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挪威市政当局的长期护理单位与志愿组织之间的共同生产:理论探讨与实证分析。

Co-production between long-term care units and voluntary organisations in Norwegian municipalities: a theoretical discussion and empirical analysis.

机构信息

NTNU Norwegian University of Science and Technology, Faculty of Medicine and Health Sciences (MH), Department of Health Sciences in Gjøvik, Centre for Care Research, Gjøvik, Norway.

Inland Norway University of Applied Sciences, Centre for Innovation in Services, Lillehammer, Norway.

出版信息

Prim Health Care Res Dev. 2020 Sep 15;21:e33. doi: 10.1017/S1463423620000341.

Abstract

BACKGROUND

In Norway, due to demographic challenges with an ageing population and lower fertility rates, current government policies have encouraged municipalities and volunteers to collaborate. Moreover, present policies recommend an increase in volunteer activities within care services. Co-production is advocated as a functional and innovative method of activating resources when citizens and public employees interact in the care sector.

METHOD

This study has scrutinised ongoing volunteer activities in nursing homes and home care facilities by utilising the results from a survey targeting employees in public care services.

AIM

The aim has been to identify the extent to which long-term care units (LTC units) in Norwegian municipalities and voluntary organisations collaborate in the coordination of volunteer activities at the local level by answering the following research questions: when LTC units and voluntary organisations collaborate in coordinating voluntary activities within caring services: are they sharing tasks, dividing the tasks between them or both?

FINDINGS

The results show that LTC units often coordinate volunteer activities that correspond to statutory public care services. Additionally, LTC units also contribute considerably in coordinating other volunteer activities, either alone or to a small extent in collaboration with voluntary organisations. This limited task sharing when coordinating volunteer activities in municipal care services can be seen as a suboptimal way of using the resources. Hence, a large part of this paper concerns a discussion of the theory of co-production in public care services, drawing on the findings of the survey.

摘要

背景

在挪威,由于人口老龄化和低生育率带来的人口挑战,当前的政府政策鼓励市和志愿者合作。此外,现行政策建议增加护理服务中的志愿者活动。共同生产被倡导为一种实用且创新的方法,可在公民和公共雇员在护理部门互动时激活资源。

方法

本研究利用针对公共护理服务员工的调查结果,仔细研究了养老院和家庭护理设施中的现有志愿者活动。

目的

目的是通过回答以下研究问题来确定挪威市的长期护理单位 (LTC 单位) 和志愿组织在协调地方一级的志愿者活动方面的合作程度:当 LTC 单位和志愿组织合作协调护理服务中的志愿者活动时:它们是共享任务、分工还是两者兼有?

结果

结果表明,LTC 单位经常协调符合法定公共护理服务的志愿者活动。此外,LTC 单位还在协调其他志愿者活动方面做出了很大贡献,无论是单独还是与志愿组织进行少量合作。在协调市护理服务中的志愿者活动时,这种有限的任务共享可以被视为一种不理想的资源利用方式。因此,本文的很大一部分内容涉及对公共护理服务中共同生产理论的讨论,借鉴了调查结果。

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