以结果为中心的"以人为中心"的合同工作:在以结果为基础的合同中,街头级经理和前线经验
Eleanor Carter1, Franziska Rosenbach1, Fernando Domingos2
1Blavatnik School of Government, University of Oxford, Oxford, UK.
基于结果的合同 (OBC) 显示出社会计划的希望,转向社会影响债券. 这项研究发现,加强了以人为中心的护理和基于资产的实践,与以前的按结果支付模式形成鲜明对比.
科学领域:
- 社会政策 社会政策 社会政策
- 公共管理 公共管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于结果的合同 (OBC) 是为了提高社会计划的效率而提出的,但往往无法满足弱势群体的需求.
- 之前的按结果支付模式显示了服务交付的局限性.
研究的目的:
- 为了评估转向英国支持服务的结果合同 (社会影响债券) 的影响.
- 调查OBC对公共服务提供中的个性化和共同生产的影响.
主要方法:
- 混合方法研究,评估针对多种复杂需求的成年人的服务.
- 分析从服务费到社会影响债券合同的转变.
主要成果:
- 有证据表明,在服务交付中,人为中心性得到了增强.
- 在新的合同框架内展示基于资产的实践.
- 这些发现与之前的按结果支付的实验形成鲜明对比.
结论:
- 基于结果的合同,特别是通过社会影响债券,可以促进个性化和共同生产的公共服务.
- 这项研究提供了经验证据,支持一种更有效的方法来支持处境不利的个人.
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