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題名：長期照顧夥伴關係的「應然」與「實然」之研究：對長期照顧十年計畫2.0的意涵
書刊名：人文社會科學研究. 教育類
作者：黃源協 引用關係／莊俐昕
作者(外文)：Hwang, Yuan-shie／Chuang, Li-hsin
出版日期：2018
卷期：12:4
頁次：頁1-27
主題關鍵詞：長期照顧；網絡治理；夥伴關係；長照2.0；Long-term care；Network governance；Partnership；Long-Term Care 2.0
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(8) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:37
  • 點閱點閱:5
本研究旨在以長期照顧領域為例，探討利害關係人對於夥伴關係運作之認知（應然）與實踐（實然）的概況、關係與變化，並據以提出對我國長期照顧十年計畫2.0的意涵。研究者以自製之「夥伴關係量表」（43題）為測量工具，據以調查長期照顧領域之夥伴關係的運作狀況。本研究依隨機原理抽出全臺五個縣市之292個組織做為研究對象，每單位均邀請主管階層及實際參與夥伴關係運作之承辦人各乙名為代表接受調查訪問，最終完成138個單位、256份面訪問卷。本研究發現，夥伴關係的實務呈現出「知易行難」的現象，夥伴關係的各個面向亦存在著顯著的相關，且夥伴關係的各項應然面可有效預測整體實然面；同樣地，各項實然面亦可有效預測整體應然面。在依據研究結果進行討論和分析後，本研究提出五項對長期照顧十年計畫2.0的意涵，包括：一、活化夥伴關係的各個面向，以促成夥伴關係實然與應然的良性循環；二、找出並排除夥伴關係的障礙因素，以縮減應然與實然之間的落差；三、健全夥伴關係的結構因子，以為其實務運作奠定穩固基礎；四、建立夥伴關係風險管理機制，以促進夥伴關係的形成與運作；以及五、深化公、私部門夥伴關係，以提昇長期照顧服務品質。
The study aims to explore the profile, relationship and disparity of 'rhetoric (ought)' and 'reality (is)' of long term care partnerships, and to provide implications for the Long Term Care Decade Plan 2.0. The researchers adopted the self-made ＂Partnership Scale＂ (43 questions) as measurement tools to investigate the functioning of partnerships. This study used cluster method to sample 292 public and private long-term care organizations in Taipei, Taichung, Yilan, Chiayi and Pingtung counties, and finally completed 256 interviews of 138 units. This study finds that there are a significant gap between ＂the rhetoric＂ and ＂the reality＂ in the partnership, and the dimensions of partnership show a significant correlation. In addition, ＂the rhetoric＂ dimensions of partnership can also effectively predict the overall ＂reality＂ dimension; likewise, ＂the reality＂ dimensions can effectively predict ＂the rhetoric＂ dimensions. According to the findings, 5 implications for the Long-Term Care 2.0 are proposed: (1) to revitalize the dimensions of the partnership to promote the positive cycle of ＂the rhetoric＂ and ＂the reality＂ of the partnership. (2) to find and eliminate barriers to partnerships to reduce the gap between ＂the rhetoric＂ and ＂the reality＂ of the partnership. (3) to advance structural factors of a partnership as the solid base for practical operation; (4) to construct risk management mechanisms of partnerships to promote the formation and operation of partnerships; and (5) to deepen partnerships between the public and private sectors to enhance the quality of long-term care services.
期刊論文
1.呂育誠(2006)。網絡治理與治理網絡：政府變革的新課題。臺灣民主季刊，3(3)，207-212。  延伸查詢new window
2.Gazley, B.、Brudney, J. L.(2007)。The purpose (and perils) of government-nonprofit partnership。Nonprofit and Voluntary Sector Quarterly，36(3)，389-415。  new window
3.Linden, R. B.(2002)。A Framework for Collaborating (Partnerships and Networks)。The Public Manager，31(2)，3-6。  new window
4.Flores, J. E.、Montgomery, S.、Lee, J. W.(2005)。Organization and staffing barriers to parent involvement in teen pregnancy prevention programs: challenges for community partnerships。Journal of Adolescent Health，37(3 Supp.)，S108-S114。  new window
5.McLaughlin, H.(2004)。Partnership: Panacea or pretence?。Journal of International Care，18(2)，103-114。  new window
6.Dickinson, H.、Glasby, J.(2010)。Why Partnership Working Doesn't Work: Pitfalls, Problems and Possibilities in English Health and Social Care。Public Management Review，12(6)，811-828。  new window
7.Dowling, B.、Powell, M.、Glendinning, C.(2004)。Conceptualising Successful Partnerships。Health and Social Care in the Community，12(4)，309-317。  new window
8.劉坤億(20060900)。臺灣地方政府間發展夥伴關係之制度障礙與機會。臺灣民主季刊，3(3)，1-33。new window  延伸查詢new window
9.Brinkerhoff, D. W.、Brinkerhoff, J. M.(2011)。Public-private partnerships: Perspectives on purposes, publicness, and good governance。Public Administration and Development，31(1)，2-14。  new window
10.Appuhami, R.、Perera, S.、Perera, H.(2011)。Management controls in public-private partnerships: an analytical framework。Australian Accounting Review，21(1)，64-79。  new window
11.Forsyth, T.(2010)。Panacea or paradox? Cross-sector partnership, climate change, and development。Advanced Review，2010(1)，683-696。  new window
12.Lambert, G.、Joseph, F.(2017)。Optimising patient flow, outcomes and experience: a collaborative inpatient and community multidisciplinary team (MDT) approach working in partnership with social care。Future Hospital Journal，4(Suppl 2)。  new window
13.Leutz, W.(1999)。Five laws for integrating and social services: Lessons from the United States and the United Kingdom。The Milbank Quarterly，77(1)，77-110。  new window
14.Rhodes, R. A. W.(1996)。The New Governance: Governing with Government。Political Study，44(4)，652-667。  new window
