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題名：福利混合經濟下的社區照顧--英國的經驗、臺灣的借鏡
書刊名：社會政策與社會工作學刊
作者：黃源協 引用關係
作者(外文)：Hwang, Yuan-shie
出版日期：1998
卷期：2:1
頁次：頁39-85
主題關鍵詞：社區照顧；福利混合經濟；照護混合經濟；福利社區化；Community care；Mixed economy of welfare；Mixed economy of care；Community-based service
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(3) 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:20
  • 點閱點閱:318
　　　　　八０年代前，英國社會照顧的主要供給者是由政府部門擔負，八０年代後期興起 之「照護混合經濟」，促使民間部門之服務提供者的角色迅速擴張。此項改革的主要目的是 欲藉由激勵民間部門對服務供給的參與，以創造出需求導向、使用者中心、市場驅使、有效 率以及成本抑制的服務輸送體系。為達成目標而採取的主要策略有二：購買者與供給者的分 離以及照顧管理的實施。顯然，「照護混合經濟」實施以來，地方政府的角色已逐漸由服務 的「供給者」轉變為「使能者」。然而，對實現其所欲追求的目標，在理想與現實間仍有些 距離，且各種照護部門也受到不同程度的衝擊。儘管對英國之「照護混合經濟」的改革是否 成功尚有爭議，但她的經驗卻可提供臺灣在推展「福利社區化」或「社區照顧」上許多重要 的借鏡，特別是其縝密的決策過程、部門間的協調以及資源的整合。
　　　　　Prior to the 1980s local authorities in Britain are responsible for providing social care for those who need it. As a result of the development of 'the mixed economy of care' an increasing share of that responsibility has been carried by the rapidly expanding private provision of such care since the late 1980s. By stimulating and involving the private sectors in providing care, the reform is intended to create a service delivery system with needs-led, users-centred, marketdriven, efficiency and cost-containment. The goals would be achieved in two main strategies-the split of purchaser and provider, and the introduction of care management. Evidently the role of local authorities' has been increasingly shifted from 'provider' to 'enabler' under the reform. Nevertheless there still have a gap between ideal and reality in achieving its goals and the impacts on public and private sectors are varied. It is still arguable how much the reform has achieved. However there are valuable lessons that we can learn from the British experiences for developing community-based services or community care in Taiwan, in particular its thoughtful policy-making processes, the coordination between sectors and the integration of resources.
期刊論文
1.Bowl, R.(1996)。Legislating for user involvement in the United Kingdom:mental health services and the NHS and Community Care Act 1990。International Journal of Social Psychiatry，42(3)，165-180。  new window
2.Deakin, N.(1996)。The Devils in the Detail:Some Reflections on Contracting for Social Care by Voluntary Organizations。Social Policy and Administration，30(1)，20-38。  new window
3.Filinson, R.(1997)。Legislating community care--The British experience, With U.S. Comparisons。The Gerontologist，37(3)，333-340。  new window
4.Henwood, M.、Wistow, G.、Robinson, J.(1996)。Halfway there? Policy, Politics and Outcomes in Community Care。Social Policy and Administration，30(1)，39-53。  new window
5.Higgins, J.(1989)。Defining community Care:realities and myths。Social Policy and Administration，23(1)，3-16。  new window
6.Knapp, M.、Wistow, G.(1996)。Social care market in England:Early Postreforin Experiences。Social Service Review，355-377。  new window
7.Lewis, J.、Bernstock, P.、Bovell, V.、Wookey, F.(1996)。The purchaser/provider split in social care:Is it working?。Social Policy and Administration，30(1)，1-19。  new window
8.Lewis, J.、Bernstock, P.、Bovell, V.、Wookey, F(1997)。Implementing Care Management:Issues in Relation to the New Community Care。British Journal of Social Work，27，5-24。  new window
9.Macdonald, G.、Sheldon, B.(1997)。Community Care Services for the Mentally ill:Consumers' Views。International Journal of Social Psychiatry，43(1)，35-55。  new window
10.Marsland, D.(1996)。Community Care as an alternative to state welfare。Social Policy and Administration，30(3)，183-188。  new window
11.Parker, G.、Clarke, H.(1997)。Will you still need me, Will you still feed me?--Paying for care in old age。Social Policy and Administration，31(2)，119-135。  new window
12.黃源協、許智玲(19971200)。福利服務民營化趨勢下的志願部門--英國經驗的探討。社區發展季刊，80，88-102。new window  延伸查詢new window
13.Wistow, C.、Knapp, M.、Forder, J.(1996)。Competition in the mixed economy。Journal of Social Policy，25(2)，201-222。  new window
會議論文
1.黃源協(1998)。「管理式競爭」下的健康照護體系：英美的經驗、台灣的借鏡」。東亞社會福利制度前瞻一健康照顧、年金制度與就業保障國際學術研討會。中華民國社會政策學會。  延伸查詢new window
