伴随席卷而来的银发浪潮,"在地老化"(aging in place)和"整合照护"(integrated care)成为各国发展长期照护体系的核心理念。如何落实"以老年人为中心",为老年人及身心障碍者提供社区居家整合照护,以增进...伴随席卷而来的银发浪潮,"在地老化"(aging in place)和"整合照护"(integrated care)成为各国发展长期照护体系的核心理念。如何落实"以老年人为中心",为老年人及身心障碍者提供社区居家整合照护,以增进服务的连续性、便利性和品质,成为各国长期照护体系改革的方向。分析社区居家整合照护模式的必要性,介绍美国、加拿大、日本,以及中国台湾地区现行的整合照护模式和发展经验。结合我国社区居家医养融合老龄服务模式及其存在问题、成立"中华人民共和国国家卫生健康委员会"的机构改革,对我国社区居家长期照护服务的发展进行探讨和展望。展开更多
A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and u...A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and utilized qualitative data collection and analysis method. Fifteen people living with HIV and AIDS, aged between 15 and 60 years were purposively sampled from three organizations, which were: Light House, National Association for people living with HIV and AIDS in Malawi and Lilongwe Diocese. Qualitative data were collected using an open ended interview guide during in-depth face to face interviews with the participants. The data were analysed using ATLAS. ti 5.0. Results show that all the participants were facing stigma and discrimination because they were living with HIV and AIDS. Distant relatives were the main source of stigma and discrimination followed by friends and church members. Most participants indicated that they felt they were discriminated because HIV infection is associated with bad behaviours such as prostitution or promiscuity. However some of them complained that they contracted the virus from their married partners and hence they did not deserve to be stigmatized or discriminated against. Results show that there is a need for creation of awareness among community members on the transmission of HIV and the need for home based care for the chronically ill people living with HIV and AIDS.展开更多
文摘伴随席卷而来的银发浪潮,"在地老化"(aging in place)和"整合照护"(integrated care)成为各国发展长期照护体系的核心理念。如何落实"以老年人为中心",为老年人及身心障碍者提供社区居家整合照护,以增进服务的连续性、便利性和品质,成为各国长期照护体系改革的方向。分析社区居家整合照护模式的必要性,介绍美国、加拿大、日本,以及中国台湾地区现行的整合照护模式和发展经验。结合我国社区居家医养融合老龄服务模式及其存在问题、成立"中华人民共和国国家卫生健康委员会"的机构改革,对我国社区居家长期照护服务的发展进行探讨和展望。
文摘A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and utilized qualitative data collection and analysis method. Fifteen people living with HIV and AIDS, aged between 15 and 60 years were purposively sampled from three organizations, which were: Light House, National Association for people living with HIV and AIDS in Malawi and Lilongwe Diocese. Qualitative data were collected using an open ended interview guide during in-depth face to face interviews with the participants. The data were analysed using ATLAS. ti 5.0. Results show that all the participants were facing stigma and discrimination because they were living with HIV and AIDS. Distant relatives were the main source of stigma and discrimination followed by friends and church members. Most participants indicated that they felt they were discriminated because HIV infection is associated with bad behaviours such as prostitution or promiscuity. However some of them complained that they contracted the virus from their married partners and hence they did not deserve to be stigmatized or discriminated against. Results show that there is a need for creation of awareness among community members on the transmission of HIV and the need for home based care for the chronically ill people living with HIV and AIDS.
