By Jan Willem Duyvendak, Trudie Knijn, Monique Kremer
The quantity finds how public dissatisfaction with caregivers, monetary pressures from executive organisations, and makes an attempt to deal with Europe’s more and more multicultural inhabitants have ended in adjustments in obligations and oversight for quite a lot of practitioners. although extra adjustments are bound to come as Europe’s inhabitants ages—Policy, humans, and the recent Professional offers a vital clarification of the line traveled so far.
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In fresh a long time, social and political pressures have compelled a reevaluation of the jobs of overall healthiness and welfare execs all through Europe. coverage, humans, and the recent specialist examines these adjustments and their consequences. The quantity finds how public dissatisfaction with caregivers, monetary pressures from govt enterprises, and makes an attempt to deal with Europe’s more and more multicultural inhabitants have resulted in adjustments in duties and oversight for quite a lot of practitioners.
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Extra resources for Policy, People, and the New Professional: De-professionalisation and Re-professionalisation in Care and Welfare (Amsterdam University Press - Care and Welfare Series)
PICO helps to explain the aim of the intervention, and explicit treatment goals are essential in order to determine the result. Ideally, on the basis of the collected evidence, it should become clear which results can be expected within which period of time, as well as the measuring instruments used. These are the most important parameters for measuring the results. One characteristic for a good EBM approach is that the caregiver ensures this result is achieved. In turn, this provides leads that can be used in evaluating the intervention, and if necessary show the way to adaptations in the treatment.
Conclusion Back in 1994, Smith and Lipsky (1994: 110-111) wrote: Over time, contracting may reward agencies that offer low costs when quality of service remain difficult to judge. European countries with extensive government funding of nonprofit agencies, … such as Holland and Germany, do not really have a contracting system. Instead, nonprofit agencies have almost monopoly status within their service jurisdiction… As a result, agencies in these countries do not experience the bidding and contract com- trudie knijn and peter selten 31 petition character of the United States, which places downward pressure on agency costs and creates incentives for deprofessionalization.
Instead, there seems to be a ‘regress of mistrust’. If those engaged in service delivery cannot be trusted, why should one trust the experts, managers, and accountants involved in policing them? Ultimately “the performances of auditors and inspectors will themselves be subjected to audit” (Power 1994: 13). This regress of mistrust may have something to do with the fact that the audit explosion has brought about “a shift from professions the public trusts more – such as doctors, police and teachers, to a profession the public trusts less (the accountants) at the instigation of a profession the public trusts least (the politicians)”.