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机构间协作在“一体化”个案管理中的作用。

The role of interagency collaboration in "joined-up" case management.

机构信息

School of Social Sciences and Psychology, Victoria University, Melbourne, Australia.

出版信息

J Interprof Care. 2012 Mar;26(2):141-9. doi: 10.3109/13561820.2011.637646. Epub 2011 Dec 6.

Abstract

This article reports on research into the relationships that a group of case managers formed with local service providers in order to deliver integrated, "joined-up" services to young people experiencing homelessness and unemployment in the state of Victoria, Australia. Using a two-part customized survey tool, we explored the number and nature of relationships with other agencies. Two focus group discussions contributed to the interpretation of the survey findings. We found that these case managers maintained many relationships, mostly with housing and employment service providers. These relationships were predominantly cooperative in nature, and most could not easily be characterized as collaborative. Our research supports the view that, in an increasingly complex social service system, other forms of cooperation are usually appropriate for achieving the types of interorganizational relationships that are important to assist shared clients. Furthermore, this research supports the notion of a relationship continuum, finding that ratings of relationship elements were positively correlated with relationship type. This research indicates the importance of considering the pragmatic, contextual and situated practices that comprise interagency relationships, their fitness for purpose and the importance of cooperation for effective service provision.

摘要

这篇文章报告了一组个案经理与当地服务提供商之间建立关系的研究,目的是为澳大利亚维多利亚州无家可归和失业的年轻人提供综合的“一体化”服务。我们使用了一个两部分的定制调查工具,探讨了与其他机构的关系数量和性质。两次焦点小组讨论有助于解释调查结果。我们发现这些个案经理维持着许多关系,主要是与住房和就业服务提供商。这些关系本质上主要是合作性的,大多数关系很难被描述为协作性的。我们的研究支持这样一种观点,即在一个日益复杂的社会服务系统中,通常需要其他形式的合作来实现对协助共同客户很重要的那种组织间关系。此外,这项研究支持关系连续体的概念,发现关系要素的评分与关系类型呈正相关。这项研究表明,考虑构成机构间关系的务实、背景和情境实践、它们的适用性以及合作对有效提供服务的重要性非常重要。

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