如何利用叙事来缓解年龄歧视
William Smith1, David Elkin2, Art Walaszek3
1Assistant professor at the University of California, San Francisco.
AMA journal of ethics
|October 6, 2023
概括
美国医疗保健中的年龄歧视往往没有被注意到,影响到老年人.
科学领域:
- 老年学是一门学科.
- 医学伦理 医学伦理
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 年龄歧视在美国医疗保健系统中根深蒂固,经常被临床医生忽视.
- 这种系统偏见会对老年人的医疗保健和整体福祉产生负面影响.
- 临床医生可能缺乏时间或动力来考虑老年人的观点,特别是那些患有精神疾病的人.
研究的目的:
- 提出一种基于叙事的伦理方法来解决临床实践中的年龄歧视问题.
- 将临床医生对老年人的看法从不可避免的衰老的被动接受者转变为需要尊严和成长的个人.
- 突出老年人群个人成长和持续发展的潜力.
主要方法:
- 这是对一个案例研究的评论.
- 它提出了一个基于叙事的伦理框架.
- 该方法旨在重塑人们对老龄化和老年人经历的看法.
主要成果:
- 临床医生可能无意中使老年人变得幼稚.
- 老年人的偏好,价值观和成长潜力可能会被忽视或病理化.
- 基于叙事的伦理方法可以培养一种更以人为中心的观点.
结论:
- 解决年龄歧视需要在临床感知上有意识的转变.
- 老年人需要尊严和持续个人成长的机会,而不仅仅是管理与年龄相关的衰退.
- 伦理框架可以帮助临床医生识别和抵消医疗保健环境中的年龄歧视假设.
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