Contracting ‘person-centred’ working by results: street-level managers and frontline experiences in an outcomes-based contract
本研究通过混合方法评估英国一项针对多重复杂需求成年人的支持服务从按服务收费转向成果合同（社会影响债券）的影响，发现成果导向合同反而增强了服务的个性化和资产为本实践。
Outcomes-based contracting (OBC) has been heralded as a mechanism for improving the efficiency and effectiveness of social programmes yet has persistently failed to deliver meaningful support for people experiencing social disadvantage. This mixed-method study evaluates the contractual shift of a British support service for adults with multiple, complex needs from bilateral fee-for-service arrangements to an outcome contract in the form of a 'social impact bond'. Our findings add much-needed empirical evidence on the implications of OBC for personalization and co-production of public service delivery. In contrast to prior payment-by-results experiments we find evidence of enhanced person-centredness and asset-based practice.