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“以你的年龄,你还能期望什么呢?”:西班牙的年龄歧视与老年人医疗保健

"With your age, what do you expect?": Ageism and healthcare of older adults in Spain.

机构信息

Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba 14071, Spain.

Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Hospital Universitario Reina Sofía (HURS), Córdoba 14004, Spain.

出版信息

Geriatr Nurs. 2023 May-Jun;51:84-94. doi: 10.1016/j.gerinurse.2023.02.020. Epub 2023 Mar 13.

DOI:10.1016/j.gerinurse.2023.02.020
PMID:36921397
Abstract

INTRODUCTION

Ageism could influence the relationship between older patients' meeting needs and healthcare professionals' answers.

AIMS

To highlight the experience of older adults with healthcare systems, how they perceive ageism from their healthcare providers, and to explore the relationship between perceived ageism and self-perception of aging (SPA).

METHODS

We conducted an exploratory qualitative study. The participants were 14 women over 65 who lived alone in their homes.

RESULTS

Professional responses ignored the expression of preferences of the older patients and excluded them from decision-making processes. These answers influenced older patients' use of health services. Moreover, the negative aspects predominated in a SPA influenced by the internalization of stereotypes and a relationship weighed down by ageist behaviors on the part of health professionals.

CONCLUSION

Explicit situations of ageism influence an imbalance in power relations between older patients and healthcare professionals, a misuse of health services, and a negative SPA.

摘要

简介

年龄歧视可能会影响老年患者的需求与医疗保健专业人员的回应之间的关系。

目的

强调老年人对医疗保健系统的体验,他们如何感知医疗保健提供者的年龄歧视,并探讨感知到的年龄歧视与自我老化感知(SPA)之间的关系。

方法

我们进行了一项探索性定性研究。参与者是 14 名独自居住在自己家中的 65 岁以上女性。

结果

专业人员的回应忽视了老年患者表达的偏好,将他们排除在决策过程之外。这些回应影响了老年患者对卫生服务的使用。此外,在受刻板印象内化和受年龄歧视行为影响的关系的影响下,SPA 中负面方面占主导地位。

结论

明确的年龄歧视情况会影响老年患者与医疗保健专业人员之间权力关系的不平衡,对卫生服务的滥用以及 SPA 的负面化。

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