重庆市政府购买养老服务中的问题与对策研究

发布时间：2018-03-29 13:15

本文选题：政府购买　切入点：社会组织　出处：《重庆大学》2015年硕士论文

【摘要】：人口老龄化现阶段已然是世界各国共同面临的难题,根据国务院《社会养老服务体系建设规划(2011-2015年)》的预测,到2015年,我国老年人口将达到2.21亿,约占总人口的16%;到2020年将达到2.43亿,约占总人口的18%。伴随我国经济社会的飞速发展,人们生活质量提高的同时也使得人口预期寿命不断延长,人口高龄化与孤老化问题日益突出。近年来的“银发浪潮”已经对当前我国社会的养老承受能力和养老服务水平提出了新的挑战。因此,在新的历史时期,如何从我国人口严重老龄化的基本国情出发,探索新思路、新方法,不断完善居家养老服务的供给机制,提升养老服务供给能力,已经成为当前公共服务创新过程中不得不面对的问题。政府购买公共服务作为来源于西方国家的公共服务供给模式,是一种政府将公共服务的生产通过委托代理形式转移给第三方组织的新型模式。由此,政府在履行了公共服务供给职能的同时也实现了由公共服务的直接生产者到购买者和监督者的转变。本文综合运用新公共管理理论、治理理论和委托代理理论,对当前我国政府购买养老服务的基本模式、地方政策进行分析,对各地政府购买养老服务的具体实践进行归纳。并进一步对于重庆市购买养老服务存在的问题进行探析,借助实地调研和访谈对当前机构养老和居家养老服务的购买者、提供者、受益者等三方面进行了详实的调查,并对当前重庆市政府相关政策文件进行分析整理,在借鉴我国其他部分省市购买养老服务经验的基础上,从购买服务的政府角色定位、服务项目甄选、服务机构的准入、服务对象的评估机制、服务购买的有效流程及服务购买的后续监督评价等多个视角,提出了构建与完善重庆市政府购买养老服务的总体设计思路。并从扶持组织发展、完善利益表达机制以及多元主体的协同互动关系等方面,提出了进一步完善当前政府购买居家养老服务的对策建议。再加上当前重庆市经济社会发展现状以及作为我国西部统筹城乡发展的唯一直辖市这一特殊身份,更是让对重庆市政府购买养老服务的政府转型举措和实践效果有了更多的期待和关注。
[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.

【学位授予单位】：重庆大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6

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