Ageing with telecare: care or coercion in austerity?
Ageing with telecare: care or coercion in austerity?
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DOI：
10.1111/j.1467-9566.2012.01530.x
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发表时间：
2013-07-01
影响因子：
2.9
通讯作者：
Callen, Blanca
中科院分区：
文献类型：
--
作者：
Mort, Maggie;Roberts, Celia;Callen, Blanca
近年来，独立、积极变老和呆在家里的形象已经成为西方社会成功老年的特征。“电信”技术被大力推广，以帮助就地老龄化，人口老龄化、医疗保健和社会护理预算缩水以及技术雄心之间的联系，已经开始推动“TeleHome”作为解决“年龄抚养比”问题的解决方案。通过采用一系列监测和远程护理设备，似乎也将实现独立的规范性愿景。但随着收入的下降和规模经济的压力，TeleHome经历了什么样的独立？在这篇文章中，我们使用“技术专家”和“共享工作”的概念来说明我们对正在使用的远程医疗的分析。根据欧洲资助的一项研究，我们认为，基于家庭监控的远程护理具有强迫老年人的潜力，除非我们能够识别和尊重日常实践中的一系列反应，包括不使用和“滥用”。我们建议，重新设想远程保健的目标和重新设计系统，以允许创造性地参与技术和共同产生护理关系，将有助于避免在紧缩时期应用强制形式的护理技术。
In recent years images of independence, active ageing and staying at home have come to characterise a successful old age in western societies. 'Telecare' technologies are heavily promoted to assist ageing-in-place and a nexus of demographic ageing, shrinking healthcare and social care budgets and technological ambition has come to promote the 'telehome' as the solution to the problem of the 'age dependency ratio'. Through the adoption of a range of monitoring and telecare devices, it seems that the normative vision of independence will also be achieved. But with falling incomes and pressure for economies of scale, what kind of independence is experienced in the telehome? In this article we engage with the concepts of 'technogenarians' and 'shared work' to illuminate our analysis of telecare in use. Drawing on European-funded research we argue that home-monitoring based telecare has the potential to coerce older people unless we are able to recognise and respect a range of responses including non-use and 'misuse' in daily practice. We propose that re-imagining the aims of telecare and redesigning systems to allow for creative engagement with technologies and the co-production of care relations would help to avoid the application of coercive forms of care technology in times of austerity.