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Information Technology in Health Care 2007
Early studies of health information system failures identified the central role of the human, social and organizational contexts in which information systems operate. They set the challenge for researchers to understand how to obtain the best fit between the technical systems (e.g. the information systems and associated work practices) and the social systems (e.g. organizational culture, social practices and behaviors, and political milieu), resulting in a socio-technical approach towards health information systems. It has been six years since the first conference and the quality of the research papers has continued to improve as have the theoretical sophistication and empirical methodologies. Considerable advances are evident, though many of the underlying challenges, such as our ability to design, implement and evaluate safe, useable and effective systems within complex health care organizations, remain.
eBook
Facilitators and barriers of implementing and delivering social prescribing services: a systematic review
Background
Social Prescribing is a service in primary care that involves the referral of patients with non-clinical needs to local services and activities provided by the third sector (community, voluntary, and social enterprise sector). Social Prescribing aims to promote partnership working between the health and the social sector to address the wider determinants of health. To date, there is a weak evidence base for Social Prescribing services. The objective of the review was to identify factors that facilitate and hinder the implementation and delivery of SP services based in general practice involving a navigator.
Methods
We searched eleven databases, the grey literature, and the reference lists of relevant studies to identify the barriers and facilitators to the implementation and delivery of Social Prescribing services in June and July 2016. Searches were limited to literature written in English. No date restrictions were applied. Findings were synthesised narratively, employing thematic analysis. The Mixed Methods Appraisal Tool Version 2011 was used to evaluate the methodological quality of included studies.
Results
Eight studies were included in the review. The synthesis identified a range of factors that facilitate and hinder the implementation and delivery of SP services. Facilitators and barriers were related to: the implementation approach, legal agreements, leadership, management and organisation, staff turnover, staff engagement, relationships and communication between partners and stakeholders, characteristics of general practices, and the local infrastructure. The quality of most included studies was poor and the review identified a lack of published literature on factors that facilitate and hinder the implementation and delivery of Social Prescribing services.
Conclusion
The review identified a range of factors that facilitate and hinder the implementation and delivery of Social Prescribing services. Findings of this review provide an insight for commissioners, managers, and providers to guide the implementation and delivery of future Social Prescribing services. More high quality research and transparent reporting of findings is needed in this field.
Journal Article
Legal issues in social work practice and research
\"This highly practical text surveys the myriad legal and ethical issues that social workers encounter both in daily practice and under special circumstances. Its initial section presents concepts in law and ethics that unite practitioners, researchers, and academics in the field, such as confidentiality, informed consent, and the interplay between social work and administrative and judicial systems. A selection of representative cases illustrates legal aspects involved in providing services to families, children, elders, and persons with disabilities. Also included are chapters on advocacy in social work, both in its potential to influence policy and on the global stage as part of the ongoing struggle for human rights and dignity. Among the topics covered: Confidentiality and the social worker-client relationship; Liability issues for social workers in the clinical context; Legal issues arising in the context of social work research; The social worker and forensic social work; Social worker involvement in access to school and school services; Social work in the context of health care; Legal issues working with immigrants, refugees, and asylees; The interface between social work and human rights. Legal Issues in Social Work Practice and Research is an interdisciplinary text aimed at social work, mental health, and legal professionals. It enhances the power of social work as an integrative system to support clients' rights and agency.\"-- Back cover
Book
COVID-19 and social services in Spain
During the state of alarm declared in Spain by COVID-19 due to the pandemic, the country's authorities declared Social Services and their workers to be essential, considering that the activity of these professionals with the vulnerable population was crucial and that services should continue to be provided to guarantee the well-being of users in this exceptionally serious situation. This article analyzes the impact that the COVID-19 and the state of alarm has had on Spanish social service professionals. An ad hoc questionnaire was used, administered on-line, individually, voluntarily and anonymously to 560 professionals working in social services, both in the public and private sectors, based throughout Spain. This questionnaire has five different parts: socio-demographic profiling, impact that the health crisis has had on the practice of professional functions, degree of knowledge of the measures imposed to guarantee the protection and safety of professionals and users, impact that it has had on the professional and personal development of social services professionals and, the fifth and last part, degree of adaptation of the measures aimed at the care of the vulnerable population. These results are discussed based on the situation in which professionals working in this sector find themselves in the face of the changes they are experiencing in the development of their work, and we are able to determine the profile of the workers who have felt most affected by the situation, with the consequent and foreseeable mental and emotional affectation that this implies. These professionals tend to value more negatively the set of measures developed to mitigate the impact of COVID-19 on Spanish social services.
Journal Article
When the Clients Can Choose
How does the increased use of choice-based management strategies in social services influence the behavior of street-level workers? In this article, we provide an analytical framework for understanding street-level logic in choicebased environments. We then turn to the case of home-nursing care in Israel to examine how choice plays out in street-level workers' day-to-day practices. By relying on 34 interviews with social workers working in home-care agencies, we illustrate how street-level workers' jobs have expanded beyond implementing public policy to include the \"new job\" of recruiting and retaining clients. The article shows how a choice-based environment gives higher priority to clients' preferences, while at the same time these preferences are subordinated to the economic interest of the providers. It also demonstrates how market pressures may push street-level workers to develop new practices and coping strategies that go beyond, but often also counter to, formal policy.
Journal Article
Understanding street-level bureaucracy
This wide-ranging edited volume provides a state of the art account of theory and research on modern street-level bureaucracy, gathering internationally acclaimed scholars to address the varying roles of public officials who fulfill their tasks while interacting with the public. These roles include the delivery of benefits and services, the regulation of social and economic behavior, and the expression and maintenance of public values. Questions about the extent of discretionary autonomy and the feasibility of hierarchical control are discussed in depth, with suggestions made for the further development of research in this field. Hence the book fills an important gap in the literature on public policy delivery, making it a valuable text for students and researchers of public policy, public administration and public management.
Book
Managing Child Welfare in Turbulent Times
The latest recession has officially ended. However, unemployment rates remain troubling high, and many states continue to struggle with decreased revenues and subsequent reduced funding for state agencies. Some states have cut funding for social and health services at a time when demands for these services have increased. Public child welfare is in an especially difficult position. Restricting intake, a viable option in other settings, presents unique problems. Federal and state policies play a major role in establishing intake criteria for Child Protective Services. Adapted from the source document.
Journal Article