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构建成功的伙伴关系。

Conceptualising successful partnerships.

作者信息

Dowling Bernard, Powell Martin, Glendinning Caroline

机构信息

National Primary Care Research and Development Centre, University of Manchester, Manchester, UK.

出版信息

Health Soc Care Community. 2004 Jul;12(4):309-17. doi: 10.1111/j.1365-2524.2004.00500.x.

Abstract

Partnership working has become a central feature of British social welfare policy since 1997. Although this development is applicable to all areas of public welfare, nowhere is it more evident than in the planning and provision of care that overlaps health and social services. The literature survey described in the present paper focused on research examining the impact of partnership working in these areas to assess the evidence concerning its effects and to investigate how partnership 'success' is conceptualised. The literature conceptualised the success of partnerships in two main ways: (1) process issues, such as how well the partners work together in addressing joint aims and the long-term sustainability of the partnership; and (2) outcome issues, including changes in service delivery, and subsequent effects on the health or well-being of service users. The authors found that research into partnerships has centred heavily on process issues, while much less emphasis has been given to outcome success. If social welfare policy is to be more concerned with improving service delivery and user outcomes than with the internal mechanics of administrative structures and decision-making, this is a knowledge gap that urgently needs to be filled.

摘要

自1997年以来,合作关系已成为英国社会福利政策的核心特征。尽管这一发展适用于公共福利的所有领域,但在与健康和社会服务重叠的护理规划和提供方面最为明显。本文所述的文献综述聚焦于研究合作关系在这些领域的影响,以评估有关其效果的证据,并调查合作“成功”是如何被概念化的。文献将合作关系的成功主要从两个方面进行了概念化:(1)过程问题,例如合作伙伴在实现共同目标方面的合作情况以及合作关系的长期可持续性;(2)结果问题,包括服务提供的变化以及对服务使用者健康或福祉的后续影响。作者发现,对合作关系的研究主要集中在过程问题上,而对结果成功的关注则少得多。如果社会福利政策更关注改善服务提供和用户结果,而不是行政结构和决策的内部机制,那么这是一个亟待填补的知识空白。

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