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A network approach to the coordination of human services: A comparison of two community-based service delivery systems.

机译：一种用于协调人类服务的网络方法：比较两个基于社区的服务提供系统。

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摘要

The purpose of this study is to depict the extent to which organizations coordinate to provide human services in community-based service delivery systems. For decades, community service agencies have faced increasingly complex and interconnected issues involving clients' problems. Multiple services, however, are dispersed across a variety of providers. The problems of fragmentation and limited resources surrounding individual organizations have created barriers to providing integrated services. One key to developing a better coordinated service system is to understand the structure of service networks and interorganizational relationships in service delivery.;This study empirically explored network structures, patterns of coordination, and role structures of organizations concerning three kinds of interorganizational relationships: client referral, goal support, and the sharing of staff and equipment. It addressed issues of network cohesion, fragmentation, and organizational centrality and roles at different levels. Quantitative and qualitative data were obtained from two urban county service delivery systems for the elderly in Alabama.;Using content analysis, cluster analysis, and network analysis, the author shows that well-coordinated structures existed in client referral and goal support networks, while a highly fragmented structure was seen in the staff and equipment exchange network. In general, social service agencies were most likely to be central to receiving clients from other agencies, while health related organizations tended to be more centralized in referring clients to other agencies. Senior centers and transportation agencies were most involved in sharing staff and equipment with others. Overall, public agencies were most central to both client referral and goal support networks. Results imply that organizations with similar services tend to develop significant ties to each other, while they may not necessarily have structurally equivalent positions. For-profit health agencies tend to work more exclusively with each other than other types of organizations do. Conclusions and implications are discussed to provide guidelines for organizations and communities to manage resources and establish effective service coordination. It also suggests future studies to guide theoretical and methodological advancement.
机译：这项研究的目的是描绘组织在基于社区的服务交付系统中协调提供人力服务的程度。几十年来，社区服务机构面临着越来越复杂和相互联系的问题，涉及客户的问题。但是，多种服务分散在各种提供商中。各个组织的分散和资源有限的问题为提供集成服务创造了障碍。开发更好的协调服务系统的关键是要了解服务交付中的服务网络结构和组织间关系。本研究从三种组织间关系上探索了网络结构，协调模式和组织的角色结构：客户推荐，目标支持以及人员和设备的共享。它讨论了网络凝聚力，分散性以及组织集中度和不同级别角色的问题。从阿拉巴马州的两个城市县老年人服务提供系统获得了定性和定量的数据。通过内容分析，聚类分析和网络分析，作者表明客户推荐和目标支持网络中存在协调良好的结构，而在人员和设备交换网络中看到了高度分散的结构。一般而言，社会服务机构最有可能成为接待其他机构客户的中心，而与健康相关的组织往往在将客户介绍给其他机构方面更加集中。高级中心和运输机构最常与他人共享人员和设备。总体而言，公共机构对于客户推荐和目标支持网络都是最重要的。结果表明，提供类似服务的组织之间往往会发展出重要的联系，尽管它们不一定具有结构上相等的职位。与其他类型的组织相比，营利性卫生机构往往更专门地彼此合作。讨论了结论和影响，为组织和社区管理资源和建立有效的服务协调提供了指导。它还建议了今后的研究，以指导理论和方法的发展。

著录项

  • 作者

    Liu, Li-Wen.;

  • 作者单位

    Washington University in St. Louis.;

  • 授予单位 Washington University in St. Louis.;
  • 学科 Social work.
  • 学位 Ph.D.
  • 年度 1998
  • 页码 188 p.
  • 总页数 188
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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