出版社：Servicio de Publicaciones de la Universidad Complutense
摘要：One of the main challenges for basic primary care social services is improving the effectiveness and efficiency of the care process through segmentation. A redesign and continuous improvement research-action project was carried out across 16 municipalities in the province of Barcelona in order to make progress with this objective. The segmentation procedure is implemented via DS-DIBA, a social assessment instrument that offers confidence, security and robustness in social diagnoses. The main outcome is the identification by professional experts of the personal and family situations causing the needs that are the subject of social services intervention, in addition to the contextual factors that have an impact. This tool describes each situation based on objectifiable evidence and classifies it according to severity and frequency. Finally, each case is segmented under one of three risk levels depending on its impact for the cohabitation unit. The implementation of DS-DIBA offers value as a support mechanism during the social intervention process. Common profiles can be identified among the user population, there is the scope for advances in share and structure language and in horizontal and vertical integration, cases can be more easily targeted, and interventions can be prioritised in terms of care intensity and risk. The project also represents an opportunity to analyse the impact of social policies on citizens.
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