拆分是件冒险的事:残疾行业市场化中的个性化与合作

IF 2.3 3区 社会学 Q1 SOCIAL ISSUES
Eloise Hummell, S. J. Borg, M. Foster, K. Fisher, Catherine Needham
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引用次数: 1

摘要

个性化资金驱动的残疾支持市场化给多机构合作带来了新的困境,特别是如何在保持商业可行性的同时提供个性化支持。本文探讨了组织在应对个性化和协作的紧张关系方面面临的挑战、风险和适应能力。本文以街头研究为框架,以澳大利亚国家残疾保险计划(NDIS)为背景,对28名组织经理进行了采访。当几个供应商正在交付NDIS参与者计划的一部分时,多机构的挑战就突显出来了,模糊了组织的责任和问责制。访谈还揭示了组织脱节和组织依赖在质量支持提供方面的悖论,并描述了组织为确保其可持续性而实施的合作应对措施。各组织承诺建立一个值得信赖的供应商生态系统,但这在很大程度上是自由裁量的,需要进一步的政策机制,使各组织能够通过谈判解决多机构困境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Breaking Up Is Risky Business: Personalisation and Collaboration in a Marketised Disability Sector
The marketisation of disability support driven by individualised funding brings new dilemmas for multi-agency collaboration, in particular how to provide personalised supports while remaining commercially viable. This article explores the challenges, risks and adaptations of organisations to navigate the tensions of personalisation and collaboration. Framed by street-level research and using the context of Australia’s National Disability Insurance Scheme (NDIS), this article draws on interviews with twenty-eight organisational managers. Multi-agency challenges are highlighted when several providers are delivering parts of a NDIS participant’s plan, blurring organisational responsibilities and accountabilities. Interviews also revealed the paradox of organisational disconnection and organisational dependence concerning quality support provision and described the collaborative responses organisations implement to ensure their sustainability. There is commitment among organisations to build a trusted ecosystem of providers, but this is largely discretionary and there is a need for further policy mechanisms to enable organisations to negotiate a way through multi-agency dilemmas.
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来源期刊
CiteScore
3.70
自引率
6.70%
发文量
67
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