TY - JOUR
T1 - Children's journeys through organizations
T2 - How inspectors evaluate coordination of care
AU - Rutz, S.I.
AU - de Bont, A.A.
AU - Robben, P.B.M.
AU - Buitendijk, S.E.
PY - 2016
Y1 - 2016
N2 - Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the Netherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi-structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to analyse 24 journeys through care organizations, including a selection of six journeys in further detail. Our analysis shows that up until now, inspectors used only one form of coordination, the creation of a hierarchy, resulting in one problem definition. However, in complex care practices, children have multiple and often incompatible problems so that one coherent problem definition cannot be made. We show that ‘patchwork’, a form of coordination that allows discrepancies enables inspectors to reflect on complex care practices and evaluate options to improve outcomes for children.
AB - Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the Netherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi-structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to analyse 24 journeys through care organizations, including a selection of six journeys in further detail. Our analysis shows that up until now, inspectors used only one form of coordination, the creation of a hierarchy, resulting in one problem definition. However, in complex care practices, children have multiple and often incompatible problems so that one coherent problem definition cannot be made. We show that ‘patchwork’, a form of coordination that allows discrepancies enables inspectors to reflect on complex care practices and evaluate options to improve outcomes for children.
UR - http://www.scopus.com/inward/record.url?scp=84992371912&partnerID=8YFLogxK
U2 - 10.1111/cfs.12187
DO - 10.1111/cfs.12187
M3 - Article
SN - 1365-2206
VL - 21
SP - 608
EP - 618
JO - Child & Family Social Work
JF - Child & Family Social Work
IS - 4
ER -