政府购买社区居家养老服务的对策研究

发布时间：2018-03-30 04:25

本文选题：人口老龄化　切入点：政府购买服务　出处：《中共重庆市委党校》2015年硕士论文

【摘要】：随着生活、医疗水平的不断提高,我国老龄化进程日益严峻,“银色浪潮”袭来,老年人的养老问题成为社会各界关注的一大问题。经济结构转型,家庭结构变化消弱了传统的家庭养老的功能,机构养老资源严重匮乏,我国的养老事业面临空前挑战。2009年4月,民政部下发[2009]145号文件,要求在全国开展“社区老年福利服务星光计划”此举开启了养老模式的新篇章,社区居家养老的服务模式逐渐兴起。本文首先对政府购买社区居家养老服务的相关概念进行界定,并以公共物品理论、公共选择理论、新公共管理理论为理论依据,在国内外居家养老的研究和实践基础上,指出我国推行社区居家养老模式的意义和优势。同时,通过比较国内外政府购买社区居家养老的模式进而得出契约化的购买模式是政府购买社区居家养老服务中最的理想模式。并通过文献研究和实地调研的研究方法,选取了重庆市渝中区和江北区作为调研对象,并对其政府购买社区居家养老服务的现状及运行机制等问题进行了深入的研究,指出重庆市政府购买社区居家养老服务面临的问题,并结合实际提出完善政府购买社区居家养老服务的对策建议,主要包括从政府理念、法律规章、公共预算、市场机制、责任监督等方面来完善政府购买社区居家养老服务。本文旨在证明该模式在我国的可行性和推广意义。
[Abstract]:With the continuous improvement of life and medical treatment, the aging process of our country is becoming more and more severe. The "silver wave" strikes, and the old-age problem of the elderly has become a major problem concerned by all walks of life. The change of family structure weakens the function of traditional family old-age care, and the institutional old-age care resources are seriously lacking, and our country's pension industry is facing unprecedented challenges. In April 2009, the Ministry of Civil Affairs issued document [2009] 145, A new chapter in the old-age model has been opened by calling for the Starlight Program for Community Geriatric Welfare Services across the country. The service mode of community home old-age care is rising gradually. Firstly, this paper defines the related concepts of the government purchasing community home pension service, and based on the theory of public goods, public choice theory, new public management theory as the theoretical basis. On the basis of the research and practice at home and abroad, this paper points out the significance and advantages of implementing the community home pension model in China. By comparing the mode of government purchasing community home pension at home and abroad, this paper draws a conclusion that contractual purchase mode is the most ideal mode for the government to purchase community home care service. This paper selects Yuzhong District and Jiangbei District of Chongqing as the research objects, and makes a deep research on the current situation and operation mechanism of the government purchasing the community home pension service. This paper points out the problems faced by Chongqing Municipal Government in purchasing the community home pension service, and puts forward some countermeasures and suggestions to improve the government's purchase of the community home pension service, including the government idea, laws and regulations, public budget, market mechanism, and so on. The purpose of this paper is to prove the feasibility and significance of this model in China.
【学位授予单位】：中共重庆市委党校
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6

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