{"title":"Single-point entry: an organizational form in the delivery of services to the aged.","authors":"J Leon, D Braisted","doi":"10.1177/002188638502100409","DOIUrl":"https://doi.org/10.1177/002188638502100409","url":null,"abstract":"<p><p>Demographic shifts, the further commercialization of the health and human services industry, and various economic trends point to a restructuring of the systems delivering services to the aged. Emerging are approaches that offer a broad range of services under the auspices of separate organizational entities. Called continuums of care, such organizational forms use single points of entry as mechanisms to control access to the array of available services. Using the life care community as the prime example, this article examines the operations of single-point entry organizations. The authors also explore the implications of such structures for the health and human services industry, noting their potential for stratifying the aged along the dimensions of health and income.</p>","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21146719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality circles in the United States: a conceptual reevaluation.","authors":"G R Ferris, J A Wagner","doi":"10.1177/002188638502100208","DOIUrl":"https://doi.org/10.1177/002188638502100208","url":null,"abstract":"<p><p>Faced with industrial decline, American managers have begun searching for strategies for increasing productivity. Recent attention has focused on Japanese management practices, particularly on quality circles (QCs). Drawing upon social science research, this article evaluates the assumptions behind QCs implemented in the United States. The authors present a conceptual analysis that indicates possible reasons for the differing rates of success for QCs in Japan and the U.S. The article also makes suggestions for the effective implementation of American QCs.</p>","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21144977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The future of public-private sector partnerships for the provision of human services: problem and possibilities.","authors":"D L Poole","doi":"10.1177/002188638502100405","DOIUrl":"https://doi.org/10.1177/002188638502100405","url":null,"abstract":"<p><p>This article examines the responses of states, localities, and the private sector to recent attempts by the federal government to realign domestic responsibilities for the provision of human services. In exploring this issue, the author conducted a study of agencies assisting the developmentally disabled in Greater Richmond, Virginia. The author finds that the nation is experiencing a fundamental paradigm shift--a reconceptualization of structure, goals, and responsibilities--with respect to social welfare, with new public-private sector partnerships emerging to meet human needs.</p>","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21168220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complementary roles for formal and informal support groups: a study of nursing homes and mortality rates.","authors":"E Litwak","doi":"10.1177/002188638502100406","DOIUrl":"https://doi.org/10.1177/002188638502100406","url":null,"abstract":"<p><p>Organizational theorists have argued that formal and informal support systems cannot exist in strong form in the same society. In this article, the author argues that such theories fail to consider the complementary of these two systems and the necessity of both for the completion of most tasks. A study of tasks performed for nursing home residents found that the formal organization assumed those tasks that could be standardized and deemed legitimate for Medicaid funding, while the others were either maintained by informal support groups or lost altogether. A study of the influence of informal support groups on mortality rates found that such groups played an important role in reducing death in older persons resulting from causes associated with nontechnical matters. In conclusion, the author finds that formal groups can best manage tasks that require technical knowledge or that can be reduced to simpler, routine components, whereas informal groups can better manage tasks requiring everyday knowledge and characterized by many contingencies or unpredictability. The author stresses that both formal and informal support must be provided when serviing older people.</p>","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21168221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The future of the voluntary agency in a mixed economy.","authors":"R M Kramer","doi":"10.1177/002188638502100404","DOIUrl":"https://doi.org/10.1177/002188638502100404","url":null,"abstract":"<p><p>The growing reliance of voluntary nonprofit organizations on governmental funds ties their future to the fate of the welfare state. A mixed, three-sector, social service economy has blurred organizational differences and made a more rational division of responsibility unlikely. This article suggests that the traditional roles of voluntary agencies can still be reformulated to suggest a more realistic view of their distinctive areas of competence and vulnerability. To avoid goal deflection in the future, the author concludes that voluntary agencies must cope effectively with the dilemmas of entrepreneurialism and vendorism.</p>","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21146717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disability labeling vs. rehabilitation rhetoric for the chronically ill: a case study in policy contradictions.","authors":"N G Kutner, D R Brogan","doi":"10.1177/002188638502100209","DOIUrl":"https://doi.org/10.1177/002188638502100209","url":null,"abstract":"<p><p>Among persons with chronic renal disease, limited encouragement to use self-care treatment options and easy access to disability income benefits tend to reinforce the concept of disability rather than foster rehabilitation goals. More than 80% of all chronic renal disease patients on dialysis therapy receive treatment in facilities at which they become highly dependent on medical staff, and estimates of unemployment among persons aged 21-59 years suffering from this disease range from 60% to 75%. The authors' data indicate that patients who receive dialysis treatment within facilities experience negative effects on their perceived health status and health locus of control as compared to patients who practice self-care dialysis at home. Although many factors contribute to unemployment among dialysis patients, the availability of disability income benefits seems to act as the most important deterrent to employment. Increasing the emphasis on the rehabilitation of this chronically ill population will require a movement away from disability labeling by providers of care and the patients themselves, as well as adjustment in the dialysis reimbursement system and in the eligibility requirements for disability compensation.