'Ageing in place': experiences of older adults in Amsterdam and Portland
'Ageing in place': experiences of older adults in Amsterdam and Portland
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DOI：
10.1007/s10708-014-9613-3
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发表时间：
2016-04-01
期刊：
影响因子：
2.7
通讯作者：
Fortuijn, Joos Droogleever
中科院分区：
文献类型：
--
作者：
Dobner, Susanne;Musterd, Sako;Fortuijn, Joos Droogleever
本文论述了正式和非正式的社会支持关系和邻里关系对两个不同福利国家环境中的城市社区老年人“就地老龄化”的重要性和意义：波特兰(美国俄勒冈州)和阿姆斯特丹(荷兰)。越来越多的城市老年人口对城市发展提出了新的要求和紧迫的挑战。大多数老年人正在并将在他们的家中和社区老龄化，而不是在制度化的护理设施和环境中。与此同时，提供正式和公共护理服务正日益受到政府削减开支的挑战。最重要的是，许多欧洲国家以前强大的福利国家已经减弱。对每个城市两个社区的40名老年人和关键信息提供者的深入访谈为本研究提供了实证基础。在波特兰，有广泛的地方公民倡议，涉及为老年人提供护理。这座城市有着悠久的个人责任和社区文化传统，这是从国家服务和支持的总体缺乏中产生的，似乎是为了弥补这一点。阿姆斯特丹有着悠久的国家提供服务的传统，但正在经历政策转变，转向更依赖私人市场主导的服务，并强调家庭和社区作为支持的提供者。尽管在阿姆斯特丹确定了一些新兴的地方老年护理举措，但尚不清楚这种形式的社区支持是否能弥补阿姆斯特丹不断减少的国家提供的资金。这项研究提出了对生活在缺乏支持、没有经济来源或附近亲属的城市社区的老年人提供护理的未来的担忧。
This article addresses the importance and meanings of formal and informal social support relationships and neighbourhood ties for older adults 'ageing in place' in urban neighbourhoods in two different welfare state settings: Portland (Oregon, the United States) and Amsterdam (the Netherlands). The rising number of people growing old(er) in urban environments raises new demands and pressing challenges for urban development. The majority of older adults are and will be ageing in their homes and communities, as opposed to institutionalized care facilities and settings. At the same time, the provision of formal and public care is being increasingly challenged by government cutbacks. On top of this, the formerly strong welfare states in many European countries have weakened. In-depth interviews with 40 older adults and key informants in two neighbourhoods in each city provide the empirical basis for this study. In Portland, there are widespread local civic initiatives related to care provision for older adults. The city has a long tradition both of individual responsibility and community culture, which has emerged from and appears to compensate for the overall lack of state services and support. Amsterdam has a long tradition of state provision, but is experiencing a policy shift towards a stronger reliance on private market-led services, and an emphasis on family and community as providers of support. Although a few emerging local initiatives for elderly care in Amsterdam were identified, it is unclear whether this form of community support can compensate for decreasing state provision in Amsterdam. This study raises concerns about the future of care provision for older adults living in unsupportive urban neighbourhoods, without financial resources or nearby relatives.