The Evaluation System Of Home-based Care Services In Japan And Its Implication To China

While China is stepping into the aging society rapidly,the home-based care service becomes a solution for the problem of demographic dividend diminishment.The state council announced that China would build a service system for the elderly people based on the home-based care service in recent years,and because of that,many regions began to publish various policies according to the central government's orientation.In2016.12,the state council published the policy "Opinions on the full liberalization of the pension service market to improve the quality of care for the elderly",according to that,China will build a social security system based on the long-term insurance and put more strength on the home-based care service to improve the elderly groups' life quality.The home-based care service,which maybe included other social sectors,has to find a way to ensure the service quality in a proper way.According to some literature researches and field researches,in could be found that the evaluation method of Japanese home-based care service maybe helpful for the promotion of service quality.Based on that,this thesis has taken the home-based care service evaluation system and the evaluation index in Japan as the key point of breaking through,which could be make a contribution to the development in our country.This thesis is divided into six parts.After introducing the background information and literature review in chapter 1,chapter 2 makes definitions of the home-based care services,public service quality and the SERVQUAL model,and takes the new public management theory,the public goods theory,the governance theory and the welfare pluralism as the theoretical foundations.Chapter 3 introduces the evaluation system of home-based care services in Japan,including its construction history,the present situation and its achievements.Chapter 4 adopted the SERVQUAL model as a method to explore the evaluation index in Japan.Taken the Kumamoto's experience as a case study,by using the dimension of reliability,assurance,tangibles,empathy and publicity,this thesis found the evaluation index in Japan is presented to be systematic,scientific and instructed.Chapter 5makes a conclusion of the presented problems in the process of China's home-based care service development by summarizing the practice in Dalian,Ningbo,Suzhou and Nanjing.According to that,this thesis makes some suggestions for the quality improvement.For the macro-strategies,it could be concluded as four points,such as improving the system of information publicity,establishing the specific evaluation association,standards and talent training,focusing on the construction of feedback system,and combining unity and particularity.For the micro-strategies,the thesis suggests that the government should establish a unified evaluation index standard,make the evaluation index to be more systematic,scientific and instructed,and standardize the process of using the evaluation index in home-based care service.The last part makes a conclusion of this thesis and points out the shortcomings of the study and the direction for the future study.