Movement and change: independent sector domiciliary care providers between 1995 and 1999.
Movement and change: independent sector domiciliary care providers between 1995 and 1999.
复制标题
变动与变化：1995 年至 1999 年间独立部门的家庭护理提供者。
DOI：
10.1046/j.1365-2524.2001.03111.x
复制
发表时间：
2001
影响因子：
2.4
通讯作者：
G. Wistow
中科院分区：
文献类型：
--
作者：
P. Ware;T. Matosevic;J. Forder;B. Hardy;J. Kendall;M. Knapp;G. Wistow
促进一个蓬勃发展的独立部门的发展，同时提供高质量的公共服务，是过去十年社区护理改革的一个关键目标。本文描绘了一些方式的独立的辅助护理部门正在发生变化，地方当局转移其提供的平衡向独立的部门提供者，远离依赖内部服务。1995年和1999年对独立的家庭护理提供者进行了两次调查。这些研究的目的是描述提供者组织的主要特征，如业务规模、客户群体和资金来源;审查提供者动机的性质及其过去和未来的计划;考虑地方当局如何管理社会护理市场的供应方;以及审查混合经济的发展对提供者的影响。1995年的第一次调查是在8个地方当局地区进行的，到1999年，由于设立了3个新的单一当局，这一地区已增加到11个。调查结果基于两项研究之间的261次邮寄调查以及111次访谈。这项研究说明了一个仍然相对年轻的家庭护理市场，有许多小型但不断增长的企业。各主管机构内部服务和独立部门服务的划分差别很大，独立服务提供者普遍认为内部服务享有优惠待遇和条件。现货合同或交货合同仍然是最常见的合同形式，尽管有一些趋势是提高服务保证水平和采用更复杂的合同安排模式。地方当局和独立的提供者之间仍然需要不断交流信息，以便能够与经过验证和有能力的提供者建立良好的工作关系。
Promoting the development of a flourishing independent sector alongside good quality public services was a key objective of the community care reforms of the last decade. This paper charts some of the ways the independent domiciliary care sector is changing, as local authorities shift the balance of their provision toward independent sector providers and away from a reliance on in-house services. Two surveys of independent domiciliary care providers were carried out in 1995 and 1999. The aims of the studies were to describe the main features of provider organisations, such as size of business, client group and funding sources; to examine the nature of provider motivations and their past and future plans; to consider how local authorities manage the supply side of social care markets; and to examine the effects on providers of the development of the mixed economy. The first survey in 1995 was conducted in eight local authority areas, which by 1999 had increased to 11 because of the creation of three new unitary authorities. The findings are based on 261 postal surveys together with 111 interviews between the two studies. The research illustrates a domiciliary care market that is still relatively young with many small but growing businesses. There are considerable differences in the split between in-house and independent sector services in individual authorities and a common perception among independent providers that in-house services receive favourable treatment and conditions. Spot or call-off contracts continue to be the most common form of contract although there are moves toward greater levels of guaranteed service and more sophisticated patterns of contracting arrangements. There remains an ongoing need to share information between local authorities and independent providers so that good working relationships can develop with proven and competent providers.