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首页> 外文期刊>Medical anthropology quarterly >Have They Done what They Should? Moral Reasoning in the Context of Translating Older Persons' Everyday Problems into Eligible Needs for Home Modification Services
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Have They Done what They Should? Moral Reasoning in the Context of Translating Older Persons' Everyday Problems into Eligible Needs for Home Modification Services

机译：他们做了应做的事情吗？在将老年人的日常问题转化为符合条件的家庭装修服务中的道德推理

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摘要

This study explores how moral reasoning is expressed in matching health care with the problems older persons experience in their everyday life. Narrative data were collected from older persons who had applied for home modification services and from professionals involved in these services in Sweden. A theoretical framework, based on theories on the anthropology of morals, was applied to explore how the participants made conclusions about "what should be done." Moral reasoning was found to be guided by ideologies related to the historical and cultural context of the Swedish welfare state. Different interpretations of how these values should be expressed in specific situations led to different conclusions about what should be done. The study highlights the importance of understanding how values are enacted rather than what values different social agents have in order to understand how health care services can be designed and provided to support older persons' everyday life.
机译：这项研究探索了如何在将医疗保健与老年人日常生活中遇到的问题相匹配时表达道德推理。叙事数据是从申请家庭装修服务的老年人和瑞典从事这些服务的专业人员那里收集的。一个基于道德人类学理论的理论框架被用于探索参与者如何得出关于“应该做什么”的结论。人们发现道德推理受与瑞典福利国家的历史和文化背景有关的意识形态的指导。对在特定情况下应如何表达这些价值的不同解释导致对应采取的措施的不同结论。这项研究突出了理解价值观如何制定而不是不同社会主体具有什么价值观的重要性，以便理解如何设计和提供保健服务来支持老年人的日常生活。

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