政府购买居家养老服务的问责关系分析及建构——以湖南省为例

Analysis and Construction of Accountability Relationships in Government Purchasing Home-Based Care Services

在政府购买居家养老服务中,政府从以前直接提供服务变为购买服务和监督服务,提供的主体不再单纯为政府,变得多元化和复杂化,所以问责的问题无疑更加难以解决。本文通过对相关概念的基本介绍,以湖南省的政府购买服务为例,描述了政府、提供者组织、服务对象以及前线工作者之间的理想问责关系,以此为基础分析了问责关系存在的问题,指出应从政治问责、契约问责、管理问责和公民/客户权力四个层面来构建问责关系,以期为促进我国养老服务的发展提供新的研究路径。

Government has become policy maker and service controller, changing from direct provider to indirect provider in government purchasing, thus the subject of service provider is more diverse and complex, which may lead to accountability problem. This paper explores the basic theories of some related concepts, and then describes, based on government purchasing cases in Changsha and Chenzhou of Hunan Province, the ideal accountability relationships among government, service provider, service customers and frontier workers in government purcha- sing home- based care service. Moreover, it explores the accountability problems within it, and points out that, constructing the accountability relations from the four dimensions of political accountability, contract ac- countability, management accountability and citizen - custom power, are the new approaches to improve the de- velopment of aged care service in China.