政府购买养老服务的监管困境与对策建议

Research on Regulatory Dilemmas and Countermeasures for Government Purchase of Elderly Care Services

政府购买养老服务是实现政府职能转变、优化政府养老服务供给、实现高质量养老服务的制度创新。然而,政府购买养老服务目标的多元性与政府角色的复杂性给政府监管带来新的挑战。文章认为,政府与社会力量双方利益目标不一致及其利益目标分歧引发的合同违约风险是内部监管的理论难题,养老服务的难以评价性、政府购买养老服务信息高度不对称和精准监管不足是外部监管的实践困境。基于此,文章从横向合同治理模式的内部监管和纵向等级治理模式的外部监管两个层面提出了对策建议。

Government purchase of elderly care services in an effort to provide better and high-quality services is an institutional innovation to realize the transformation of government functions.However,the multiplicity of the goals of this service and the complexity of government roles pose new challenges to regulation.It's argued that in terms of internal regulation,the risk of contractual breach triggered by the divergent interests between the government and social forces is a key issue.In terms of external regulation,the difficulty in evaluating elderly care services,the high degree of information asymmetry and insufficient targeted regulation are practical dilemmas.In view of this,the article proposes countermeasures from two aspects:internal regulation of the horizontal contract governance mode and external regulation of the vertical hierarchical governance mode.