The process of mediated aging-in-place: a theoretically and empirically based model
The process of mediated aging-in-place: a theoretically and empirically based model
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DOI：
10.1016/s0277-9536(02)00486-0
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发表时间：
2003-09-01
影响因子：
5.4
通讯作者：
Cutchin, MP
中科院分区：
文献类型：
--
作者：
Cutchin, MP
原地老龄化是一个复杂的地理过程，由制度和其他社会力量介导。基于就地养老战略的两个相对研究不足的服务是成人日托中心（ADC）和辅助生活住宅（ALR）。本文首先结合地理学理论和杜威的经验哲学，将原地老化重新定义为一个地方整合的过程。使用定性实地调查和分析的证据，实证证据，然后介绍了一个理论模型的地方整合过程中的老年人使用ADC和ALRs。分析说明了家庭和社区领域如何对这些人最初的问题处境起着核心作用。它表明，“社会地理分化的老年人”的情况下，参与这些领域的问题，并描述了如何工作的过程中产生的ADC或ALR设置的地方整合的核心过程的影响。然后分析了该模式的三个核心过程：“通过空间和场所重塑体验语境”，“通过以场所为中心的活动创造意义”和“争夺空间和场所”。该模型还包括两个最终组件过程。一个是核心过程的精华，称为“近似家庭和社区”。另一个是“不稳定性作为持续的挑战”，以安置一体化。结论部分简要讨论了本研究的理论和政策意义。(C)2003爱思唯尔科技有限公司版权所有。
Aging-in-place is a complex geographical process mediated by institutions and other social forces. Two relatively under-studied services based on an aging-in-place strategy are adult day centers (ADCs) and assisted living residences (ALRs). This paper begins by re-casting aging-in-place as a process of place integration, based on a combination of geographical theory and John Dewey's philosophy of experience. Using empirical evidence from qualitative fieldwork and analysis of that evidence, the paper then introduces a theoretical model of the place integration process for older adults using ADCs and ALRs. The analysis describes how the domains of home and community are central to the originating problematic situation of these persons. It suggests that 'socio-geographical differentiation of older adults' situations' is involved in these domain problems and describes how the process works to influence the core processes of place integration generated by the ADC or ALR setting. The analysis then explains three core processes of the model: Ire-shaping the experiential context through space and place', 'creating meaning through place-centered activity', and 'contesting space and place'. The model also includes two final component processes'. One is the distillate of the core processes, termed 'approximating home and community'. The other is 'instability as ongoing challenge' to place integration. A brief conclusion discusses theoretical and policy implications drawn from the study. (C) 2003 Elsevier Science Ltd. All rights reserved.