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題名:社區照顧服務輸送模式之探討
書刊名:社會政策與社會工作學刊
作者:黃源協 引用關係
作者(外文):Hwang, Yuan-shie
出版日期:2000
卷期:4:2
頁次:頁179-220
主題關鍵詞:社區照顧科層專業主義新管理主義新專業新管理Community careBureau-professionalismNew managerialismNew professional-new management
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(20) 博士論文(10) 專書(1) 專書論文(0)
  • 排除自我引用排除自我引用:19
  • 共同引用共同引用:129
  • 點閱點閱:110
     本文旨在以英國社區照顧發展經驗為基礎,嘗試探討英國社區照顧服務輸送的不同模式,及其對起步中的台灣社區照顧之意涵。1940年代中期福利國家的建立,將英國帶進了一個以科層結構和專業主義掛帥之 「科層-專業主義體制」服務輸送模式,儘管服務的範疇擴充了,但其父權主義和缺乏效率的事實,在1970年代中期已招致嚴厲的批判。1980年代以來,一種強調績效、結果和顧客為主的新管理主義理念,在新右派人士的極力倡導下,在實務上已逐漸取代科層-專業主義的模式。然而,新管理主義之過度強調經濟、效率與效能,而忽略人群服務對公平與倫理的訴求,卻使得新管理主義和科層-專業主義間產生爭辯。為能兼顧新管理主義對福利服務資源之有效運用的訴求,以及科層-專業主義對公平和倫理的考量,一種緩和兩者間爭辯的新思維,且建立在 「最佳價值」基礎上的「新專業-新管理」模式,其強調以調解、參與和共事,並著重於對專業自主權的尊重和管理之務實的作為,或許是化解科層-專業主義與新管理主義對峙的良方。臺灣的社區照顧正值起步階段,為避免因過度走向虛無理想的新管理主義,或陷於無效率和昂貴的科層-專業主義,這種朝向「新專業-新管理」模式的發展,或許可作為建構一個兼顧「專業」、「管理」和「顧客取向」之台灣社區照顧體系的重要借鏡。
     This paper, based on the experiences of community care development in Britain, aims at exploring different models of community care management, and concluding its implications for the development of community care in Taiwan. The creation of welfare state brought the British welfare service delivery into a 'bureau-professionalism regime model in the mid-1940s. Its category expanded but caused severe criticism as a result of its paternalism and inefficiency in the mid-1970s. The idea of new managerialism which emphasizes performance, outcome and customer-oriented has increasingly replaced the traditional ' bureau-professionalism' model practically under the advocacy of the New Right since the 1980s.Because the former over-emphasizes economy, efficiency an defectiveness and ignores equity and ethics which human services appeal, a controversy between bureau-professionalism and new managerialism has therefore provoked. This paper proposed a new professional-new management model based on a new idea of ' the best value' as a strategy for pacifying the dispute. Further, through it adherence to mediation, patronage and collegiality and through its tolerance of those professional autonomy and management, the model will be able to re-establish equilibrium in the caring services. In Taiwan, community care is in its initial stage. To avoid getting into an empty rhetorical new management or drawing into an inefficient bureau-professionalism, the new professional-new management model may provide us a speculative direction of constructing an appropriate community care system.
期刊論文
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2.Steward, J.(1993)。The limitations of management by contract。Public Money and Management,13,1-6。  new window
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圖書
1.Department of the Environment, Transport and Regions(1998)。Moderning Local Government--Improving Local Services through Best Value。London:TSO。  new window
2.Hadley, R.、Clough, R.(1996)。Care in Chaos--Frustration and Challenge in Community。London:Cassell。  new window
3.Overtveit, J.(1993)。Coordinating community care:multidisciplinary teams and care management。Milton Keynes:Buckingham:Open University Press。  new window
4.Sheppard, M.(1995)。Care Management and Social。London:Whiting and Birch。  new window
5.Zifcak, Spencer(1994)。New Managerialism: Administrative Reform in Whitehall and Canberra。Buckingham, Philadelphia:Open University Press。  new window
6.Wright, K.、Haycox, A.、Leedham, I.(1994)。Evaluating Community Care: Services for people with learning difficulties。Buckingham:Open University Press。  new window
7.Means, R.、Smith, R.(1998)。From Poor Law to Community Care: The development of welfare services for elderly people 1939-1971。Bristol:The Policy Press。  new window
8.McDonald, A.(1999)。Understanding Community Care - a guide for social workers。London, UK:Macmillan。  new window
9.Glennerster, Howard(1992)。Paying for Welfare: The 1990's。Harvester Wheatsheaf Press。  new window
10.Payne, M.(1986)。Social Care in the Community。Macmillan Education。  new window
11.Clarke, John、Newman, Janet E.(1997)。The Managerial State: Power, Politics and Ideology in the Remaking of Social Welfare。London:Sage。  new window
12.Pollitt, C.(1993)。Managerialism and the Public Services。Oxford:Basil Blackwell。  new window
13.Hughes, Owen E.(1998)。Public Management and Administration: An Introduction。St. Martin's Press。  new window
