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首页> 外文期刊>Kotuitui: New Zealand Journal of Social Sciences Online >Contracting public health and social services: insights from complexity theory for Aotearoa New Zealand
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Contracting public health and social services: insights from complexity theory for Aotearoa New Zealand

机译:承包公共卫生和社会服务:AOTearoa新西兰复杂性理论的见解

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摘要

Public health and social services are often hard to specify, complex to deliver and challenging to measure. This research uses a complexity theory-informed lens to explore the challenges and opportunities of contracting out for public health and social services in Aotearoa New Zealand. This qualitative study considers the implications of complexity concepts with ten public sector managers experienced in contracting out for public health and social services. Our findings show that public sector managers are experimenting with different ways of contracting out, yet the underlying New Public Management ethos, which is being applied in many administrative arms of government, can hamper initiatives. There is a growing impetus to find alternative approaches to contract out more effectively. An alternative, complexity theory-informed, framing highlights where changes to contracting out organisation and practices may support more effective service provision. This research also provides insights into why achieving change is hard.
机译:公共卫生和社会服务往往很难指定,复杂,以提供和挑战衡量。该研究采用复杂性理论通知的镜头来探索挑战公共健康和社会服务在新西兰的公共卫生和社会服务的挑战和机遇。这种定性研究考虑了复杂性概念与十个公共部门经理在承包公共卫生和社会服务方面经历的公共部门管理人员的影响。我们的调查结果表明,公共部门经理正在采用不同的缔约方式进行实验,然而,在政府的许多行政武器中,潜在的新公共管理议会就可以妨碍举措。有一种不断增长的推动力,可以更有效地签约签约的替代方法。替代,复杂性理论知情,框架突出的突出显示缔约组织和实践的变化可能支持更有效的服务提供。这项研究还提供了为什么实现改变的洞察力。

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