摘要:

人口老齡化規劃已成為全球決策者日益關注的問題。 促進健康老齡化戰略不可或缺的是「在地老化(aging in place)」措施,這些措施與允許老年人留在家中和社區的服務和護理相關聯。 技術創新-尤其是數位技術的發展-越來越多地被認為在幫助支持這些措施具有潛在的重要性。

在這項研究中,我們採用定性文件分析(qualitative document analysis)來檢查和比較在荷蘭、西班牙和加拿大這三個國家所使用的在地老化政策文件中技術的話語架構(frame)。 我們專注在與生活質量、自主/獨立、風險管理、社會包容、「積極老化」、醫療保健提供的可持續性/效率、對護理人員的支持和老年人權利等價值觀相關的技術干預架構。

研究結果表明儘管這三個國家都反映了對人口老齡化挑戰的共同理解、支持就地老齡化的可存取性以及數位化技術在支持老齡化方面的適當性,但不同的價值框架是顯而易見的。 我們認為,讓這些價值觀明確化對於理解社會政策在想像老齡化未來中的作用以及技術創新在其實施中的假定作用很重要。

原文:

Digitization of Aging-in-Place: An International Comparison of the Value-Framing of New Technologies

Abstract:
Planning for aging populations has been a growing concern for policy makers across the globe. Integral to strategies for promoting healthy aging are initiatives for ‘aging in place’, linked to services and care that allow older people to remain in their homes and communities. Technological innovations—and especially the development of digital technologies—are increasingly presented as potentially important in helping to support these initiatives. In this study, we employed qualitative document analysis to examine and compare the discursive framing of technology in aging-in-place policy documents collected in three countries: The Netherlands, Spain, and Canada. We focus on the framing of technological interventions in relation to values such as quality of life, autonomy/independence, risk management, social inclusion, ‘active aging’, sustainability/efficiency of health care delivery, support for caregivers, and older peoples’ rights. The findings suggest that
although all three countries reflected common understandings of the challenges of aging populations, the desirability of supporting aging in place, and the appropriateness of digital technologies in supporting the latter, different value-framings were apparent. We argue that attention to making these values explicit is important to understanding the role of social policies in imagining aging futures and the presumed role of technological innovation in their enactment.

文獻出處:https://www.mdpi.com/2075-4698/12/2/35