</p>","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21144978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alternative professional roles in health care delivery: leadership patterns in self-help groups.","authors":"M Yoak, M Chesler","doi":"10.1177/002188638502100407","DOIUrl":"https://doi.org/10.1177/002188638502100407","url":null,"abstract":"The increasing professionalization of health care delivery systems, improved client awareness, funding cutbacks, and an emphasis on voluntarism have led recipients of health services to turn increasingly to self-help groups. This article examines the leadership and organizational pattern of such groups, using a study of 43 self-help groups from around the U.S. whose members are parents of children with cancer. Three leadership patterns emerged: groups were independent and parent-led, were led by professionals, or had a shared leadership of parents and professionals. Data indicate that the professionally led groups were the smallest, leastformal, and had the narrowest range of activities. The groups with shared leadership had the greatest longevity, tended most often to retain as members parents of deceased children. The authors conclude that such coalitions of clients and professionals are vital for ensuring proper service delivery at a time when health care systems will likely remain bureaucratic and public resources for professional care are being reduced.","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21146718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitudes toward genetic engineering: the dilemma of the genetically abnormal child.","authors":"G Young, C Robinson","doi":"10.1177/002188638402000206","DOIUrl":"https://doi.org/10.1177/002188638402000206","url":null,"abstract":"Ethicists and scientists have grappled with issues of genetic engineering for years, yet the position of the lay public on this topic remains largely unexplored. This study examines the attitudes of potential consumers — i.e., women of childbearing age — toward seven medical procedures for genetic engineering. We define genetic engineering as the use of medical procedures to terminate the life or prevent the birth of a genetically abnormal child. This article considers the following procedures: passive euthanasia, amniocentesis, abortion, genetic screening, sterilization, artificial insemination with donor sperm, and in vitro fertilization with a donor egg. The only two procedures that a majority of the women surveyed find acceptable are genetic screening and amniocentesis. Many women, however, apparently do not know enough about genetic engineering procedures to make informed decisions about their use. By far the most important predictor of attitudes toward genetic engineering procedures is frequency of participation in religious observances; the more frequent the participation, the more negative the attitudes. This suggests that decisions about genetic engineering are now and will continue to be based on both ideology and information. Thus, any campaign designed to raise the level of public understanding about genetic science and technology should confront the moral issues inherent in this field and in its application to human beings.","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1984-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of emotional support on perceived job stress and strain.","authors":"S Jayaratne, W A Chess","doi":"10.1177/002188638402000205","DOIUrl":"https://doi.org/10.1177/002188638402000205","url":null,"abstract":"This article uses a national sample of social workers to examine the relationship between work stress, strain, and emotional support. These results indicate negative associations between support and perceived stress and strain. The authors, however, found no evidence for the buffering effects of emotional support. The authors discuss the implications of these findings.","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1984-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21137800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of employee expectations in organizational diagnosis.","authors":"S B Pond, A A Armenakis, S B Green","doi":"10.1177/002188638402000207","DOIUrl":"https://doi.org/10.1177/002188638402000207","url":null,"abstract":"In this article, the authors advance arguments for empirically assessing expectations in terms of their importance in organizational diagnosis and the implementation of a change program. This study explores the feasibility of including in an organizational diagnostic survey a scale to measure employee expectations of the changeability of selected facets of organizational functioning. Exactly 437 employees from all levels of a mental health hospital completed a diagnostic survey. Each of the items on the survey included four parts pertaining to (a) a facet of organizational climate, (b) expectations of facet changeability, (c) facet importance, and (d) employee satisfaction with the facet indicated. Correlational analyses of responses to the four parts indicated that expectations of changeability could be measured independently of the remaining three parts. Moderated regression analyses clarify their nature and potential use.","PeriodicalId":47903,"journal":{"name":"Journal of Applied Behavioral Science","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"1984-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21137801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}