The Challenge and Situation In Purchase of Service Contracting-out The Case of long-term care related Sponsor which is business units in Hsinchu area

• Main Authors: chang,chia-yun, 張嘉云
• Other Authors: Chiu Min-ko
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/04269807737572934144

碩士 === 玄奘大學 === 社會福利學系碩士班 === 99 === Due to the population of elderly is growing fast, the lone-term care, live problem and retirement service became serious problems. When the Chronic diseases and Dysfunction patient is growing fast, the Acute medical has not been satisfied those who cannot self-care and Dysfunction. Compared with long-term care has been considerable attracted attention. Nowadays, there are 74.53% people was served by long-term care in Taiwan, in which Hsinchu county utility rate up to 75.03%. That are higher than average of all over the country result in the lone-term care became more Importance in Hsinchu area. When the Demand of long-term care rises, we have to increase the social welfare due to the government’s simplification policy and source of wealth is unstable, the government is going to substitute the social welfare service to purchase of service and Contracting-out with private institute. In the government’s policy, they are not only universalize the social welfare but also expect professional purchase of service which in business unit. Therefore, the government has the right to supervise and manage. However, the problem of population in social welfare and execution for private institutes lead to the low stability of this job as well as the insufficient right for staff in Hsinchu area. Due to they can’t supply the continue forever service, the conflict between the proposal of organizer and real service become serious. Herein, we are going to study the case of long-term care in Hsinchu area particular about the challenge and situation in purchase of service contracting-out. There are three research objects. 1.To realize the situation of Service Contracting-out and future development. 2.The strait and challenge of Service Contracting-out organization. 3.To discuss the gap between exception and real for long-term care in Hsinchu area. The Second Chapter, We discussed variety of reference which is history of Taiwan’s social welfare privatization, and furthermore. We could realize the procurement act of social welfare. Finally, we would discuss the situation and challenge in case of long-term care object. The Third Chapter, we employed the Qualotative Research and Deep Interview Method to analyze the results, and further to respond our research proposal. The Forth Chapter is result and discussion: the first section would introduce the preliminary stage of purchase service, then further to discuss why the private institute would like to carry on government’s business; second section, to realize the predicament from those different background institutes; third section, to realize those private institutes how to employ relative resource or adjust administration way to overcome their predicament. The result of Fifth Chapter could separate to five point including the limited human resource, development and breakthrough; to establish the concept of social welfare; to make public the procedure of government’ subsidized and application fees; how to use social resource; reconsider the meaning of purchasing service. Since the result, we discovered the private institutes cooperate with government step by step for overcome the predicament and reductive professional; The government, private institutes and family shared responsibility for the work in purchasing service, and we also establish the concept of purchasing service at the same time. Furthermore, we can change the advertising mechanism followed by improving the social welfare. Finally, we still have to consider the private of institutes is necessary to carry on purchasing service if they cannot reach the target. Final discussion and suggestion are separated to following point: first, to offer a steady development mechanism; second, to emphasize the manpower training improves the group’s cohesive force; third, to receive the personal suggestion change the service way; forth, to offer the special advertisement depend on special area; fifth, change the fundraising way; sixth, reconsider the meaning of purchasing service. The above are my personal opinions.