长期照护结构性制度中的“绩效—风险”双轴效应研究——一个“协同治理”的理论框架

发布时间：2018-03-25 00:01

本文选题：长期照护　切入点：制度效率　出处：《河北学刊》2017年04期

【摘要】：现阶段中国跨部门协作研究中,"协同治理"为"长期照护"尚未建制、跨部门协作实践不断涌现的国情"实然"提供了重要理论启蒙。本文将"协同治理"诠释为"制度化了"的协同合作,既重视"绩效观"导向下所能产生的制度效率和服务绩效,又重视"风险观"导向下理性行动者协同性的风险壁垒能力。以协同治理能否投射于长期照护结构性制度中、促成"绩效—风险"双轴互动的制度性框架作为切入点,分析"多阶段照护与分级制护理"的长期照护结构性制度的生成可行性;同时在中国尚处于"准混合经济照护"的社会现实中论述政府、市场、社会组织等照护持份者达成"高结构拟合度、低度可控型结构风险"的制度设计可能。本文选取一个较具"协同典型性"的积极个案作为细观"绩效—风险"双轴互动效能的循证研究,试图为中国长期照护在结构层面的制度化建设提供前沿启示。
[Abstract]:At present, in the research of interdepartmental collaboration in China, "cooperative governance" is "long-term care", which has not yet been established. The "reality" of the continuous emergence of inter-departmental collaborative practice provides an important theoretical enlightenment. This paper interprets "cooperative governance" as "institutionalized" collaborative cooperation. It not only pays attention to the institutional efficiency and service performance that can be produced under the guidance of "performance view", but also attaches importance to the risk barrier ability of rational actors under the guidance of "risk view". The institutional framework of "performance-risk" biaxial interaction is taken as the starting point to analyze the feasibility of the long-term care structural system of "multi-stage care and graded nursing". At the same time, in the social reality that China is still in the "quasi-mixed economic care", it is discussed that the government, the market, the social organization, and so on, have reached a "high structural fit". The institutional design of low degree controllable structural risk is possible. This paper chooses a positive case with "cooperative typicality" as the evidence-based study on the biaxial interaction effectiveness of "performance-risk". This paper attempts to provide the forward enlightenment for the institutionalization of long-term care in China.
【作者单位】：南京航空航天大学公共管理学系;香港中文大学;
【基金】：2015年度国家社会科学基金项目青年项目《我国城市社区治理的“绩效”—“风险”双轴效应研究》(15CSH071)
【分类号】：C913.6

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