Journal article
Misalignments of values and preferences: finding an ideal elder care arrangement
- Abstract:
- The ageing of the global population prompts many countries to appropriately allocate healthcare resources that ensure adequate elder care. Nevertheless, the shortages in and burdens of professional care continue to persist. Assistive and remote monitoring technologies for home-use support professional carers in providing care to older persons. With secondary analyses of semistructured interviews with 27 older persons and 23 professional carers in Switzerland, we examined their reasons and expectations for accepting or rejecting technologies in elder care contextualised by their moral outlooks on care, life, death and the deterioration from age. Whereas some appreciate the opportunities for greater safety and reassurance from technologies, others may see the alerts as burdensome and the interventions superfluous. We argue that dissatisfaction in professional care may result from a misalignment of the subjective values between the carer and older person. This may exacerbate the problem of appropriate care provision and disrupt the potential of technologies to benefit older persons. An ideal caregiving arrangement may be found when their values do align. We argue that there exists intrinsic value to finding an alignment using the capabilities approach, followed by reflections on autonomy and privacy. Recommendations are offered to practically enable this alignment, with limits set to ensure adequate access to care. With the increasing enthusiasm for technical solutions in professional elder care, this paper contributes a novel perspective by presenting two reasons for inefficiencies in reducing care burdens that are linked to the alignment of core moral outlooks and the realisation of capabilities.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 217.4KB, Terms of use)
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- Publisher copy:
- 10.1136/jme-2024-110559
Authors
+ Swiss National Science Foundation
More from this funder
- Funder identifier:
- https://ror.org/00yjd3n13
- Grant:
- 187464
- Publisher:
- BMJ Publishing Group
- Journal:
- Journal of Medical Ethics More from this journal
- Volume:
- 52
- Issue:
- 2
- Pages:
- 106-112
- Place of publication:
- England
- Publication date:
- 2025-05-07
- Acceptance date:
- 2025-04-09
- DOI:
- EISSN:
-
1473-4257
- ISSN:
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0306-6800
- Pmid:
-
40335278
- Language:
-
English
- Keywords:
- Pubs id:
-
2124044
- Local pid:
-
pubs:2124044
- Deposit date:
-
2025-05-27
- ARK identifier:
Terms of use
- Copyright holder:
- Tian et al
- Copyright date:
- 2025
- Rights statement:
- © Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY. Published by BMJ Group. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made.
- Licence:
- CC Attribution (CC BY)
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