基于“一网统管”模式下上海市养老服务管理平台优化

Optimization of Shanghai Elderly Care Service System Platform under the Background of“One Network Unified Management”

多重属性并存(公共品、准公共品和私人产品)的养老服务,其服务内容多样、供给模式多元,且分散于多部门管辖,其自身的复杂性使其监管有一定难度。而上海作为超大城市深度老龄化地区,其老年人口的规模(户籍老人和流动老人)将持续增加,又加之养老需求谱系复杂且会有变动,又使其监管难度进一步提升。本研究从养老服务监管的理论分析和智能化监管实务的互动出发,探寻养老服务体系“一网统管”的可能空间;以医疗卫生服务和社会救助民生领域“一网统管”为案例,分析其综合监管的平台建构、响应机制、推进策略和发展趋势等,在借鉴其经验做法基础上,提出养老服务体系“一网统管”的框架体系、目标和推进思路,并辅以具体措施和政策建议。

The elderly care services with multiple attributes coexisting(public goods,quasi public goods,and private products)have diverse service contents,diverse supply models,and are scattered across multiple departments.The complexity of their own makes it difficult to regulate them.Shanghai,as a megacity with deep aging,will continue to increase the size of its elderly population(regis-tered residence registered elderly and mobile elderly).In addition,the complex and changing pe-digree of pension needs will further enhance the difficulty of its supervision.Starting from the theoretical analysis of elderly care service regulation and the interaction between intelligent reg-ulatory practices,this study explores the possible space for“one network unified management”of the elderly care service system;Taking the field of medical and health services and social assis-tance for people’s livelihood as a case study,this paper analyzes the platform construction,re-sponse mechanism,promotion strategies,and development trends of its comprehensive supervi-sion.Based on its experience and practices,the framework,goals,and promotion ideas of the“one network unified management”of the elderly care service system are proposed,supplemented by specific measures and policy recommendations.