多力量参与乡村居家养老服务实践:分治与协同
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厦门城市职业学院

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国家社会科学基金西部项目(22XSH016);第六批云顶职教学术带头人科研资助项目(YDB2022-2)


Multi-force participation in rural home-based elderly care service practice: division and collaboration
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Xiamen City University

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    摘要:

    乡村全面振兴下,政府购买养老项目扶持乡村公共服务,深化多主体协作,构建乡村养老联合体。依据供给主体不同,目前乡村社区居家养老服务项目分三类:“互联网+”公司主导的社区居家助老项目、医疗养护机构主导的家庭养老床位项目和社区治理面向的老年社工项目。借鉴网格治理理论,比较不同属性供给主体在服务规划、体验和成效的差异性,解释了项目制下主体分治产生异化的微观过程。服务供给呈现三种困境:盈利组织为服务机械和低质化,混合型组织目标偏离和服务磋商化,非盈利组织为行政吸附和服务碎片化。最终,三者走向服务“疏离化”和人员“内卷化”,根本原因是政府边界模糊和主体自主协调困难。建议引入生命周期概念,构建家庭需求为本的协同机制,重新整合多主体参与,理清彼此义务并创新流程,在新层面上发挥政府主导性以重塑多主体合作关系。

    Abstract:

    Under the comprehensive rural revitalization, the government will purchase elderly care projects to support rural public services, deepen multi-agent cooperation, and build a rural elderly care consortium. According to different supply subjects, the current rural community home-based elderly care service projects are divided into three categories: community home-based elderly care projects led by "Internet plus" companies, home elderly care beds projects led by medical care institutions, and elderly social work projects oriented by community governance. Drawing on the theory of grid governance, this study compares the differences in service planning, experience, and effectiveness among different attribute providers, and explains the micro process of subject differentiation under project-based governance. There are three dilemmas in service supply: profit-making organizations are characterized by mechanical and low-quality services, mixed organizations deviate from their goals and negotiate services, and non-profit organizations are characterized by administrative adsorption and fragmented services. Ultimately, the three are moving towards "alienation" of services and "internalization" of personnel, due to the blurring of government boundaries and difficulties in autonomous coordination among the main bodies. It is recommended to introduce the concept of life cycle, build a collaborative mechanism based on family needs, reintegrate multi subject participation, clarify mutual obligations and innovate processes, and leverage government leadership at a new level to reshape multi subject cooperative relationships.

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  • 收稿日期:2023-06-26
  • 最后修改日期:2023-09-05
  • 录用日期:2023-09-11
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