宁波市居家养老服务多中心供给研究

发布时间：2019-07-04 15:03

【摘要】：人口老龄化加剧,家庭养老功能弱化,政府和社会需要承担越来越多的养老责任,“未富先老”的社会使政府提供社会福利面临巨大压力。党和政府已经充分认识到建立社会化养老服务体系的重要性与必要性,大力支持发展养老服务产业。在有限的公共资源条件下实现公共服务均等化、养老福利适度普惠,需要创新的思维,从全新的视野角度进行制度设计。多中心治理理论主张在公共事务治理中摆脱传统的“单中心”治理方式和外部治理的惯性思维。在公共事务治理系统的内部有多个自发秩序组织,这些组织的决策交互影响形成特定的沟通协调机制,从而实现公共事务的自主治理,实现系统长期有效地运行。宁波市的居家养老服务走在全国前列,政府购买服务为老年人提供基本生活照料的实践经验受到肯定,并作为经验借鉴指导其他地区实践。但是,随着社会的发展,宁波市老龄化程度不断加深,老年人的养老需求也在发生着变化,原有的居家养老服务供给模式逐渐显现出局限性:供给主体单一资金来源有限;城乡差异显著;供给内容与需求不匹配;专业化程度低。这些问题成为宁波市居家养老服务发展的掣肘。实现居家服务的多中心供给,政府不再是居家养老服务供给的唯一中心,社会组织、市场化主体、老年人家庭均成为居家养老服务的供给中心,共同参与居家养老服务供给,有利于整合社会资源,提高居家养老服务供给的效率。在这个过程中,需要构建合理的框架体系,明确参与各方的定位与职责,制定系统运行规则与冲突解决机制,建立完善的评估监督机制,确保多中心供给体系能够高效、长久地运行。同时,互联网技术的发展,为多中心治理提供便利。虚拟养老院建立各参与主体的信息联结,实现多元主体融合,突破传统养老机构的场地局限,借助居家养老服务站点实体网络辐射,为更广泛的老年人口提供专业化服务。
[Abstract]:The aging of the population and the weakening of the family's pension function, the government and the society need more and more pension responsibility, and the "not to be rich first" 's society is facing great pressure on the government to provide social welfare. The Party and the government have fully realized the importance and necessity of the establishment of the socialized service system for the aged, and strongly supports the development of the old-age service industry. Under the condition of limited public resources, it is necessary to realize the equalization of the public service, the moderate benefit of the old-age benefit, the innovative thinking, and the system design from the new perspective. The theory of multi-center governance is to get rid of the traditional "single center" governance and the inertia thinking of external governance in the public affairs management. In the system of public affairs, there are a plurality of self-order organizations, the decision-making interaction of these organizations influences the formation of a specific communication and coordination mechanism, so as to realize the independent governance of the public affairs and to realize the long-term operation of the system. Ningbo's home-based pension service is in the forefront of the country, and the government's purchase service is positive for the old people's experience in providing basic living care, and it is used as a reference to guide the practice of other areas. However, with the development of the society, the aging degree of the city is getting more and more, the old-age pension demand of the old people is changing, the old-home old-age service supply mode gradually shows the limitation: the single funding source of the supply main body is limited, and the difference between the urban and rural areas is significant; The supply content does not match the demand; the degree of specialization is low. These problems become the constraint of the development of the home-care service in Ningbo. the multi-center supply of the home service is realized, the government is no longer the only center of the home-care service supply, And the efficiency of the supply of the home-based pension service is improved. In this process, it is necessary to construct a reasonable framework system, to clearly participate in the positioning and responsibility of the parties, to establish a system operation rule and a conflict resolution mechanism, to establish a perfect evaluation and supervision mechanism, and to ensure that the multi-center supply system can operate efficiently and long. At the same time, the development of Internet technology is convenient for multi-center governance. The virtual nursing home establishes the information connection of each participating main body, realizes the multi-body fusion, breaks through the site limitation of the traditional old-age institution, and provides the specialized service for the wider old people's mouth by means of the network radiation of the home old-age service site entity.
【学位授予单位】：宁波大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6

【相似文献】