支持负担:服务用户与社区住房服务的经验的反叙述
Marjolijn Heerings1, Hester van de Bovenkamp1, Mieke Cardol2
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, The Netherlands.
概括
社区住房服务可以无意中为智力或精神障碍的个人创造支持负担. 专业人士通过他们的互动,在加重或减轻这些负担方面发挥着关键作用.
科学领域:
- 社会科学 社会科学 社会科学
- 关于残疾人的研究.
- 医疗保健管理的管理
背景情况:
- 社区住房服务旨在通过康复和以人为中心的规划等模式,提高智力或精神障碍者生活质量.
- 这些护理模式中的实施挑战可能会导致未满足的复杂需求和负面的服务用户体验.
研究的目的:
- 通过开发"支持负担"的反叙述,对社区住房的负面服务用户体验进行概念化.
- 在提供支持的背景下,分析专业人员和服务用户之间的关系动态.
主要方法:
- 在荷兰一个社区服务组织中进行的民族学实地研究.
- 数据收集包括参与者观察 (84小时),与服务用户的采访 (n=20),经验专家 (n=8) 和家庭成员 (n=10),以及光声研讨会.
主要成果:
- 确定了四种不同的支持负担:自决负担,重新识别,责任化和重新安置.
- 该研究强调",支持负担"是一个关系概念,受到专业互动的重大影响.
结论:
- 在社区住房中实施护理模式需要仔细考虑,以避免为服务用户创造意想不到的负担.
- 专业实践极大地影响了服务用户的体验,有可能减轻或加重支持负担.
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