Chan Wing-Sun, Funk Laura
Division of Health Research, Lancaster University, Lancaster, England, LA1 4YX, UK.
Department of Sociology and Criminology, University of Manitoba, Winnipeg, Manitoba, Canada.
Health Open Res. 2024 Sep 12;6:17. doi: 10.12688/healthopenres.13611.2. eCollection 2024.
Aging populations have increased demand for hospice palliative care and support for dying persons. More broadly, community support is also becoming an increasingly important aspect of public health intervention. Compassionate communities advocate active bottom-up community participation to strengthen communities' assets around death and dying. However, these rapidly growing initiatives face a challenge in putting values such as cultural diversity, relationship, and love into practice and in making a social impact through "meaningful participation" at the community level. Reflecting on our experiences in a recent study of dying at home in Canada, we consider potential challenges for compassionate communities more broadly. We argue that risks related to gendered inequity, neo-liberal discourses around caring work, and an over-emphasis of community resilience need to be deliberated in compassionate community policy and service development. To mitigate these risks, we argue that the eight components of the International Standards for Community Development Practice or ISCDP (from the International Association for Community Development or IACD) provide important direction about putting values into practice, for instance by advocating for service and policy improvement while engaging in practice and research on compassionate communities. We discuss how the international standards can inform compassionate community development in Canada.
老龄化人口对临终关怀和对临终者的支持需求不断增加。更广泛地说,社区支持也正日益成为公共卫生干预的一个重要方面。富有同情心的社区倡导自下而上的积极社区参与,以加强社区围绕死亡和临终的资源。然而,这些迅速发展的倡议在将文化多样性、关系和爱等价值观付诸实践,以及通过社区层面的“有意义参与”产生社会影响方面面临挑战。通过反思我们在加拿大近期一项关于在家中死亡的研究中的经历,我们更广泛地考虑了富有同情心的社区可能面临的挑战。我们认为,在富有同情心的社区政策和服务发展中,需要审慎考虑与性别不平等、围绕照护工作的新自由主义话语以及对社区复原力的过度强调相关的风险。为了降低这些风险,我们认为国际社区发展实践标准(ISCDP,来自国际社区发展协会或IACD)的八个组成部分为将价值观付诸实践提供了重要指导,例如在参与富有同情心的社区实践和研究时倡导服务和政策改进。我们讨论了这些国际标准如何为加拿大富有同情心的社区发展提供参考。