导论:个性化与协作:老年人和残疾人个性化资助政策的双重紧张关系

IF 2.3 3区 社会学 Q1 SOCIAL ISSUES
M. Foster, Catherine Needham, Eloise Hummell, S. J. Borg, K. Fisher
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引用次数: 0

摘要

残疾、健康和社会护理、心理健康和老年护理等政策领域的个性化和市场化越来越多地取代了许多西方经济体的“一刀切”福利模式。对于老年人和残疾人来说,这是通过采用个性化的资助模式实现的,这些模式承认自主权和自决权(Earle和Boucher,2020),并促进支持的个性化(Dickinson和Glasby,2010;Mladenov等人,2015;Pearson等人,2018;Prandini和Orlandini,2018)。重要的是,这种转变同时被视为一种力量,通过分解整体资助或合同服务来实现个性化,并通过促进合作或网络化安排来提供支持来实现合作(Claes等人,2010)。尽管不一定是对立的,但在一个因竞争和差异化而蓬勃发展的日益市场化的行业中,个性化和协作可能会处于紧张状态(Green等人,2018)。本主题部分对个性化和协作的相互作用进行了定位和批判性研究,讨论了比较示例和街道层面的研究,重点关注老年人和残疾人。其目的是阐明个性化和协作的各种理论驱动因素,以及对老年人和残疾人的支持的复杂性和相互依赖性,以及在实践中如何管理这些双重力量。老年人和残疾人的个性化通过多种形式运作。例如,直接支付、个人预算、自我指导的支持和消费者指导的护理,这在英国和爱尔兰是典型的(Ferguson,2012;Fleming等人,2016;Pearson等人,2018),在澳大利亚,个人预算可能是自我管理的,也可能不是自我管理的(Laragy等人,2015)。同样,也有不同的驱动因素和意识形态,它们影响了这些新形式的演变和接受,以及不同利益的融合程度(Pearson et al.,2018)。例如,尽管基层改革推动了直接支付的吸引力,但苏格兰地方当局最初对私有化议程持怀疑态度(Pearson et al.,2018),就像澳大利亚的情况一样,对市场化的担忧掩盖了基于权利的改革(Fawcett和Plath,2014)。然而,在寻求为有复杂需求的人提供个性化服务和支持时,所有这些模式都高度依赖于在服务组织和支持实施方面的良好合作(Claes等人,2010;Needham和Dickinson,2018;Fleming等人,2019)。然而,依赖良好的合作也是有风险的。市场化和更具竞争力的环境加剧了金融社会政策与社会问题(2023)22:1122-126©作者,2022。剑桥大学出版社出版。doi:10.1017/S147474642200046X
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Introduction: Personalisation and Collaboration: Dual Tensions in Individualised Funding Policy for Older and Disabled Persons
Individualisation and marketisation in policy areas such as disability, health and social care, mental health and aged care has increasingly replaced the ‘one-size-fits all’ welfare model in many western economies. For older and disabled people, this has come about through the adoption of individualised funding models that acknowledge the right to autonomy and self-determination (Earle and Boucher, 2020) and promote personalisation of supports (Dickinson and Glasby, 2010; Mladenov et al., 2015; Pearson et al., 2018; Prandini and Orlandini, 2018). Importantly, this shift is simultaneously seen as a force for personalisation by disaggregating block-funded or contracted services, and for collaboration through promotion of co-operative or networked arrangements in provision of supports (Claes et al., 2010). Although not necessarily oppositional, personalisation and collaboration can however be in tension within an increasingly marketised sector that thrives on competition and differentiation (Green et al., 2018). This themed section situates and critically examines this interplay of personalisation and collaboration, discussing comparative examples and street-level research, with a focus on older and disabled people. The aim is to shed light on the various theoretical drivers of personalisation and collaboration, alongside the complexities and interdependences of support for older and disabled people, and how these dual forces might be managed in practice. Individualisation for older and disabled people operates through many forms. For example, direct payments, personal budgets, self-directed support, and consumer-directed care, which are typical in the UK and Ireland (Ferguson, 2012; Fleming et al., 2016; Pearson et al., 2018), and in Australia, individual budgets, which may or may not be selfmanaged (Laragy et al., 2015). Likewise, there are variable drivers and ideologies, which have influenced the evolution and uptake of these new forms, and the extent to which diverse interests have coalesced (Pearson et al., 2018). As an example, despite the appeal of direct payments driven by grassroots reform, local authorities in Scotland were initially sceptical about the privatisation agenda (Pearson et al., 2018), as was the case in Australia where concerns ensued about marketisation overshadowing rights-based reform (Fawcett and Plath, 2014). Nevertheless, in seeking to personalise services and supports for people with complex needs all such models are highly reliant on good collaboration in the organisation of services and implementation of supports (Claes et al., 2010; Needham and Dickinson, 2018; Fleming et al., 2019). Yet, reliance on good collaboration is also risky. A marketised, and more competitive environment, heightens the issue of financial Social Policy & Society (2023) 22:1, 122–126 © The Author(s), 2022. Published by Cambridge University Press. doi:10.1017/S147474642200046X
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