Is ageism a relevant concept for health care practice in the elderly?
Is ageism a relevant concept for health care practice in the elderly?
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DOI：
10.1684/pnv.2012.0364
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发表时间：
2012-09-01
影响因子：
0.6
通讯作者：
Meire, Philippe
中科院分区：
文献类型：
--
作者：
Masse, Marie;Meire, Philippe
随着人口老龄化，老年人对帮助和照顾的需求将不可避免地增加。因此，探讨医护人员对老年人的信念和态度是很重要的。本文讨论了老年歧视的概念及其在老年人保健实践中的悖论。首先，从认知、情感和行为三个方面界定了年龄歧视的概念。其次，在文献回顾的基础上，描述了由年龄歧视引起的不同“年龄偏见”，它可以影响门诊医护人员对老年人健康状况的评估、治疗决策，以及对机构被试的态度。第三，研究了年龄歧视刻板印象对老年人健康状况和心理健康的潜在负面影响。最后，提出了一些反对老年保健实践中的年龄歧视的主张，包括继续教育，更好地了解老龄化过程的多样性，反思专业人员自己的偏见，价值观和信仰，促进维持自主的关系态度。
With the demographic aging, the older adults' needs for assistance and care will inevitably increase. Therefore, it is important to explore the beliefs and attitudes of the health care professionals toward the elderly. This paper discusses the notion of ageism and its paradoxes in health care practices for the elderly. First, the concept of ageism is defined through its cognitive, affective and behavioral components. Second, on the basis of the literature review, different "age biases" induced by ageism are described, which can influence the assessment of health condition of the elderly, the treatment decisions, but also the attitudes of the health care workers with out-patients as with institutionalized subjects. Third, the potential negative effects of ageist stereotypes on the health status and psychological well-being of the elderly are examined. Finally, some propositions are made to oppose ageism in health care practices for the elderly, including continuing education, better knowledge of the diversity of aging processes, reflexion on professionals' own prejudices, values and beliefs, promotion of relational attitudes which sustain autonomy.