8430University of Waterloo, Waterloo, Ontario, Canada.
3158University of Alberta, Edmonton, Alberta, Canada.
Healthc Manage Forum. 2022 Sep;35(5):296-300. doi: 10.1177/08404704221110734. Epub 2022 Aug 4.
The global pandemic expedited the adoption of AgeTech solutions that aim to help older adults maintain their autonomy and independence. This article examines the negative impact of the Western worldview of autonomy and independence on older adults. Negative impact can manifest as ageism and may be compounded by intersections of identities with race, gender, and culture. We propose an inclusive framework for health leaders, one that is not binary or categorical, but instead, on a continuum: (1) relational autonomy which assumes that relationships form one's identity; therefore, no one is autonomous to the exclusion of others, and (2) interdependence which proposes that one's lifestyle choice is supported by interreliance with aspects of one's environment. We examine two examples of AgeTech from the perspective of relational autonomy and interdependence and discuss how health leaders can use this inclusive framework to ensure that their services do not discriminate against older adults.
这场全球性大流行病加速了老年技术(AgeTech)解决方案的采用,这些方案旨在帮助老年人保持自主和独立。本文探讨了西方自主和独立世界观对老年人的负面影响。负面影响可能表现为年龄歧视,并且可能因与种族、性别和文化等身份的交叉而加剧。我们为卫生保健领导者提出了一个包容性框架,这个框架不是二元的或分类的,而是连续的:(1)关系自主性,它假设关系构成一个人的身份;因此,没有人可以自主而不考虑他人,(2)相互依存性,它提出一个人的生活方式选择是由与环境的各个方面相互依赖来支持的。我们从关系自主性和相互依存性的角度考察了两个老年技术的例子,并讨论了卫生保健领导者如何使用这个包容性框架来确保他们的服务不歧视老年人。