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題名：老人機構照顧民營化：英國、瑞典和香港經驗之比較分析
書刊名：社會政策與社會工作學刊
作者：蕭文高 引用關係／黃源協 引用關係
作者(外文)：Hsiao, Wen-kao／Hwang, Yuan-shie
出版日期：2004
卷期：8:2
頁次：頁83-124
主題關鍵詞：老人機構照顧；民營化；比較社會政策；社會服務；Comparative social policy；Social services；Residential care for older people；Privatization
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(4) 博士論文(1) 專書(1) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:52
  • 點閱點閱:242
本研究的目的在藉由比較社會服務的方式，分析英國、瑞典及香港三個個案的老人機構照顧在遭遇民營化的結構壓力時，所採行的因應措施及制度轉變，並回應到台灣現行的脈絡之下，提出對相關政策規劃及制度設計的建議。為達成研究之目的，本文首先就比較社會政策的方法論進行探討，並對社會服務領域的運用進行分析，依據研究主題的特性，以服務輸送及規制結構做為分析主軸，採取結合質性及量化資料的歷史研究方法，分別就三個個案的發展經驗進行檢視。經研究後發現，在英國、瑞典及香港的歷史發展過程中，老人機構照顧的民營化呈現出聚合以及歧異的現象，一方面每個個案均採取部份民營化的策略，但是當服務輸送結構部份轉移給民間部門之際，國家規制結構卻相對地制度化，以提升服務品質，並結合社區照顧、照顧管理或需求評量以進行整體政策規劃；另一方面，在地方政府自主性或社會基礎差異中，亦產生不同的民營化深度以及規制制度的設計。最後，本研究認為台灣應擷取英國、瑞典及香港的發展經驗，在老人機構照顧民營化的政策規劃中，應納入風險管理及總體性規劃的概念，並對現有的規制結構以及區域正義的問題進行思考，再決定未來民營化的走向及深度。
In the way of comparative social services, this study aims to analyze the coping strategies and institutional transitions of residential care for older people in England, Sweden and Hong Kong under the structural pressures of privatization, and provides some implications for policy making and institutional planning in Taiwan. For the sake of achieving this purpose, the methodologies of comparative social policy were investigated and its applications for social services field were discussed. According to the characteristic of this topic, the historical research method was used, with combining qualitative and quantitative materials, to review the experiences of three cases with focusing on service delivery and regulatory structures. Following a short review of the historical development of policies, both convergence and divergence of privatization in three cases were defined. On the one hand, each country not only carried out privatization strategies and transferred the responsibilities of services delivery to independent sector, but also institutionalized its regulatory structure for enhancing the services quality. On the other hand, variations among countries in privatization and regulatory structures were affected by their local authorities' autonomy and social foundation. Finally, what this study suggests is that Taiwan can learn from England, Sweden and Hong Kong before deciding the direction and depth of privatization, it needs to consider the factors of risk management, integrated planning, regulatory structure design and regional justice.
期刊論文
1.Ferrera, Maurizio(1996)。The Southern Model of Welfare in Social Europe。Journal of European Social Policy，6(1)，17-37。  new window
2.Doty, P.(1988)。Long-term care in international perspective。Health Care Financing Review，Annual Supplement，145-155。  new window
3.Lewis, Jane(1992)。Gender and the development of welfare regimes。Journal of European social policy，2(3)，159-173。  new window
4.劉淑瓊(20011200)。社會服務「民營化」再探--迷思與現實。社會政策與社會工作學刊，5(2)，7-56。new window  延伸查詢new window
5.林昭寰、周永新(19981200)。政府與民間--回顧二次大戰後至一九七○年代香港社會福利理念的發展。社會政策與社會工作學刊，2(2)，3-18。new window  延伸查詢new window
6.Alber, J.(1995)。A Framework for the Comparative Study of Social Services。Journal of European Social Policy，5(2)，131-149。  new window
7.Andersson, G.、Karlberg, I.(2000)。Integrated Care for the Elderly - The Background and Effects of the reform of Swedish Care of the Elderly。International Journal of Integrated Care，1(1)。  new window
8.Anttonen, A.、Sipilä, J.(1996)。European Social Care Services: Is It Possible to Identify Models?。Journal of European Social Policy，6(2)，87-100。  new window
9.Bahle, T.(2003)。The Changing Institutionalization of Social Services in England and Wales, France and Germany: Is the Welfare State on the Retreat?。Journal of European Social Policy，13(1)，5-20。  new window
10.趙維生、黃昌榮(1998)。香港老人社區照顧：由政策到政治。社會政策與社會工作學刊，2(2)，101-137。  延伸查詢new window
