El-Bialy Rowan, Funk Laura, Thompson Genevieve, Smith Malcolm, St John Philip, Roger Kerstin, Penner Jamie, Luo Hai
Schulich School of Business, York University, Toronto, Ontario.
Department of Sociology and Criminology, University of Manitoba, Winnipeg, Manitoba.
Can J Aging. 2022 Mar;41(1):121-134. doi: 10.1017/S0714980821000325. Epub 2021 Sep 6.
Public representations of long-term residential care (LTRC) facilities have received limited focus in Canada, although literature from other countries indicates that public perceptions of LTRC tend to be negative, particularly in contexts that prioritize aging and dying in place. Using Manitoba as the study context, we investigate a question of broad relevance to the Canadian perspective; specifically, what are current public perceptions of the role and function of long-term care in the context of a changing health care system? Through critical discourse analysis, we identify four overarching discourses dominating public perceptions of LTRC: the problem of public aging, LTRC as an imperfect solution to the problem, LTRC as ambiguous social spaces, and LTRC as a last resort option. Building on prior theoretical work, we suggest that public perceptions of LTRC are informed by neoliberal discourses that privilege individual responsibility and problematize public care.
在加拿大,长期居住护理(LTRC)机构的公众形象受到的关注有限,尽管其他国家的文献表明,公众对LTRC的看法往往是负面的,尤其是在优先考虑就地养老和临终关怀的背景下。以曼尼托巴省作为研究背景,我们调查了一个与加拿大视角广泛相关的问题;具体而言,在不断变化的医疗保健系统背景下,公众目前对长期护理的作用和功能有何看法?通过批判性话语分析,我们确定了主导公众对LTRC看法的四个总体话语:公众老龄化问题、LTRC作为该问题的不完美解决方案、LTRC作为模糊的社会空间以及LTRC作为最后的选择。基于先前的理论工作,我们认为公众对LTRC的看法受到新自由主义话语的影响,这些话语强调个人责任并使公共护理成问题。