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Study On Performance Of Government Purchasing Old-age Home Care Services

Posted on:2013-07-15Degree:DoctorType:Dissertation
Country:ChinaCandidate:H Q LiuFull Text:PDF
GTID:1226330467983987Subject:Administrative Management
Abstract/Summary:PDF Full Text Request
With the advent of the population aging society, how to take care of the elderly citizens becomes a problem that people are increasingly concerning about. Because of general public’s diversified and multi-level demands for caring services for seniors, that governments provide the caring services by a single service supply way is far from satisfying the needs of the elderly. Therefore, governments urgently need to transfer part of caring services for the elderly to some enterprises or other social organizations to achieve diverse supply of public services, and one way of transferring is purchasing home care services for senior citizens (PHCSSC), which is funded by governments. The practice of PHCSSC in China has won initial success, and achieved good effects in some regions. The successful practice is helpful to speed up the transformation of government functions to some extent, encourage the enthusiasm of enterprises and non-profit organizations, and solve certain difficult problems in public services. However, PHCSSC is still a new thing for China, and it isn’t sufficiently understood by the government, citizens, and lots of social organizations. The research on PHCSSC is not enough, so lots of research related to it needs to be carried out. Because the goal of PHCSSC is providing better quality, more efficient care services for the elderly, it is necessary to establish the scientific performance evaluation system to ensure services quality of government purchase.The first chapter of this paper is the introduction, which puts forward research background and significance, and based on the domestic and international literature review, proposes the research framework and theoretical innovation of the paper. The second chapter does lots of research about the basic theoretical problems of PHCSSC, such as analyzing general situation of the system of care services for senior citizens in China, defining the connotation of PHCSSC, dissecting the stakeholders of PHCSSC, sort the practice of PHCSSC at home and abroad, and analyzing the necessity of evaluating government performance on purchasing home care services. The third chapter tries to analyze from the performance and analyzing framework of PHCSSC. It mainly defines the connotation and component of the performance of PHCSSC, discusses the criteria of judging the performance of PHCSSC, and builds a comprehensive performance evaluation model of PHCSSC so as to provide a theoretical framework for performance evaluation of PHCSSC. The fourth chapter tries to do some analyzes on the effectiveness of PHCSSC. It defines the concept of the effectiveness of PHCSSC, discusses the evaluation methods of effectiveness, and constructs a system of evaluating PHCSSC. The fifth chapter tries to do some analyzes on the quality of PHCSSC. It reviews the literature on citizens’satisfaction of PHCSSC, analyzes the evaluation methods of home care services quality, and based on these, builds a model of quality evaluation of PHCSSC. The sixth chapter takes Chengguan District of Lanzhou for an example to do some empirical research on quality evaluation of PHCSSC. It mainly introduces the development status of home care services for the elderly in Chengguan District of Lanzhou, and does some empirical research based on this case. The last chapter is the research conclusion and prospect of the paper.The paper mainly applies normative research and case study, and takes "home care services" as research objectives so as to narrow the scope of government purchase. It builds a performance analysis framework of home care service for the elderly, and provides a reference framework for evaluating the effectiveness and quality of PHCSSC, which is beneficial for the theoretical development of PHCSSC to some extent. This paper takes virtual nursing home in Chengguan District of Lanzhou as a case, and puts forward some valuable evaluation modes and solution for improving the quality and effectiveness of PHCSSC so as to be full use of social resources related to care services for senior citizens and improve the social security system for senior citizens.
Keywords/Search Tags:government purchase, old-age home care services, performance, efficiency, service quality
PDF Full Text Request
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