社区组织的病例管理系统和新惯例

IF 3.1 Q2 BUSINESS, FINANCE Financial Accountability & Management Pub Date : 2021-05-17 DOI:10.1111/faam.12297
Ogan Yigitbasioglu, Craig Furneaux, Sari Rossi
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引用次数: 2

摘要

本多案例研究考察了采用案例管理系统(CMS)跨两个社区组织在澳大利亚使用组织惯例作为理论镜头。采用者和供应商都接受了采访,以探讨如何在采用者组织中建立CMS。文献中报道的许多与CMS相关的担忧或问题在本研究中没有得到支持。尽管这两个案例在规模和资源方面存在显著差异,但研究结果表明,在两个组织中,采用CMS导致了围绕数据收集和服务提供的新的显性和可执行的例程。这对问责制和组织学习产生了影响。特别是,更好地获取数据改善了提供服务的可见度和报告,并随后支持了筹资。本研究还强调了促进或阻碍向CMS过渡的一些情境因素,例如CMS管理员的关键作用以及在采用CMS的组织中管理变更的方式。总的来说,这项研究通过提供一些证据来支持CMS的更细致入微的观点,包括作为“问责制”甚至是数字时代的“必要性”,而不仅仅是作为“新自由主义政策的工具”和社会工作官僚化的推动者,从而有助于对CMS的论述。
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Case management systems and new routines in community organisations

This multiple-case study examines the adoption of a case management system (CMS) across two community organisations in Australia using organizational routines as a theoretical lens. Both the adopters and the vendor were interviewed to explore how the CMS was instituted in the adopting organisations. Many of the concerns or problems associated with a CMS as reported in the literature were not supported in this study. Although the two cases differed significantly in terms of size and resources, the findings show that the adoption of CMS led to new ostensive and performative routines around data collection and service delivery in both organisations. This had implications for accountability and organisational learning. In particular, better access to data improved visibility and reporting on the provision of services and subsequently supported fundraising. This study also highlights some of the situational factors that facilitate or impede the transition to a CMS such as the critical role of the CMS administrator and the way the change is managed in adopting organisations. Overall, this study contributes to the discourse on CMS by providing some evidence to support a more nuanced view of CMS including as ‘systems of accountability’ or even a ‘necessity’ of the digital age rather than merely as ‘instruments of neoliberal policy’ and enablers of bureaucratisation of social work.

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来源期刊
CiteScore
4.90
自引率
18.20%
发文量
27
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