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照顾照护者:政策必须从满足需求转向赋能照护者,使其蓬勃发展。

Caring for the caregiver: Why policy must shift from addressing needs to enabling caregivers to flourish.

机构信息

Research Department of Epidemiology and Public Health, University College London, London, United Kingdom.

LIFE Research Institute, University of Ottawa, Ottawa, ON, Canada.

出版信息

Front Public Health. 2022 Oct 19;10:997981. doi: 10.3389/fpubh.2022.997981. eCollection 2022.

Abstract

Policies supporting caregivers ("caregiver policies") are limited in the extent to which they meet the needs of those who care for others. Where policies do exist, they focus on relieving the burdens associated with caring or the needs of the person they care for, rather than consider the holistic needs of the caregiver that would enable them to flourish. We argue that the established approach to caregiver policies reflects a policy failure, requiring a reassessment of current practice related to caregiver support. Often, caregiver policies target the care recipient rather than the caregiver's needs. Through a consultative exercise, we identified five areas of need that existing caregiver policies touch upon. Yet current approaches remain piecemeal and inadequate in a global context. Caregiver policies should not just relieve burden to the extent that caregivers can continue in the role, but they should support caregivers to flourish, and future work may benefit from drawing on related frameworks from positive psychology, such as the PERMA™ model; this is important for both policymakers and researchers.

摘要

支持照顾者的政策(“照顾者政策”)在满足照顾他人的照顾者的需求方面存在局限性。在有政策的地方,它们侧重于减轻与照顾相关的负担或照顾对象的需求,而不是考虑到使照顾者能够茁壮成长的全面需求。我们认为,既定的照顾者政策方法反映了政策失败,需要重新评估与照顾者支持相关的现行做法。通常,照顾者政策针对的是被照顾者,而不是照顾者的需求。通过协商活动,我们确定了现有照顾者政策涉及的五个需求领域。然而,在全球范围内,现行方法仍然是零碎和不足的。照顾者政策不仅应减轻照顾者继续担任该角色的负担,还应支持照顾者蓬勃发展,未来的工作可能受益于借鉴积极心理学相关框架,例如 PERMA™模型;这对政策制定者和研究人员都很重要。

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