地方政府與非營利組織之公私協力研究－以屏東縣居家服務方案為例

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Title:	地方政府與非營利組織之公私協力研究－以屏東縣居家服務方案為例
Other Titles:	Local government and non-profit organizations of Public-Private Partnership Research--A Case Study of Home Care Policy Program of Pingtung County
Authors:	劉思吟 Liu, Szu-yin
Contributors:	非營利事業管理學系蔣念祖 Nien-tsu Chiang
Keywords:	居家服務;公私協力;社會福利民營化 home services;Public-Private Partnership;Privatization of Social Welfare
Date:	2013
Issue Date:	2014-12-31 16:10:32 (UTC+8)
Abstract:	國內於1997年訂定「推動社會福利民營化實施要點」，將福利體制採為「契約外包」與「公辦民營」模式。開啟了公私部門合作的契機。國內因老人人口逐年增加，如何回應所衍生的老人長期照顧服務需求，是政府當前重要的社會福利政策。然而，建構長期照顧服務網絡，需要投入龐大的資源與人力，因此，政府期望結合私部門共同協力，一同建構與發展長期照顧服務體系。　　　本研究目的以公私協力的角度，分析目前屏東縣居家服務方案，從公私部門協力建立、協力執行、協力成效等三階段裡，協力運作現況與遭遇困境。　　　研究採深度訪談方法，將獲得的研究資料與相關文獻持續交相參照，獲悉屏東縣居家服務方案公私協力實行運作現況，以及所遭遇之問題，簡述如下：一、協力建立階段：（一）公私部門缺乏建構地方性願景；（二）協力資源準備方面經費預算不足，公部門人力工作負荷重，私部門偏鄉照顧服務人力招募不易；（三）協力合作契約不對等；二、協力執行階段：（一）公私協力互動關係良好；（二）協力困境包括家事服務範圍界定不清、核銷作業繁瑣、需穩定機構服務品質、部份職責不清與角色功能未發揮。三、協力成效階段：（一）符合政策目標，具公私協力成效；（二）成效評估人力不足；（三）評估結果無實質意義。　　　根據研究結果給予以下之建議：對公部門（一）強化經費與撥付效率（二）補充照顧管理專員人力（三）建立平等互惠契約（四）建立契約委外文件範本（五）建構網路溝通平台（六）居家服務成效評估採產學合作或建立成效評估部門（七）評鑑優良居家服務單位表揚與輔導制度；對私部門（一）持續提昇與穩定服務品質（二）照顧服務人力的有效管理；對公私部門（一）增進相關工作專業知能（二）人員的晉用採多元背景（三）共同合作培育偏鄉地區照顧服務人力（四）宣導與教育服務使用者正確與合理居家服務使用。　　It has set up the implemented directions of promote privatization of social welfare in 1997 in our country, and welfare system will adopt two modes ＂outsourcing contracts＂ and ＂privatization＂. It has opened an opportunity for public-private partnerships. Due to the elderly population increases every year, how to respond on long-term care services for the elderly, and it is currently important social welfare policy for the government agency. However, the long-term care service network was constructed, and it must cost a lot of resources and manpower. Therefore, it expects that the government agency enter into partnership with private Sectors and they develop long-term care service system together.　　　The purposes of this research are focused on the Public-Private Partnership. This paper analyzes the current home care programs on Pingtung County, it operate the current situation together and suffer difficulties from public- private Sectors three stages, such as partnering establishment, partnering execution, and partnering effect.　　　This research use depth interview method to obtain research data and related reference. It can get the current situation and suffer difficulties from Pingtung County home care programs. The simple statement is as follows: First, the partnering establishment stage: (1) public and private sectors lack for local vision; (2) The preparation of budget and resource is not insufficient, people’s workload is heavy in the public Sectors, and they care services for remote districts to recruit manpower difficultly in the private sectors; (3) the cooperative contract is unequal; Second, partnering execution stage: (1) a good interaction between the public and private sectors; (2) the cooperative difficulties include that the scope of services isn’t clearly defined, the verifiable process is complicated, it require stable service quality, and some duty of the role function is unclear. Third, partnering effect stage: (1) Public-Private Partnership work well; (2) There is a shortage of manpower on the evaluative effect; (3)the evaluative results are not be meaningful. 　　　According to the research results, suggestions are provided for the public sectors as follows (1) provide sufficient funds and pay effectively (2) supply care worker (3) establish equal and reciprocal contract (4) established outsourcing contract document (5) construct communicable network platform (6) evaluate the effectiveness of home care services by industry-school collaboration or establish of the effectiveness evaluation department (7) judge excellent home service organization to praise and set up counseling system. The private sector’s suggestions are as follows (1) continue to improve qualitative and stabile service (2) the effective human management for care services. The public and private sector’s suggestions are as follows (1) improve professional knowledge that is related work (2) hire person that is adopted diverse backgrounds (3) cooperate to train the people of Care Services on remote districts (4) educate users to use home care services correctly.
Appears in Collections:	[Department of Business Administration, Master/Ph.D Program in Management Sciences] Disserations and Theses(M. A. Program in Nonprofit Organization Management)

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