Naughton-Doe Ruth, Cameron Ailsa, Carpenter John
Department for Sociological Studies, University of Sheffield, Sheffield, UK.
School for Policy Studies, University of Bristol, Bristol, UK.
Health Soc Care Community. 2021 Sep;29(5):1285-1295. doi: 10.1111/hsc.13166. Epub 2020 Sep 14.
This paper explores the potential contribution of timebanking, an innovative volunteering scheme, to the co-production of preventive social care with adults in England. Interest in volunteering in social care has increased as one proposed solution to the international crisis of a rising demand for services in juxtaposition with decreased resources. Volunteering has been particularly promoted in preventive services that prevent or delay care needs arising. Despite sustained interest in volunteering and co-production in social care, little is known about how theory translates into practice. Reporting implementation data from a Realistic Evaluation of six case studies in England, this paper explores one volunteering scheme, timebanking. The research explores how timebanks were working, what contribution they can make to adult social care, and whether they are an example of co-production. Data collected included interviews, focus groups or open question responses on surveys from 84 timebank members, and semi-structured interviews with 13 timebank staff. Each timebank was visited at least twice, and all timebank activity was analysed for a period of 12 months. Data were triangulated to improve reliability. The research found that in practice, timebanks were not working as described in theory, there were small numbers of person-to-person exchanges and some timebanks had abandoned this exchange model. Timebanks faced significant implementation challenges including managing risk and safeguarding and the associated bureaucracy, a paternalistic professional culture and the complexity of the timebank mechanism which required adequate resources. Lessons for timebanks are identified, as well as transferable lessons about co-production and volunteering in social care if such schemes are to be successful in the future.
本文探讨了时间银行这一创新型志愿服务计划对英国成年人预防性社会护理联合生产的潜在贡献。随着人们提出将志愿服务作为应对国际服务需求增长与资源减少危机的一种解决方案,对社会护理志愿服务的兴趣有所增加。志愿服务在预防或延缓护理需求产生的预防性服务中得到了特别推广。尽管对社会护理中的志愿服务和联合生产一直保持着兴趣,但对于理论如何转化为实践却知之甚少。本文通过报告对英国六个案例研究进行的现实评估的实施数据,探讨了一种志愿服务计划——时间银行。该研究探讨了时间银行的运作方式、它们对成人社会护理的贡献,以及它们是否是联合生产的一个范例。收集的数据包括对84名时间银行成员的访谈、焦点小组讨论或对调查问卷开放式问题的回答,以及对13名时间银行工作人员的半结构化访谈。每个时间银行至少被访问两次,并对12个月期间的所有时间银行活动进行了分析。对数据进行了三角测量以提高可靠性。研究发现,在实践中,时间银行的运作方式与理论描述不符,人际交流较少,一些时间银行已经放弃了这种交流模式。时间银行面临着重大的实施挑战,包括风险管理、保障措施以及相关的官僚作风、家长式的专业文化以及时间银行机制的复杂性,而这需要充足的资源。文中指出了时间银行的经验教训,以及如果此类计划未来要取得成功,关于社会护理联合生产和志愿服务的可借鉴经验。