Psichosocialinių paslaugų personalizavimas onkologiniams ligoniams: Lietuvos ir Anglijos lyginamoji analizė

Dvorak, Jaroslav; Savickaitė, Samanta

doi:10.15181/rfds.v23i1.1689

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Street-level employees are faced with large workloads (a large number of customer services, the additional workload related to documentation management, information systems, and other similar activities). This is another factor (in addition to the lack of resources and the desire to respond to the individual needs and expectations of the client) which causes tension (Lipsky 2010;Dvorak-Savickaitė 2018). It is important to note that heavy workloads can begin to emerge not only during seasonal peaks, but also during unexpected crises.…”

Section: Working Conditions Of Street-level Bureaucracymentioning

confidence: 99%

Beyond the Front-Line: the Coping Strategies and Discretion of Lithuanian Street-Level Bureaucracy During COVID-19

Dvorak¹,

Civinskas

Šumskas

2021

CJSSP

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This article presents the results of a project funded by the Research Council of Lithuania: ‘Public policy solutions and their improvement to overcome the COVID-19 crisis in Lithuanian municipalities: solution tools and service delivery.’ The research methodology is based on street-level bureaucracy theory and ongoing qualitative research in the form of interviews with social workers and doctors. Interviews were conducted in the Lithuanian municipalities which became the first COVID-19 hotspots in March-April 2020. The aim is to identify the response and coping strategies of street-level bureaucracy. The findings of current research suggest that the workload of street-level bureaucrats increased, the situation changed very rapidly, and there was a constant need to adopt rules and even recommendations issued by the ministry. Fear of COVID-19 infection, a lack of accurate information, uncertainty, and the possibility of allowing staff with children to leave the workplace led to staff shortages. This in turn motivated the administration and the remaining employees to look for suitable coping strategies.

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Section: Working Conditions Of Street-level Bureaucracymentioning

confidence: 99%

Beyond the Front-Line: the Coping Strategies and Discretion of Lithuanian Street-Level Bureaucracy During COVID-19

Dvorak¹,

Civinskas

Šumskas

2021

CJSSP

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Factors Determining the Provision of Psychosocial Services for Oncological Patients and Their Loved Ones in Lithuania

Gaidytė

Dunajevas

2019

STEPP

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It is acknowledged by various organizations, experts, and researchers around the world that meeting psychological and social needs is an important factor in cancer treatment. However, there is a shortage of psychosocial care supply for cancer patients and their family members in Lithuania. The aim of this study is to discern the causes of this insufficient supply. In order to find out the possible causes, Jon Elster’s action explanation framework was used. According to the framework, it is possible to deduce these factors: institutional constraints, economical (resources and labor supply) constraints, social preferences, and political preferences. Qualitative research (expert interviews) and secondary data analysis research methods were employed to gather the required data. A data analysis shows that the there are no institutional constraints for the provision of psychosocial care. However, there is a lack of public resources dedicated for the provision of psychosocial care. As a consequence, the main providers of psychosocial care for cancer patients and their family members are NGOs, which heavily depend on volunteer labor force. There is a contradiction in the point of view toward the professionalization of psychosocial care provision. It is the natural position of medical professionals that the provision of psychosocial care should be in the hands of professionals. On the other side, NGOs disagree with such a perspective. The need for psychosocial care is verbalized by experts and professionals; however, the general public prefers medical treatment. Thus, it is understandable why the public resources allocated to the provision of psychosocial care are so scarce. It is also evident that the political parties are not interested in psychosocial care, as it was shown by our analysis of their political programs.

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Psichosocialinių paslaugų personalizavimas onkologiniams ligoniams: Lietuvos ir Anglijos lyginamoji analizė

Cited by 2 publications

References 2 publications

Beyond the Front-Line: the Coping Strategies and Discretion of Lithuanian Street-Level Bureaucracy During COVID-19

Beyond the Front-Line: the Coping Strategies and Discretion of Lithuanian Street-Level Bureaucracy During COVID-19

Factors Determining the Provision of Psychosocial Services for Oncological Patients and Their Loved Ones in Lithuania

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