重慶市政府購(gòu)買養(yǎng)老服務(wù)中的問(wèn)題與對(duì)策研究
本文選題:政府購(gòu)買 切入點(diǎn):社會(huì)組織 出處:《重慶大學(xué)》2015年碩士論文
【摘要】:人口老齡化現(xiàn)階段已然是世界各國(guó)共同面臨的難題,根據(jù)國(guó)務(wù)院《社會(huì)養(yǎng)老服務(wù)體系建設(shè)規(guī)劃(2011-2015年)》的預(yù)測(cè),到2015年,我國(guó)老年人口將達(dá)到2.21億,約占總?cè)丝诘?6%;到2020年將達(dá)到2.43億,約占總?cè)丝诘?8%。伴隨我國(guó)經(jīng)濟(jì)社會(huì)的飛速發(fā)展,人們生活質(zhì)量提高的同時(shí)也使得人口預(yù)期壽命不斷延長(zhǎng),人口高齡化與孤老化問(wèn)題日益突出。近年來(lái)的“銀發(fā)浪潮”已經(jīng)對(duì)當(dāng)前我國(guó)社會(huì)的養(yǎng)老承受能力和養(yǎng)老服務(wù)水平提出了新的挑戰(zhàn)。因此,在新的歷史時(shí)期,如何從我國(guó)人口嚴(yán)重老齡化的基本國(guó)情出發(fā),探索新思路、新方法,不斷完善居家養(yǎng)老服務(wù)的供給機(jī)制,提升養(yǎng)老服務(wù)供給能力,已經(jīng)成為當(dāng)前公共服務(wù)創(chuàng)新過(guò)程中不得不面對(duì)的問(wèn)題。政府購(gòu)買公共服務(wù)作為來(lái)源于西方國(guó)家的公共服務(wù)供給模式,是一種政府將公共服務(wù)的生產(chǎn)通過(guò)委托代理形式轉(zhuǎn)移給第三方組織的新型模式。由此,政府在履行了公共服務(wù)供給職能的同時(shí)也實(shí)現(xiàn)了由公共服務(wù)的直接生產(chǎn)者到購(gòu)買者和監(jiān)督者的轉(zhuǎn)變。本文綜合運(yùn)用新公共管理理論、治理理論和委托代理理論,對(duì)當(dāng)前我國(guó)政府購(gòu)買養(yǎng)老服務(wù)的基本模式、地方政策進(jìn)行分析,對(duì)各地政府購(gòu)買養(yǎng)老服務(wù)的具體實(shí)踐進(jìn)行歸納。并進(jìn)一步對(duì)于重慶市購(gòu)買養(yǎng)老服務(wù)存在的問(wèn)題進(jìn)行探析,借助實(shí)地調(diào)研和訪談對(duì)當(dāng)前機(jī)構(gòu)養(yǎng)老和居家養(yǎng)老服務(wù)的購(gòu)買者、提供者、受益者等三方面進(jìn)行了詳實(shí)的調(diào)查,并對(duì)當(dāng)前重慶市政府相關(guān)政策文件進(jìn)行分析整理,在借鑒我國(guó)其他部分省市購(gòu)買養(yǎng)老服務(wù)經(jīng)驗(yàn)的基礎(chǔ)上,從購(gòu)買服務(wù)的政府角色定位、服務(wù)項(xiàng)目甄選、服務(wù)機(jī)構(gòu)的準(zhǔn)入、服務(wù)對(duì)象的評(píng)估機(jī)制、服務(wù)購(gòu)買的有效流程及服務(wù)購(gòu)買的后續(xù)監(jiān)督評(píng)價(jià)等多個(gè)視角,提出了構(gòu)建與完善重慶市政府購(gòu)買養(yǎng)老服務(wù)的總體設(shè)計(jì)思路。并從扶持組織發(fā)展、完善利益表達(dá)機(jī)制以及多元主體的協(xié)同互動(dòng)關(guān)系等方面,提出了進(jìn)一步完善當(dāng)前政府購(gòu)買居家養(yǎng)老服務(wù)的對(duì)策建議。再加上當(dāng)前重慶市經(jīng)濟(jì)社會(huì)發(fā)展現(xiàn)狀以及作為我國(guó)西部統(tǒng)籌城鄉(xiāng)發(fā)展的唯一直轄市這一特殊身份,更是讓對(duì)重慶市政府購(gòu)買養(yǎng)老服務(wù)的政府轉(zhuǎn)型舉措和實(shí)踐效果有了更多的期待和關(guān)注。
[Abstract]:The aging of the population at this stage already is a difficult problem faced by countries all over the world, according to the planning and construction of the State Council "social endowment service system (2011-2015) > forecast, to 2015, China's elderly population will reach 221 million, accounting for about 16% of the total population; by 2020 will reach 243 million, accounting for about 18%. of the total population with rapid development China's economy and society, at the same time, the quality of people's lives also makes the life expectancy of the population increasing, population aging and solitary aging problems have become increasingly prominent. In recent years, the" silver wave "has been on China's current social pension bearing capacity and pension service level presents new challenges. Therefore, in the new history during the period, starting from the basic conditions of how serious China's population aging, explore new methods, new ideas, and constantly improve the supply mechanism of home-based care services, pension services to enhance supply capacity, has become a current The process of public service innovation will have to face the problem. Public service supply mode as a source of government purchase of public service in western countries, is a new mode of government through proxy form is transferred to the third party organization public service production. Thus, the government in the performance of the supply of public service functions at the same time also realized by direct the producer of public service to buyers and supervisor. This paper uses the theory of new public management, governance theory and principal-agent theory, on the basic pattern of our government purchase pension services, analysis of local policy, practice of local government purchase pension service are summarized. And further to purchase pension service in Chongqing city the problem of buyers by means of field investigation and interview on the current institutional care and home-based care services provided. The beneficiaries, three aspects of the detailed investigation, and the Chongqing municipal government related policy document analysis, on the basis of China's other provinces to purchase pension service experience, from the role of the government to purchase services, service selection, service access service mechanism, evaluation mechanism of service object, multiple perspectives of effective processes and service purchase follow-up supervision and evaluation, put forward the construction and improvement of the overall design of the Chongqing municipal government purchase pension service and support from the organization development, improve the interest expression mechanism and multi subject interaction relations, proposed to further improve the current government purchase suggestions at home pension service. Coupled with the current economic and social development situation in Chongqing city as the only municipality directly under the central government, urban and rural development in Western China this special identity, It also has more expectation and attention to the government transformation measures and practice effects on the Chongqing municipal government to purchase the old-age service.
【學(xué)位授予單位】:重慶大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2015
【分類號(hào)】:D669.6
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