Supply and demand: Brokerage as the new tango in home care

被引:0
|
作者
Mee, Jenny [1 ]
Jones, Linda [2 ]
Kim, Jeong-ah [2 ]
机构
[1] Federat Univ, Inst Hlth & Wellbeing, Ballarat, Vic, Australia
[2] Charles Sturt Univ, Sch Nursing Paramed & Healthcare Sci, Wagga Wagga, NSW, Australia
关键词
community care; governmentality; home care brokerage; home care nursing; home care resourcing; nursing politics;
D O I
10.1111/nin.12649
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The performance of home care globally is significantly impacted by the political reforms in the public and private sectors. This research investigated the Australian contexts of home care quality and the use of "brokerage" during times of change. The research utilised a qualitative post-structural approach to gather data about home care service provision through conducting semi-structured interviews of 10 Australian home care business leaders. What emerged in the discourse was how central to everyday practices was the need for business leaders to network and 'dance a political tango' to ensure quality in service provision. Illuminated was how the leaders pushed back against governmental and economic structures by using models of brokerage to compensate for economic and staffing deficiencies. This is essential for the ongoing improvement and performance of home care in the Australian social arena of caring for our most vulnerable consumers.
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页数:11
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