Suchergebnisse

An ageing population has placed strains on health and social care systems. Innovative solutions have been sought to inject capacity and capability in order to deliver services to older people more efficiently and effectively. Over the last two decades, governments have actively encouraged third sector organisations to deliver public services on the assumption that they exhibit higher levels of innovation, efficiency and responsiveness. The evidence base, particularly for whether they provide better value for money, remains poor. We present the results of a systematic literature review on the costs and outcomes of services for older people delivered by third sector organisations. We combine this evidence with a framework for analysing the benefits and costs of third sector-led initiatives, and test this out empirically with a group of initiatives delivered for older people in an urban context. We find that our method may hold considerable promise for the evaluation of third sector initiatives.

AbstractNonprofits are increasingly involved in cross‐sectoral collaborations with the public sector. However, we know little about the dynamics behind these collaborations and what happens to them in politically contested fields where actors may have divergent positions. In this article, a multi‐country comparison of data gathered from semi‐structured interviews (n = 68) with representatives of nonprofits involved in the labor market inclusion of newcomers is presented. Our findings indicate that, in politically contested fields, the possibility of participating in cross‐sectoral collaborations (political autonomy) is influenced by nonprofits' financial and ideological autonomy. Welfare models and migration regimes play a fundamental role in shaping the inclusion of these organizations in collaborations, and in most cases, the collaborations are based on latent conflicts. Our article discusses that if the costs of autonomy associated with cross‐sectoral collaborations are not offset, the collaboration in a politically contested field becomes a liability for nonprofits (and their beneficiaries).

AbstractThe capacity of public sector of co‐creating with other stakeholders is challenged by the increasing presence of disruptive turbulent events, such as the COVID‐19. At this regard, robustness has been identified as a suitable response to deal with this kind of events. Through a systematic literature review, we analyzed how public sector organizations have co‐created with other actors during the COVID‐19 and what have been the contribution of robust governance strategies. Our findings point firstly to the empirical validity of the robustness concept, providing evidence of the extensive use of robust governance strategies into the co‐creation processes. Second, we identified a configurational approach to robustness, with governments co‐creating by simultaneously employing several robust strategies. Thirdly, we observed a more active involvement of societal stakeholders, with emergence of proto‐institutions and potential threats to the political system.

Purpose
As the provision of public services in many advanced welfare states has increasingly come to be marked by competition, social enterprises have actively been encouraged by governments to become involved in the delivery of public services. While the evaluation of complex public health interventions has arguably become increasingly more sophisticated, this has not been the case where social enterprise is concerned: evaluation of the actual impacts of social enterprises remains significantly underdeveloped by comparison. This study aims to support the establishment of a robust evidence base for the use of social enterprise as a policy instrument.


Design/methodology/approach
This paper assesses the potential of three methodological approaches common in the evaluation of complex public health interventions and applies them to the complex realm of community-led social enterprise.


Findings
Only through the involvement of different comparator groups, based on the research questions addressed, would it be possible to disentangle the embedded characteristics of organisations such as social enterprises. Each of the methods adopted in this research is time-consuming and resource-intensive and requires the researcher to possess advanced skills. Public officials should recognise the complexity and resource-intensive nature of such evaluation and resource it accordingly. If the aim of policymakers is to understand the added value of social enterprise organisations, an integrative research approach combining different research methods and design should be implemented to improve generalisability.


Originality/value
This study applies a range of favoured approaches to evaluate "complex" public health interventions include systematic reviews, realist evaluation and quasi-experimental investigation. However, such evaluation approaches have rarely been applied before in the context of social enterprise.