頁籤選單縮合
題 名 | 照顧管理在臺灣實施的可行性之初探--以臺灣省社會工作員之觀點為例 |
---|---|
作 者 | 黃源協; | 書刊名 | 國立政治大學社會學報 |
卷 期 | 29 1999.10[民88.10] |
頁 次 | 頁167-206 |
分類號 | 547.46 |
關鍵詞 | 照顧管理; 個案管理; 社區照顧; 福利社區化; Care management; Case management; Community care; Welfare communitization; |
語 文 | 中文(Chinese) |
中文摘要 | 社區照顧為臺灣福利服務輸送的新模式,照顧管理則為社區照顧的重要工作技術 與方法,然而,這兩者目前皆處於發展的初期階段,許多方面仍待各方共同努力。本文藉由 文獻分析法探討社區照顧與照顧管理的內涵,以建構照顧管理實施的基本要件,並作為問卷 擬訂的參考; 此外,主要研究資料來源是以問卷調查法對 285 位從事直接服務的社工員與 督導施測,同時也進行三場次之 6-10 位社工員參與的焦點團體。本文的主要目的在於分析 現階段臺灣實施照顧管理可能遭遇的阻力,以及其潛在的助力,進而能針對其缺失提出解決 問題的建議。研究發現,照顧管理之運用於社區照顧須具備各種基本的要件,始能有效運作 。然而,政府部門的權責與分工不清、專業人力的質與量不足、社政主管對照顧管理理念的 不清與知識的不足、服務資源的不足與欠缺整合,再加上志願部門承辦委辦事項的不穩定, 使得照顧管理實施的基礎甚為薄弱。當然,現實的環境中也存在著多項有利於照顧管理實施 的潛在助力。只要能參照照顧管理實施所必備的條件,對當前的缺失加以改善或補強,照顧 管理的運作對臺灣社區照顧理念的推展,將有其莫大的助益。 |
英文摘要 | Community care is now a new model of welfare service delivery in Taiwan, and care management is an important technique and method for its implementation. However, the developments of both are still in their infant stage. This paper aims to look at elements detrimental and beneficial to the implementation of care management at the current circumstances in Taiwan, and then to suggest feasible solutions according to its defects. Except for literature reviews, by which the basic conditions for carrying out care management are proposed, data were collected from closed questionnaire filled by 285 social workers and open-ended questionnaire answered by three focus groups. It is argued that the operation of care management must be based on a variety of essential conditions. But these required bases seem to be very vulnerable because of various drawbacks. These include blur of rights and obligations, and ambiguity of division of labour between government sectors, insufficient of quality and quantity of professional manpower, short of recognition about ideas of care management, inadequate service resources and lack of integration, and unstable voluntary sectors for contracting out, etc. Of course, there are some potential beneficial elements for its development. First of all, the term of case management has emerged in the Law or Project related. Second, the necessity of carrying out care management has been recognized. Third, and embryonic form of care management has existed. Finally, the quality of social workers in the government sectors is high. If the current drawbacks could be improved and inadequacies could be supplemented, the operation of care management would be beneficial to fulfillment of community care. |
本系統中英文摘要資訊取自各篇刊載內容。