Multiple Supply Dilemmas in Institutional Care Services for Persons with Disabilities and Policy Implications:A Theoretical Perspective Based on the Triple Failure of Government,Market and Social Organizations
Institutional care services for persons with disabilities(ICSPD)are a kind of essential public service and an essential component of livelihood security.Despite over a decade of development,the provision of ICSPD continues to face multi-dimensional supply challenges,characterized by limited government capacity,insufficient market vitality,and weak social organization engagement.This study constructs a triple-failure analytical framework by applying theories of government failure,market failure,and voluntary failure to examine the challenges and limitations faced by the government,market,and social sectors in the provision of disability care services.Through systematic analysis,this paper identifies three key contradictions,namely the contradiction between limited resource provision capacity and massive service demands faced by the government,the contradiction between profit-seeking preferences and the public welfare nature of public services confronted by the market,and the contradiction between fragmented social forces and systematic requirements of service provision encountered by social organizations,which ultimately lead to a triple-failure predicament.Furthermore,this paper clarifies the roles of these three sectors within the service provision system,offering policy insights into the establishment of a government-led institutional care service system with effective multi-stakeholder collaboration and supply-demand coordination.
Persons with disabilitiesInstitutional care servicesDiverse supply dilemmasTriple failures
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