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| Title: | 地方政府推動長期照顧政策之組織成效分析
Performance of the Long-Term Care Policy of local governments |
| Authors: | 簡鈺珒
Chien, Yu-Chin |
| Contributors: | 陳敦源
Chen, Don-Yun
簡鈺珒
Chien, Yu-Chin |
| Keywords: | 長照政策
組織建築
網絡治理
在地老化
Long-term care policy
Organizational architecture
Network governance
Aging in place |
| Date: | 2019 |
| Issue Date: | 2019-09-05 16:49:26 (UTC+8) |
| Abstract: | 自106年起，長期照顧十年計畫2.0開始實施，目標是希望建構「找得到、看得到、用得到、付得起」社會安全系統，落實「在地老化」觀念，期望藉由地方政府結合社會資源，建構長照ABC社區三級整合服務。
組織建築學的觀點在於，組織結構、策略及誘因設計等都必須回應外部環境需求，而網絡治理理論則是有助於觀察在網絡治理環境中，政府是否連結外部資源的能力。為檢視長照2.0施行以來的政策績效，本文運用組織建築學和網絡治理等理論基礎，檢視地方政府是否有培植長照機構或服務資源的能力？如何連結民間資源？成果如何？
為回答影響長照政策績效的因素，本文運用問卷調查法、深度訪談法和檔案分析法。問卷調查結果顯示，組織建築管理相關措施、機關和主管人員網絡管理能力對組織績效有正向顯著的影響力；主管人員網絡管理能力、官方網站幫助程度、利害關係人的支持度對政策滿意度都有正向顯著的影響力。基此，本文發現長照這類需要公私部門合作的政策類型，政策績效的提升，不僅需要健全的組織設計，還需要靠主管連結社會資源的網絡管理能力，才能發揮綜效。
經由深度訪談，本文發現在政府提供財政誘因之下，醫療院所、社福機構和基層社區組織都有意願參加長照社區整體照顧服務體系，近兩年的長照機構、照顧人力都有大幅的成長。為提升長照服務遞送的效率、效能與公平，未來地方政府應強化績效資訊的流動，公開長照機構的服務評比、善用民眾的申訴意見，以適時介入輔導長照機構。
The long-term care (LTC) policy ten-year plan 2.0, launched in 2017, aims to establish a relatively more comprehensive social security system and implement the vision of people being able to age in their community. Furthermore, to establish the ABC community service, local governments have been empowered to coordinate social resources.
By using the theory of organizational architecture, we observed how local governments design organizational structures, strategies, and incentives to fit external environment. By using the theory of network governance, we evaluate whether local governments can coordinate external resources.
Here, survey, in-depth interview, and archive analysis were used. The results demonstrated that organizational managerial measures, bureau networking abilities, and supervisors’ networking abilities have a positive influence on organizational performance of a department. In addition, supervisors’ networking abilities, helpfulness of official websites, and support from stakeholders had positive effects on the policy performance. These findings indicated that to enhance policy performance, we need not only well-functioning organizations but also supervisors who are skilled at networking.
Because of financial incentives from the government, hospitals, social welfare institutions, and local communities were willing to enroll in the LTC service delivery system; the LTC institutions and human resources have expanded in these 2 years. To achieve efficient, effective, and fair LTC service delivery, local governments should pay more attention to the publicity of performance information. In other words, they are required to put more effort more to publish the rank of LTC institutions, incorporate user feedback, and ensure the timely delivery of the services provided by LTC institutions. |
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| Description: | 博士
國立政治大學
公共行政學系
98256502 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0982565021 |
| Data Type: | thesis |
| DOI: | 10.6814/NCCU201900806 |
| Appears in Collections: | [公共行政學系] 學位論文
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Files in This Item:
| File |
Size | Format | |
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| 502101.pdf | 3450Kb | Adobe PDF2 | 291 | View/Open |
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