自主治理模式下的养老服务资源配置与路径优化研究——以苏州市为例

Research on Allocation and Path Optimization of Eldercare Service Resources Under the Autonomous Governance Theory:Take Suzhou as an Example

自主治理理论整合了公共服务领域来自行政、市场与社会等多主体的供给资源,以奥斯特罗姆的制度供给、可信承诺、相互监督治理三支柱为基础,为社区、居家、机构养老服务提供一套统一的政策协调框架。在此框架下,对于如何缓解目前新的养老服务供需矛盾,提供多元化、多层次的养老服务有了明确指导。通过对苏州市W区多级养老服务供给部门的现状调研及分析,发现其在服务资源配置方面存在协调机制稳定性弱、主体间相互监督力度不够、供给主体服务领域不清晰等问题,并对其进行了原因分析。基于制度内生理念,提出形成前期干预下的内生式发展理念、制定主体共同参与下的渐进规则,以及地方知识视角下不同服务提供主体间的相互规范和制约等优化路径。

The autonomous governance theory integrates resources from the government,the market and the society in the field of public service and provides a unified policy coordination framework for community-based,home-based and institutional elderly care on the basis of Ostrom’s three pillars of institutional supply,credible commitment and mutual supervision and governance.Under this framework,guidance has been given on how to alleviate the current contradiction between care supply and demand,and on how to provide multiple and multi-level care services.By studying and analyzing the current situation of the multi-level elderly service supply sector in W district of Suzhou,we find that there are problems such as weak stability of the coordination mechanism,insufficient mutual supervision among various players and unclear boundaries among suppliers.In view of this,we analyzed causes of these problems,and based on the concept of institutional endogenousness,proposed an optimization path consisting of an endogenous development concept under prior intervention,progressive rules under joint participation of all players,and the mutual regulation and constraint among different service providers based on local knowledge.