Care Community. 2019 Sep;27(5):1251-1259. doi: 10.1111/hsc.12760. Epub 2019 Apr 22.
The needs of older lesbian and gay people regarding access and use of aged-care services remain underresearched. This paper reports the findings of 33 qualitative interviews with older lesbian women and gay men about their perceptions and experiences of residential aged-care and home-based aged-care services in Australia. The focus of this paper is their preparedness for using aged-care services. The results highlight that participants had a number of concerns related to accessing residential-care services in particular, including perceptions of a lack of inclusivity and concerns of potential for discrimination and hostility, loss of access to community and partners, decreased autonomy and concerns relating to quality of care and the potential for elder abuse. Participants noted a number of strategies they employed in avoiding residential-care services, including the use of home-care services, renovating the home for increased mobility, moving to locations with greater access to outside home-care services, a preference for lesbian/gay-specific housing and residential-care options if available, and the option of voluntary euthanasia to ensure dignity and autonomy. Participants, on the whole, were hopeful that they would never require the use of residential-care services, with some believing that having current good health or the support of friends could prevent this from happening. The findings suggest that older lesbian and gay people have a variety of concerns with aged-care and may need additional support and education to improve their perceptions and experiences of services, whether these are needed presently or in the future.
关于老年男女同性恋者在获得和使用老年护理服务方面的需求,相关研究仍然不足。本文报告了对 33 名老年女同性恋者和男同性恋者进行的 33 次定性访谈的结果,这些人就他们对澳大利亚的养老院和上门养老服务的看法和体验发表了意见。本文的重点是他们对使用老年护理服务的准备情况。研究结果表明,参与者对入住养老院服务有很多顾虑,特别是对缺乏包容性的看法,以及对潜在的歧视和敌意、丧失社区和伴侣的机会、自主能力下降的担忧,以及对护理质量的担忧和潜在的虐待老人问题。参与者指出了他们在避免入住养老院服务方面采用的一些策略,包括使用家庭护理服务、对房屋进行翻新以提高行动能力、搬到更容易获得上门护理服务的地方、如果有同性恋/女同性恋者专用住房和养老院选择,则更倾向于选择这些住房和养老院,以及选择自愿安乐死以确保尊严和自主权。总的来说,参与者希望自己永远不需要使用养老院服务,有些人认为目前健康状况良好或有朋友的支持可以防止这种情况发生。调查结果表明,老年男女同性恋者对老年护理有各种各样的担忧,可能需要额外的支持和教育,以改善他们对服务的看法和体验,无论他们目前是否需要服务,还是将来需要服务。