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佛兰德儿童福利社会工作者的基层策略:电子客户记录在实践中的应用。

Street-Level Strategies of Child Welfare Social Workers in Flanders: The Use of Electronic Client Records in Practice.

作者信息

De Witte Jasper, Declercq Anja, Hermans Koen

机构信息

University of Leuven , LUCAS-Centrum voor Zorgonderzoek en Consultancy, Minderbroedersstraat 8 - bus 5310, B-3000 Leuven, Belgium.

University of Leuven, LUCAS-Centrum voor Zorgonderzoek en Consultancy, Minderbroedersstraat 8 - bus 5310, B-3000 Leuven, Belgium; University of Leuven, Centrum voor Sociologisch Onderzoek (OE), Parkstraat 45-bus 3601, 3000 Leuven, Belgium.

出版信息

Br J Soc Work. 2016 Jul;46(5):1249-1265. doi: 10.1093/bjsw/bcv076. Epub 2015 Sep 8.

Abstract

The use of information and communication technology (ICT) in child welfare services has increased significantly during the last decades, and so have the possibilities to process health data. Parton (2009) states that this evolution has led to a shift in the nature of social work itself: from 'the social' to 'the informational'. It is claimed that social workers primarily are becoming information processors concerned with the gathering, sharing and monitoring of information, instead of being focused on the relational dimensions of their work. However, social workers have considerable discretion concerning the way they use ICT. In this paper, we investigate (i) the street-level strategies social workers develop regarding ICT and (ii) how these relate to a narrative social work approach. To illustrate this, an evaluation of Charlotte was conducted, a client registration system that is used by social workers in child welfare services in Flanders, Belgium. Based on fifteen interviews, we find that social workers develop various strategies regarding Charlotte to preserve a relational and narrative work approach. These strategies not only result in a gap between ICT policy and the execution of that policy in practice, but also decrease the extent to which accountability can be realised via registration data.

摘要

在过去几十年里,信息通信技术(ICT)在儿童福利服务中的应用显著增加,处理健康数据的可能性也随之增加。帕顿(2009年)指出,这种演变导致了社会工作本身性质的转变:从“社会性”转向“信息性”。有人认为,社会工作者主要正成为关注信息收集、共享和监控的信息处理者,而不是专注于工作的关系维度。然而,社会工作者在使用ICT的方式上有相当大的自由裁量权。在本文中,我们研究了(i)社会工作者针对ICT制定的一线策略,以及(ii)这些策略与叙事社会工作方法之间的关系。为了说明这一点,我们对夏洛特进行了评估,它是比利时弗拉芒地区儿童福利服务中的社会工作者使用的一个客户登记系统。基于15次访谈,我们发现社会工作者针对夏洛特制定了各种策略,以保持关系性和叙事性的工作方法。这些策略不仅导致了ICT政策与该政策在实践中的执行之间存在差距,而且还降低了通过登记数据实现问责制的程度。

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本文引用的文献

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The effects of promoting patient access to medical records: a review.
J Am Med Inform Assoc. 2003 Mar-Apr;10(2):129-38. doi: 10.1197/jamia.m1147.

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