Corazzini K N
University of Massachusetts Boston, Gerontology Center, 100 Morrissey Blvd., Boston, MA 02171, USA.
Home Health Care Serv Q. 2000;18(3):81-96. doi: 10.1300/J027v18n03_05.
This study examines the decision-making strategies employed by case managers in a state-funded home care program for the elderly. Specifically, this study applies Lipsky's (1980) theory of street-level bureaucracy to gerontological research on case management decision making in an effort to demonstrate the presence of case management discretion, and the impact of that discretion on home care implementation. Drawing upon individual interviews and focus group interviews, results suggest the applicability of the proposed framework, and indicate the need for policy planners to identify factors for case manager discretion that result in undesirable home care goal transformation.
本研究考察了在一个由国家资助的老年人家庭护理项目中，个案管理员所采用的决策策略。具体而言，本研究将利普斯基（1980）的街头官僚理论应用于老年学领域关于个案管理决策的研究，以证明个案管理自由裁量权的存在，以及该自由裁量权对家庭护理实施的影响。通过个人访谈和焦点小组访谈，结果表明了所提出框架的适用性，并指出政策规划者需要确定导致不良家庭护理目标转变的个案管理员自由裁量权因素。