15.Sundström, M.、Petersson, P.、Rämgård, M.、Varland, L.、Blomqvist, K.(2018)。Health and social care planning in collaboration in older persons' homes: The perspectives of older persons, family members and professionals。Scandinavian journal of caring sciences，32(1)，147-156。  new window
16.Torfing, J.、Sørensen, E.(2014)。The European debate on governance networks: Towards a new and viable paradigm?。Policy and Society，33(4)，329-344。  new window
17.Wei, K. C.、Lee, C.、Mahendran, R.、Lim, C. G.(2012)。Improving Mental Health Care for People with an Intellectual Disability in Singapore: Bridging the Health-social Care Divide。Singapore Medical Journal，53(7)，428-432。  new window
18.Huxham, Chris(2000)。The Challenge of Collaborative Governance。Public Management: An International Journal of Research and Theory，2(3)，337-358。  new window
研究報告
1.West, M.、Markiewicz, L.(2006)。The Effective Partnership Working Inventory。Birmingham：Aston Business School。  new window
2.黃源協、吳書昀、陳正益(2010)。「推動長期照顧服務機制」效益評估研究。臺北。  延伸查詢new window
學位論文
1.莊俐昕(2013)。夥伴關係與社會資本關連性之研究：以社會福利服務領域為例(博士論文)。國際暨南國際大學。new window  延伸查詢new window
圖書
1.Glasby, Jon、Dickinson, Helen(2008)。Partnership Working in Health and Social Care。Btistol：Policy Press。  new window
2.Pierson, John(2008)。Going Local: Working in Communities and Neighbourhoods。Routledge。  new window
3.Kamensky, J. M.、Burlin, T. J.(2004)。Collaboration: Using networks and partnerships。Roman & Littlefield Publishers。  new window
4.衛生福利部(2018)。加強社會安全網計畫。臺北：衛生福利部。  延伸查詢new window
5.Audit Commission(2002)。Integrated Services for Older People。London：Audit Commission。  new window
6.Department of Health(1998)。Partnership in action。London：Department of Health。  new window
7.Goldsmith, S.、Eggers, W. D.(2005)。Governing by Network: The New Shape of the Public Sector。Brookings Institution Press。  new window
8.Hudson, B.(2004)。Whole Systems Working。Leeds：Integrated Care Network。  new window
9.Jackson, C.、Nicholson, C.、Doust, J.、O'Donnell, J.、Cheung, L.(2017)。Integration, Co-ordination and Multidisciplinary Care in Australia: Growth via Optimal Governance Arrangements。The University of Queensland, Australian Primary Health Care Research Institute。  new window
10.Jelphs, K.、Dickinson, H.(2008)。Working in Team。Policy Press。  new window
11.Klijn, E. H.、Koppenjan, J.(2016)。Governance Networks in the Public Sector。London：Routledge。  new window
12.Peck, E.、Dickinson, H.(2008)。Managing and leading in inter-agency settings。Bristol：Policy Press。  new window
13.Peck, E.、Gulliver, P.、Towell, D.(2002)。Modernising partnership: Evaluation of Somerset's innovations in the commissioning and organization of mental health services--Final report。London：Institute for Applied Health and Social Policy, King's College London。  new window
其他
1.衛生福利部(2016)。長期照顧十年計畫2.0（106-115年），衛生福利部。  延伸查詢new window
圖書論文
1.Himmelman, A. T.(1996)。On the theory and practice of transformational collaboration: From social service to social justice。Creating Collaborative Advantage。London：Sage。  new window
2.Hafford-Letchfield, T.(2009)。Management and Leadership: from Strategy to Service Delivery。Leadership and Management in Integrated Services。Exeter：Learning Matters Ltd.。  new window
3.Powell, Martin、Glendinning, Caroline(2002)。[Partnerships, New Labour and the Governance of Welfare] Introduction。Partnerships, New Labour and the Governance of Welfare。Bristol：The Policy Press。  new window
4.Powell, M.、Exworthy, M.(2002)。Partnership, Quasi-networks and Social Policy。Partnerships, New Labour and the Governance of Welfare。Bristol：The Policy Press。  new window
5.Preston-Shoot, M.(2009)。Repeating History? Observations on the Development of Law and Policy for Integrated Practice。Leadership and Management in Integrated Services。Exeter：Learning Matters Ltd.。  new window
6.Keast, R.、Mandell, M. P.(2009)。What is Collaboration?。ARACY Advancing Collaboration Practice。Canberra：Australian Research Alliance for Children and Youth。  new window
7.Kooiman, Jan(1993)。Governance and Governability: Using Complexity, Dynamics and Diversity。Modern Governance: New Government-Society Interactions。Sage。  new window
8.Bovaird, T.、Dickinson, H.、Allen, K.(2012)。New models of strategic commissioning。Commissioning for health and well-being: An introduction。Bristol：The Policy Press。  new window
9.Ling, T.(2000)。Unpacking partnerships: The case of healthcare。New Managerialism, New Welfare。London：Sage。  new window
10.Littlechild, R.(2008)。Social work practice with older people: Working in partnership。Social Work and Multi-agency Working: Making a Difference。Bristol：Policy Press。  new window
 
 
 
 
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