11.Holden, C.(2002)。British Government Policy and the Concentration of Ownership in Long-Term Care Provision。Ageing & Society，22，79-94。  new window
12.Kasza, G. J.(2002)。The Illusion of Welfare 'Regimes'。Journal of Social Policy，31(2)，271-287。  new window
13.Kwon, H.(1997)。Beyond European Welfare Regimes: Comparative Perspectives on East Asian Welfare Systems。Journal of Social Policy，26(4)，467-484。  new window
14.Kwong, E. W.、Kwan, A. Y.(2001)。A Review of Private Residential Care in Hong Kong: Implications of Policy and Practice。Journal of Aging & Social Policy，13(4)，73-89。  new window
15.Palme, J.、Bergmark, A.、Backman, O.、Estrada, F.、Fritzell, J.、Lundberg, Olle、Sjoberg, O.、Szebehely, M.(2002)。Welfare Trends in Sweden: Balancing the Books for the 1990s。Journal of European Social Policy，12(4)，329-346。  new window
16.Sundstrom, G.、Johansson, L.、Hassing, L. B.(2002)。The Shifting Balance of Long-Term Care in Sweden。Gerontologist，42(3)，350-355。  new window
17.Yu, S. W. K.(1996)。The Nature of Social Services in Hong Kong。International Social Work，39，411-430。  new window
會議論文
1.趙維生、黃昌榮(2001)。社會服務私營化的發展與局限－以香港為例。沒有紀錄。  延伸查詢new window
研究報告
1.香港社會福利署(2002)。社會福利署2001年報。香港：香港社會福利署。  延伸查詢new window
2.香港社會福利署(2003)。社會福利署2002年報。香港：香港社會福利署。  延伸查詢new window
3.詹宜璋、劉邦富、黃源協(1999)。老人福利機構「公辦民營」可行性之研究－以臺灣省公私立老人安養、養護機構為例。沒有紀錄。  延伸查詢new window
4.Suzuki, K.(2001)。Marketization of Elderly Care in Sweden。Stockholm, Sweden。  new window
圖書
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2.Hill, M.(1996)。Social policy: a comparative analysis。Hemel Hempstead, Herts：Prentice-Hall/Harvester Wheatsheaf。  new window
3.Audit Commission(1986)。Making a Reality of Community Care。London：HMSO。  new window
4.DHSS(1976)。Priorities for Health and Personal Social Services in England:A Consultative Document。London：HMSO。  new window
5.DHSS(1981)。Growing Older。London：HMSO。  new window
6.DHSS(1981)。Care in Action--A Handbook of Policies and Priorities for the Health and Personal Social Services in England。London：HMSO。  new window
7.DoH(1997)。Social Services - Achievement and Challenge。London, UK：HMSO。  new window
8.Department of Health(1998)。Modernising Social Services - Promoting Independence, Improving Protection, Raising Standards。London, UK：The Stationery Office。  new window
9.Saunders, Peter、Harris, Colin(1994)。Privatization and Popular Capitalism。Open University Press。  new window
10.Feigenbaum, Harvey B.、Henig, Jeffrey R.、Hamnett, Chris(1998)。Shrinking the State: The Political Underpinnings, of Privatization。Cambridge：Cambridge University Press。  new window
11.Gibson, Mary J.、Gregory, Steven R.、Pandya, Sheel M.(2003)。Long-Term Care in Developed Nations: A Brief Overview。AARP Public Policy Institute。  new window
12.Savas, E. S.(2000)。Privatization and public-private partnerships。New York：Seven Bridges Press。  new window
13.Esping-Andersen, Gøsta(1990)。The Three World of Welfare Capitalism。Oxford：Polity Press。  new window
14.內政部(2002)。九十年度臺閩地區老人福利機構評鑑報告。九十年度臺閩地區老人福利機構評鑑報告。臺北。  延伸查詢new window
15.香港立法會福利事務委員會(2001)。新福利服務單位分配－以公開競投的方式提供安老院舍服務－資料文件。新福利服務單位分配－以公開競投的方式提供安老院舍服務－資料文件。香港。  延伸查詢new window
16.香港立法會福利事務委員會(2001)。私營安老院舍的監管－會議資料文件。私營安老院舍的監管－會議資料文件。香港。  延伸查詢new window
17.香港立法會福利事務委員會(2003)。在受大廈公契管轄的樓宇經營安老院－討論文件。在受大廈公契管轄的樓宇經營安老院－討論文件。香港。  延伸查詢new window
18.香港立法會福利事務委員會(2003)。逐步終止提供長者宿舍及安老院宿位的進度報告－討論文件。逐步終止提供長者宿舍及安老院宿位的進度報告－討論文件。香港。  延伸查詢new window
19.香港安老事務委員會(1998)。長者房屋及院舍服務需求評估及應付長遠需求策略。長者房屋及院舍服務需求評估及應付長遠需求策略。香港。  延伸查詢new window
20.香港社會福利署(1999)。安老院實務守則。安老院實務守則。香港。  延伸查詢new window
21.香港審計署(2002)。長者住宿服務。審計署署長第38號報告書。香港。  延伸查詢new window
22.Anttonen, A.、Sipila, J.、Baldock, J.(2003)。Pattern of Social Care in Five Industrial Societies: Explaining Diversity。The Young, the Old and the State - Social Care Systems in Five Industrial Nation。Montpellier Parade。  new window
23.Atkinson, Rob、Savage, S. P.(2001)。Introduction: New Labour and 'Blairism'。Public Policy under Blair。Hampshire。  new window
