Long-term care: dignity, autonomy, family integrity, and social sustainability: the Hong Kong experience.
This article reveals the outcome of a study on the perceptions of elders, family members, and healthcare professionals and administration providing care in a range of different long-term care facilities in Hong Kong with primary focus on the concepts of autonomy and dignity of elders, quality and location of care, decision making, and financing of long term care. It was found that aging in place and family care were considered the best approaches to long term care insofar as procuring and balancing the values of dignity, autonomy, family integrity and social sustainability were concerned. An elder having the final say was generally accepted. The results also initiated the importance of sharing of financial responsibility among elders, children and government albeit the emphasis was placed on individuals. Furthermore, dignity of elders was not considered purely a synonym of autonomy, but it had also to do with respect, family and social connections.
Chan
Ho Mun
HM
Department of Public and Social Administration, City University of Hong Kong, Kowloon, Hong Kong, SAR. sachm@cityu.edu.hk
Pang
Sam
S
D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000458:organization & administration / Q000523:psychology; D003657:Decision Making; D005190:Family / Q000523:psychology*; D005382:Financing, Personal; D006299:Health Services for the Aged / Q000458:organization & administration; D006699:Home Care Services / Q000458:organization & administration; D006707:Homes for the Aged / Q000458:organization & administration; D006723:Hong Kong; D006801:Humans; D008134:Long-Term Care / Q000145:classification / Q000458:organization & administration / Q000523:psychology*; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration; D010465:Perception; D026684:Personal Autonomy; D011787:Quality of Health Care / Q000458:organization & administration; D012649:Self Concept; D012944:Social Support