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Defining Service Coordination: A Social Work Perspective
Authors:Alicia C Bunger
Institution:Cecil G. Sheps Center for Health Services Research , Chapel Hill, NC
Abstract:ABSTRACT

This pilot study explores the meaning of and factors that influence coordination as a first step toward conceptual refinement, theory development, and system interventions. Using data from treatment guidelines archived by the National Guideline Clearinghouse (n= 9) and semistructured interviews with social workers (n= 4), themes related to the definition, indicators, and perceptions of coordination were explored using a grounded theory approach. Data suggest the need for coordination is driven by complex client needs, but the quality of providers’ personal relationships influences coordination. Future research might examine the impact of standardization of roles, referral procedures, and treatment philosophies.
Keywords:Service coordination  social work  service delivery  fragmentation
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