24.Baldock, J.(2003)。Social Care in the United Kingdom: A Pattern of Discretionary Social Administration。The Young, the Old and the State - Social Care Systems in Five Industrial Nation。Montpellier Parade。  new window
25.Bauld, L.、Chesterman, J.、Davies, B.、Judge, K.、Mangalore, R.(2000)。Caring for Older People - An Assessment of Community Care in the 1990s。Caring for Older People - An Assessment of Community Care in the 1990s。Hants。  new window
26.Challis, L.(1990)。Organising Public Social Services。Organising Public Social Services。Essex。  new window
27.Chan, A. C. M.、Phillips, D. R.(2002)。Policies on Aging and Long-Term Care in Hong Kong。Aging and Long-Term Care - National Policies in the Asia-pacific。Singapore。  new window
28.Comas-Herrera, A.、Wittenberg, R.、Pickard, L.(2003)。Long-Term Care for Older People in the UK。European Study of Long-Term Care Expenditure。Brussels, Belgium。  new window
29.Davies, B.(1998)。Shelter-with-Care and the Community Care Reform - Notes on the Evolution of Essential Species。Residential Versus Community Care - The Role of Institution in Welfare Provision。London, UK。  new window
30.DoH(1999)。Fit for the Future? National Required Standards for Residential and Nursing Homes for Older People - Consultation Document。Fit for the Future? National Required Standards for Residential and Nursing Homes for Older People - Consultation Document。London, UK。  new window
31.DoH(2002)。Care Homes for Older People: National Minimum Standards。Care Homes for Older People: National Minimum Standards。London, UK。  new window
32.European Commission(2003)。Feasibility Study - Comparable Statistics in the Area of Care of Dependent Adults in the European Unions。Feasibility Study - Comparable Statistics in the Area of Care of Dependent Adults in the European Unions。Brussels, Belgium。  new window
33.Gould, A.(2001)。Developments in Swedish Social Policy - Resisting Dionysus。Developments in Swedish Social Policy - Resisting Dionysus。New York, NY。  new window
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37.Jacobzone, S.(1999)。Aging and Care for Frail Elderly Persons: An Overview of International Perspective。Aging and Care for Frail Elderly Persons: An Overview of International Perspective。Paris, France。  new window
38.Johansen, L. N.(1986)。Welfare State Regression in Scandinavia? The Development of Scandinavia Welfare States from 1970 to 1980。Comparing Welfare States and Their Futures。Hants。  new window
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43.Lakra, R.(2002)。Responsibilities for Care Throughout the Life Span: A Brief Look at the Family and Long-Term Care Laws of Sweden, Canada and the U. S. with a Particular Focus on Aging。Responsibilities for Care Throughout the Life Span: A Brief Look at the Family and Long-Term Care Laws of Sweden, Canada and the U. S. with a Particular Focus on Aging。Geneva, Switzerland。  new window
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47.Means, R.、Smith, R.(1998)。From Poor low to Community Care - The Development of Welfare Services for Elderly People 1939-1971。From Poor low to Community Care - The Development of Welfare Services for Elderly People 1939-1971。Bristol。  new window
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49.Office of Fair Trading(1998)。Older Peoples as Consumers in Care Homes。Older Peoples as Consumers in Care Homes。London, UK。  new window
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圖書論文
1.Rauhala, P. L.、Andersson, M.、Eydal, G.、Ketola, O.、Warming Nielsen, H.(1997)。Why are social care services a gender issue?。Social care services: The key to the Scandinavian welfare model。Adershot：Ashgate。  new window
2.Johnson, N.(1999)。Personal Social Services and Community Care。New Labour, New Welfare State?--The "Third Way" in British Social Policy。Policy Press。  new window
 
 
 
 
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