Organizations and Clients: Lateral and Longitudinal Dimensions

Lefton, Mark; Rosengren, William R.

doi:10.2307/2091659

Cited by 80 publications

(20 citation statements)

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“…Functional incapacity was measured by eight items about the extent to which health problems limit daily activities (e.g., walking several blocks), adapted from the Short-Form Health Survey (SF-36).24 Scale scores, ranging from 0 to 24, were grouped as none (0), moderate (1-8), or high (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Methodsmentioning

confidence: 99%

“…However, the required technology and organizational structure of these two approaches to medical care differ in fundamental ways.19,20 EM requires relatively little technology and interaction between doctor and patient, whereas COT requires an array of accessible (portable) diagnostic and curative technology with extended interaction between doctor and patient.21 EM is concerned with a narrow slice of the patient's life (his or her presenting symptoms), whereas COT is concerned with the significance and interrelationships of symptoms, presented or not; the client's willingness to recognize these symptoms; and aspects of the patient's life that bear on successfully treating these symptoms. 22 A variety of factors may influence the extent to which an outreach modality reflects EM or COT, but the feasibility of these contrasting approaches in a given population largely depends on the client's motivation for treatment and morbidity.22 EM is efficient in populations where clients are motivated for a clearly defined treatment (e.g., trauma); COT becomes necessary when morbidity is less well defined and clients may be ambivalent about treatment. An example of this is a person with high blood pressure complicated by substance abuse and depression.…”

mentioning

confidence: 99%

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Broadening Perspectives on Mobile Medical Outreach to Homeless People

Nuttbrock¹,

Rosenblum²,

Magura³

et al. 2003

hpu

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Using data collected by Project Renewal's mobile medical services to homeless people in New York City, this paper discusses a tension between an emergency medicine model of outreach and that of primary care. In the former model, clinicians evaluate clients on the basis of presenting complaints and refer them, as necessary, for specialized treatment. The latter is a broader model of comprehensive outreach and/or treatment, where clinicians screen clients and assess them for various conditions offering ongoing evaluation and treatment on site. The model of outreach is applicable for some homeless clients, but the prevalence and overlap of physical complaints, infectious diseases, substance abuse, and psychiatric symptoms among homeless people in New York City has resulted in an evolution toward broader approaches to outreach in this population. Improvements in diagnostic testing and increasingly portable medical technology may make the mobile delivery of medical care to homeless persons increasingly feasible.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Broadening Perspectives on Mobile Medical Outreach to Homeless People

Nuttbrock¹,

Rosenblum²,

Magura³

et al. 2003

hpu

View full text Add to dashboard Cite

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“…The intersection of these two dimensions produces four different types of bureaucratic encounters that define the position of the applicant vis-a-vis the bureaucracy (for similar typologies see Thompson 1962, Carlson 1964, Lefton & Rosengren 1966. Appli cants vary in the degree of freedom they may have to initiate the encounter.…”

Section: From Private Troubles To Bureaucratic Encountersmentioning

confidence: 99%

The Welfare State, Citizenship, and Bureaucratic Encounters

1987

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The growth of welfare state programs inevitably leads to an increase of citizen encounters with bureaucratic agencies. Moreover, theories of the welfare state differ in the extent to which citizenship rights are a central aspect of the explanation of the shape of the welfare state. After reviewing major theories of the expansion of the welfare state , we examine determinants of client encounters . The determinants are framed in a social exchange model that draws upon individual resources and agency and program characteristics. The model predicts differences in power-dependence relations and clientele satis faction with their encounters. The legitimation and protection of citizenship rights may vary from program to program, may vary over time, and may be differently institutionalized in societies at similar levels of economic develop ment. How rights are linked to citizen obligations is also an historical and sociological issue. The chapter concludes with a discussion of methodological issues in evaluating encounters.

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“…The greater the number of services offered, the more complex the organization's processing activities. The breadth of services offered ranges from cases where only a limited aspect of the client's life span is of concern to cases where there is broad interest in the client as a whole person (see Lefton and Rosengren, 1966, for a distinction between minus and plus laterality). An organization with a broad concern for its clients may provide not only vocational train-ing but also personal counseling, day care services, and a job placement service.…”

Section: Technological Complexitymentioning

confidence: 99%

Organization Setsize and Diversity

Whetten

Aldrich

1979

Administration & Society

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This study investigates the interorganizational linkages ofpeople-processrng organizations. Specifically, the determinants of the size and diversity of their organization sets are examined. Predictors are grouped according to the amount of discretion local agency directors have to manipulate them. It is shown that the best predictors of organization set size and composition are variables over which local adminrstrators have little control. The implications of this finding for the design of social service delivery systems are discussed.Relations between organizations have become a common topic for social research. The dominant theoretical perspective in the area of interorganizational relations posits that linkages between organizations serve as lifelines through which the re-

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Organizations and Clients: Lateral and Longitudinal Dimensions

Cited by 80 publications

References 1 publication

Broadening Perspectives on Mobile Medical Outreach to Homeless People

Broadening Perspectives on Mobile Medical Outreach to Homeless People

The Welfare State, Citizenship, and Bureaucratic Encounters

Organization Setsize and Diversity

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