Caregiving for Elders in First Nations Communities: Social System Perspective on Barriers and Challenges
Caregiving for Elders in First Nations Communities: Social System Perspective on Barriers and Challenges
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DOI：
10.1017/s071498081200013x
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发表时间：
2012-01-01
影响因子：
1.9
通讯作者：
Kelley, Mary Lou
中科院分区：
文献类型：
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作者：
Habjan, Sonja;Prince, Holly;Kelley, Mary Lou
本研究探讨了第一民族社区成员的观点和经验，对生活在安大略西北部13个第一民族社区的老年人的健康和社会支持。2005年和2006年对土著老年人及其正式和非正式照顾者进行了调查（n = 216）和重点小组（n = 70）。结果表明，强烈偏好（69%）帮助人们在家中衰老和死亡;然而，在家庭，社区，卫生系统和社会政策层面存在障碍和挑战。障碍包括缺乏家庭照顾者和保健提供者和方案短缺;不断变化的社区价值观;以及获得省级保健服务和文化相关的安全护理的机会有限，所有这些都阻碍了社会政策和社区赋权。要使老年人能够在原住民社区内安度晚年，就需要进行多层次和多部门的制度改革。
This research examined the perspectives and experiences of First Nations community members regarding health and social support for elderly people living in 13 First Nations communities in northwestern Ontario. Surveys (n = 216) and focus groups (n = 70) were conducted in 2005 and 2006 with elderly Aboriginal people and their formal and informal caregivers. Results indicated a strong preference (69%) for helping people to age and die at home; however, barriers and challenges existed at the family, community, health system, and social policy levels. Barriers included a lack of family caregivers and shortage of health care providers and programs; changing community values; and limited access to provincial health services and culturally relevant and safe care, all of which hindered social policy and community empowerment. Enabling elderly people to age within First Nations communities will require multi-level and multi-sectoral system changes.