关于加拿大在家中死亡的结构性障碍的社区观点
Wing-Sun Chan1, Laura Funk1, Marian Krawczyk2
1Department of Sociology and Criminology, University of Manitoba, Winnipeg, MB, Canada.
Palliative & supportive care
|July 28, 2023
概括
在加拿大,在家里死得好,受到系统性障碍的阻碍,如基础设施差,死亡素养低,耻辱和有限的社会联系. 解决这些结构性问题对于公平的终身护理至关重要.
科学领域:
- 健康和疾病的社会学
- 公共卫生政策 公共卫生政策
- 老年学是一门学科.
背景情况:
- 全球人口老龄化增加了对家庭息护理的需求.
- 在家死亡日益被公认为公共卫生优先事项.
- 加拿大政策促进现场死亡,但实际现实可能有所不同.
研究的目的:
- 检查社会系统的结构性决定因素和障碍如何影响加拿大在家中死亡的可能性和偏好.
- 确定影响家庭终身护理体验的系统因素.
主要方法:
- 对24名加拿大利益相关者的采访进行了描述性的专题分析.
- 参与者代表了不同的群体,包括社区倡导者,医疗保健专业人员,护理人员和边缘化社区 (法语,移民,2SLGBTQ+).
主要成果:
- 确定的主要结构性障碍包括不可访问的基础设施和服务.
- 报告说,死亡素养和社会耻辱的差距很大.
- 对关系性社会资本的有限获取也构成了挑战.
结论:
- 现有的关于终身护理健康公平的研究需要超越服务提供范围.
- 政策制定者必须扩大他们对影响家庭健康死亡能力的结构因素的理解.
- 确保在家享有健康死亡的平等机会,需要解决系统性的社会决定因素.
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