Government Purchase Of Housing Service For Aged Risk Prevention Mechanism Research

Government purchase of home-based care service is an important way to innovate public service mechanism and to contribute efficient service-oriented government.It is an crucial content of government transformation.At present our country's aging process is developing fast,elderly people's require of home-based care service increasing added.Because of the family miniaturization and deficiency of institution for old-age care,the social old-age care resource can not meet the elderly people's diversify and multilevel demand.Government limited capacity is difficult to satisfy a great need for home-based care service so as lead to government credibility decline.Recent years,social organization gradually expand which is provide a new supply for aging care.At this background government began to exploit the third way that means government provide found to buy home-based care service from the qualified NPO or private sector.That is so-called government purchase of home-based care service.In the late 1970 s,the government's purchase of home care services as a highly effective form of governance was incorporated into the practice of government governance in the west.Our country also began to explore the pattern of government purchase that the government worked with NPO to provide services for the elderly in the late 1990 s.According to the long time practice shows that the government has increased the quality of home care services.It has promoted the participation of the multivariate subjects in the government's purchase of the home service.But in the whole stage of the government to buy home endowment service,many problems,such as the principal-agent dilemma,system design flaws,incomplete information and asymmetric,integrity management deficiency,transaction costs obscure,led to the risk of government in the process of purchasing home care.However,there is still little research on the government's risk prevention for home care.Therefore,the main idea of this study is: Firstly,the method of literature research,participation observation,unstructured interview,and case analysis are the main methods.In this paper,the risk of the government purchase home endowment service as the researchobject,and the risk of the government purchase of public services research further down to the risk of the government to buy home endowment service level,can be more targeted study of risk in the pension services that occupy the home to buy,and devise more appropriate risk mitigation measures.Secondly,on the basis of sorting out theories and concepts,this paper investigated the reality of the C city W area government's purchase of residential care.It was found that the government of the W district government in C city has the main risks of internal volume,administrative,collusion,assimilation and fragmentation.Again,this paper used the theoretical tools such as principal-agent theory,transaction cost theory,and risk management theory to elaborate on the risks and causes of the government's purchase of the home care service and combined with the case study.Finally,it is proposed that through interests adjustment,clarify boundaries,de-administration,adherence to contract and resource consolidation at macro level to establish risk prevention mechanism on the analysis of reasons of risk occurring.Specific measures include build information communication mechanism;Construction of supervision and evaluation mechanism;Constructing the applicable laws and regulations system;Building incentive constraint mechanism;Construct risk-sharing mechanism.Government purchase of home-based care service faces huge risk in new era,but the risk in practice can be controlled.As long as establish and complete risk prevention mechanism can government purchase old-age home care service quality improve.This paper's conclusion is based on theoretical analysis and single case research,so the conclusion has property of hypothesis.However,this article at least reveals that government,enterprise,society,family and individual should take certain responsibility for elderly care.Only in an effective pension service system can multiple cooperation relieve risks effectively.This finding has enlighten meaning for building up risk prevention mechanism in the procession of local government purchasing home-based elderly care service.