14.黃源協(20000000)。社區照顧:臺灣與英國經驗的檢視。臺北:揚智文化。new window  延伸查詢new window
15.Brechin, A.(2000)。The challenge of caring relationships。Critical Practice in Health and Social Care。London, UK。  new window
16.Clarke, J.(1993)。The Comfort of Strangers: Social Work in Context。A Crisis in Care - Challenges to Social Work。London, UK。  new window
17.Clarke, J.(1998)。Doing the Right Thing? Managerialism and Social Welfare。The Sociology of the Caring Professions。London, UK。  new window
18.Davies, C.(2000)。Frameworks for regulation and accountability: threat or opportunity?。Critical Practice in Health and Social Care。London, UK。  new window
19.Exworthy, Mark、Halford, Susan(1999)。Professionals and managers in a changing public sector: conflict, compromise and collaboration?。Professionals and the New Managerialism in the Public Sector。Buckingham:Open University Press。  new window
20.Jones, L.、Tucker, S.(2000)。Exploring continuity and change。Critical Practice in Health and Social Care。London, UK。  new window
21.Kelly, Anne(1998)。Professional and the Changed Environment。The Social Construction of Community Care。London, UK。  new window
22.Langan, M.(1998)。The personal social services。Development in British Social Policy。London, UK。  new window
23.Le Grand, J.(1994)。Evaluating the NHS Reforms。Evaluating NHS Reform。Hermitage。  new window
24.Newsman, J.、Clarke, J.(1994)。Going about our business?。Managing Social Policy。London, UK。  new window
25.Rashid, S.(2000)。Social work and professionalization: a legacy of ambivalence。Changing Practice in Health and Social Care。London, UK。  new window
26.Saks, M.(2000)。Professionalism and Health Care。Changing Practice in Health and Social Care。London, UK。  new window
27.Walsh, K.、Deakin, N.、Smith, P.、Spurgeon, P.、Thomas, N.(1997)。Contracting for Change - Contracts in Health, Social Care, and Local Government Services。Contracting for Change - Contracts in Health, Social Care, and Local Government Services。New York, NY。  new window
圖書論文
1.Flynn, Rob(1999)。Managerialism, professionalism and quasi-markets。Professional and the New Managerialism in the Public Sector。Buckingham:Open University Press。  new window
2.Causer, G.、Exworthy, M.(1999)。Professionals as managers across the public sector。Professionals and the New Managerialism in the Public Sector。Buckingham:Open University Press。  new window
3.Hugman, R.(1998)。Social Work and De-professionalization。The Sociology of the Caring Professionals。London:UCL Press。  new window
4.Kelly, A.(1998)。Concepts of professions and professionalism。The Social Construction of Community Care。Macmillan。  new window
5.Le Grand, J.、Bartlett, W.(1993)。Quasi-Markets and Social Policy:The Way Forwards?。Quasi-Markets and Social Policy。London:Macmillan。  new window
6.Walker, A.(1997)。Community care policy:from consensus to conflict。Community Care: A Reader。London:Macmillan。  new window
7.Symonds, A.(1998)。The social reconstruction of care:from the state to the community。The Social Construction of Community Care。London:Macmillan。  new window
8.Davies, C.(1998)。The cloak of professionalism。Understanding health and social care: An introductory reader。London:Sage。  new window
9.Finlay, L.(2000)。The challenge of professionalism。Critical practice in health and social care。Sage。  new window
10.Butcher, Tony(2000)。The public administration model of welfare delivery。Changing Practice in Health and Social Care。Sage。  new window
11.Abbott, P.、Meerabeau, L.(1998)。Professionals, Professionalization and the Caring Professions。The Sociology of the Caring Professions。London:UCL press。  new window
12.Davies, C.(2000)。Care and the transformation of professionalism。Changing Practice in Health and Social Care。SAGE。  new window
13.Hodkinson, P.、Issitt, M.(1995)。The Challenge of Competence for Caring Professions: an Overview。The Challenge of Competence: Professionalism through Vocational Education and Training。Cassell。  new window
14.Newman, J.(1998)。Managreialism and Social Welfare。Unsettling Welfare: the Reconstruction of Social Policy。London:The Open University。  new window
15.Southon, G.、Braithwaite, J.(2000)。The end of professionalism?。Changing practices in health and social care。Sage。  new window
16.Johnson, N.(1999)。Personal Social Services and Community Care。New Labour, New Welfare State?--The "Third Way" in British Social Policy。Policy Press。  new window
 
 
 
 
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