2.呂寶靜(1998)。我國推動福利社區化的省思：從英國社區照顧政策發展出發。沒有紀錄。  延伸查詢new window
圖書
1.Department of Health(1990)。Community Care in the Next Decade and Beyond:Policy and Guidance。London：HMSO。  new window
2.Payne M。Social Work and Community Care。London：Macmillan。  new window
3.Hill, M.(1996)。Social policy: a comparative analysis。Hemel Hempstead, Herts：Prentice-Hall/Harvester Wheatsheaf。  new window
4.Baggott, R.(1994)。Health and Health Care in Britain。London：St. Martin's Press。  new window
5.Department of Health(1996)。Health and Personal Social Services for England。London：The Stationary Office。  new window
6.Department of Health(1997)。The New NHS--Modern Dependable。London：HMSO。  new window
7.Evers, A.、Piji, M.、Ungerson, C.(1994)。Payments for Care--A Comparative Overview。Aldershot：Avebury。  new window
8.Hadley, R.、Clough, R.(1996)。Care in Chaos--Frustration and Challenge in Community。London：Cassell。  new window
9.Lewis, J.、Glennerster, H.(1996)。Implementing the New Community Care。Buckingham：Open University Press。  new window
10.Loxley, A.(1997)。Collaboration in Health and Welfare--Working with Difference。London：Jessica Kingsley。  new window
11.Means, R.、Smith, R.(1994)。Community Care: Policy and Practice。London：Macmillan Press。  new window
12.DoH(1997)。Social Services - Achievement and Challenge。London, UK：HMSO。  new window
13.Hill, M.(1997)。Understanding Social Policy。Oxford：Blackwell。  new window
14.Moore, S.(1993)。Social Welfare Alive!。Cheltenham：Stanley Thornes。  new window
15.Tester, S.(1996)。Community Care for the Older People: A Comparative Perspective。London：Macmillan。  new window
16.Griffiths, S. R.(1988)。Community Care: Agenda for Action。HMSO。  new window
17.Hudson, B.(1994)。Making Sense of Markets in Health and Social Care。Sunderland：Business Education Publishers。  new window
18.Wistow, Gerald、Knapp, Martin R. J.、Hardy, Brian、Allen, Caroline(1994)。Social care in a mixed economy。Buckingham：Open University Press。  new window
19.Department of Health(1989)。Caring for people: Community care in the next decade and beyond。HMSO。  new window
20.Jack, R.(1998)。Institution in community care。Residual versus Community Care。London, UK。  new window
21.Hudson, B.(1994)。Management and Finance。Implementing Community Care。Buckingham。  new window
圖書論文
1.Beecham, F.、Hallam, A.、Knapp, M.、Baines, B.、Feyno, A.、Asbury, M.(1997)。Costing care in hospital and in the community。Care in the Community: Illusion or Reality?。John Wiley and Sons。  new window
2.Bulmer, M.(1997)。The social basis of community care。Community Care--A Reader。London：OUP。  new window
3.Busfield, J.(1997)。Managing madness:changing ideas and practice。Community Care--A Reader。London：OUP。  new window
4.Carrier, J.、Kendall, I.(1997)。Evolution of policy。Care in the Community--Illusion or Reality?。Chichester：John Wiley and Sons。  new window
5.Hoyes, L.、Means, R.(1993)。Ouasi-Markets and the Reform of Community Care。Qucisi-Markets and Social Policy。London：Macmillan。  new window
6.Knapp, M.、Beecham, J.、Hallam, A.(1997)。The mixed economy of psychiatric reprovision。Care In the Conwutnity--Illusion or Reality?。Chichester：John Wiley and Sons。  new window
7.Means, R.、Lart, R.(1994)。User Empowerment, Older People and the UK Reform of Community Care。Policy and Change。Bristol：SAUS Publications。  new window
8.Morgan, B.(1996)。Community care and social work with adults。Social work competence: Care Knowledge, Values and Skills。London：SAGE。  new window
9.Schwabenlan, C.(1997)。Elfrida Rathbone Islington: An Experience of Contracting。Community Care--A Reader。London：The Open University。  new window
10.Walker, A.(1997)。Community care policy:from consensus to conflict。Community Care: A Reader。London：Macmillan。  new window
11.Symonds, A.(1998)。The social reconstruction of care:from the state to the community。The Social Construction of Community Care。London：Macmillan。  new window
12.Hoyes, L.、Means, R.(1997)。The impact of quasi-markets on community care。Community care: A reader。London：Macmillan。  new window
 
 
 
 
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