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感知到的医疗保健中的年龄歧视:混合概念分析。

Perceived Ageism in Health Care: A Hybrid Concept Analysis.

机构信息

Third Military University/Army Medical University, Chongqing, China.

ShuangBei Community Health Service Center, Chongqing, China.

出版信息

J Appl Gerontol. 2024 Sep;43(9):1326-1342. doi: 10.1177/07334648241248297. Epub 2024 Apr 17.

Abstract

Identifying perceived ageism is a critical step in eliminating ageism. This hybrid concept analysis aims to describe the concept of perceived ageism in health care. In the theoretical phase, a scoping review was conducted. In the field phase, semi-structured interviews were conducted with nine community-dwelling older adults. In the final analytical phase, results from the theoretical phase were integrated with those from the fieldwork phase. The perceived ageism in health care includes four dimensions: self-internalization (self-denial, a sense of unease, and passivity of behavior in seeking health care), interpersonal interaction (perceived negative perceptions, neglected attitudes, and unfair care behaviors), organization system (perceived strangeness caused by unfamiliar technology, unsupportive environment, and inadequate resources), and procedure policy (perceived uniformity of healthcare process and lack of targeted practice policies). Research related to this concept has contributed to developing measurement tools for assessing perceived ageism in healthcare practice and subsequent research.

摘要

识别感知年龄歧视是消除年龄歧视的关键步骤。本混合概念分析旨在描述医疗保健中感知年龄歧视的概念。在理论阶段,进行了范围综述。在实地阶段,对 9 名居住在社区的老年人进行了半结构化访谈。在最终的分析阶段,将理论阶段的结果与实地工作阶段的结果相结合。医疗保健中的感知年龄歧视包括四个维度:自我内化(自我否认、寻求医疗保健时的不安感和行为被动)、人际互动(感知到的负面看法、被忽视的态度和不公平的护理行为)、组织系统(由不熟悉的技术、不支持的环境和资源不足引起的陌生感)和程序政策(感知医疗保健过程的统一性和缺乏针对性的实践政策)。与这一概念相关的研究有助于开发评估医疗保健实践中感知年龄歧视的测量工具,并为后续研究做出贡献。

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