我国政府购买居家养老服务困境及对策探析

发布时间：2018-07-25 14:10

【摘要】：随着社会经济、医疗卫生的发展,人们生活质量不断提高,寿命延长促使人口老龄化问题的加剧,在养老问题的严峻形势下,我国的大多数老年人慢慢不再一味追求方便的选择机构,而是注重归属感和精神需求的选择在家中养老的这种方式。政府购买居家养老服务是我国居家养老步入专业化过程中迈出的关键一步,因此在服务型政府的建设下,政府的职能也发生了转变,还有非营利机构组织和其他社会机构的蓬勃发展以及社区服务效率的提高这一系列的社会大背景下,我国有能力并且有需要推进政府购买居家养老服务,以促进居家型这一养老模式能够更大程度上满足老年人越来越多样化的需求。由于政府购买服务在我国起步较晚,现在还处于起步发展的阶段,存在了大量的问题,例如政府与社会组织、与社区的合作机制不完善,合作方式没有针对性,缺乏专业的服务人才和服务计划,在监管方面存在漏洞,服务效率与质量较低。因此,本文针对我国政府在现阶段情况下,在购买居家养老服务的发展现状及出现的问题困境基础上,首先更进一步探析国内外的不同购买模式及其优缺点,根据各地实际情况选择适合自己的模式。其次,提出了在购买项目的运作过程管理与监督体系发展的基本策略。最后,提出购买项目的绩效评估方法,以完善评估体系,使政府提高服务的购买效率与服务供给的质量,进一步完善我国居家养老的服务体系建设。
[Abstract]:With the development of social economy, medical and health care, the quality of life of people has been improved constantly, and the life expectancy has been prolonged to aggravate the problem of aging of the population. The majority of the elderly people in our country are not blindly pursuing the convenient choice of institutions, but pay more attention to the choice of the sense of belonging and spiritual needs in the way of providing for the aged at home. It is a key step for the government to purchase the family pension service in our country, so the function of the government has also changed under the construction of the service-oriented government. There is also the booming development of non-profit organizations and other social institutions and the improvement of community service efficiency. In this series of social backgrounds, China has the ability and the need to promote the government to purchase home pension services. In order to promote the home-type pension model to a greater extent to meet the increasing diversity of the needs of the elderly. Due to the late start of government purchase service in China, it is still in the initial stage of development, there are a lot of problems, such as the government and social organizations, the cooperation mechanism with the community is not perfect, the mode of cooperation is not targeted. Lack of professional service personnel and service plan, there are loopholes in supervision, service efficiency and quality is low. Therefore, this article aims at our country government in the present stage situation, in the purchase home old age service development present situation and the question difficult position foundation, first further analyzes the domestic and foreign different purchase pattern and its advantage and disadvantage. According to the actual situation around the choice of their own model. Secondly, the paper puts forward the basic strategy of management and supervision system development in purchasing project operation process. Finally, the performance evaluation method of purchase project is put forward to perfect the evaluation system, to make the government improve the efficiency of service purchase and the quality of service supply, and to further perfect the construction of service system for the aged at home in our country.
【学位授予单位】：西北大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6

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