Structurele en culturele bronnen van macht van zorgvoorzieningen

Samenvatting

The social structural and cultural bases of power in mental health services and social services delivery systems are considered from both social exchange and institutional perspectives. From the point of view of exchange theory, service organizations derive influence from their centrality in local resource exchange networks. Institutionalists point to organizational legitimacy as a main source of organizational influence. They assume that identification with the medical profession and with a psychiatric treatment ideology are powerful legitimating processes. Data are used from 96 organizations, members of service delivery systems in three communities (Bruges, Ghent, and Zeeland, Flanders) to predict dyadic power and overall regional power. Organizational power is derived from centrality in the client referral network and identification with a psychiatric treatment ideology. 4 Tables, 1 Figure, 36 References. Adapted from the source document.