Possible Prerequisite and Optimization Path of the Public-Funded-Private-Run Reform of Elderly Care Institutions in Rural Areas
The increasing population aging and population inversion leads to an increasingly prominent problem of the rural elderly care.Under the situation of weakened family elderly care functions,carrying out the public-funded-private-run reform of elderly care institutions in rural areas has become an important measure to improve the socialized elderly care system in rural areas.However,although the public-funded-private-run reform of elderly care institutions in rural areas has broadened the channels for the participation of multiple subjects,it has also encountered many bottlenecks such as distorting the policy intention and poor practice effect.It is found that the discussion of the relationship of multiple subjects between rights and responsibilities is the key to solving the bottleneck of the reform.Through the two concepts of"multi-subject welfare"in welfare pluralism and"multi-subject governance"in social governance,this study constructs the analysis frame of"multi-subject identification-multi-subject participation-multi-subject coordination",and discusses possible prerequisite and optimization path of the public-funded-private-run reform of elderly care institutions in rural areas.The practice in County A in central China shows that it is the precondition to clarify the rights and responsibilities of the multiple subjects,while the logic of the multiple subjects themselves is the root of the dilemma of system reform,which is manifested in the offside management of the county civil affairs bureau under the policy involution,the absence of the township government work under the bureaucratic logic,the target deviation of market entities under the over-reliance,and the lack of experience of institutional directors under the rational life.Therefore,it is necessary to ensure that the county civil affairs bureau grasps the direction without overstepping its bounds,reshapes the supervision and communication responsibilities of township governments,clarifies the role of market entities and product positioning,and improves the role positioning and ability improvement of the institutional directors,so as to realize the coordinated development of multiple subjects.Only in this way,can we achieve the original intention of the public-funded-private-run reform of elderly care institutions in rural areas,improve the construction system of elderly care institutions in rural areas,and provide a boost to the diversified and high-quality development of socialized elderly care in rural areas.
elderly care in rural areasrights and responsibilities among multiple subjectselderly care institutionspublic-funded-private-run reform
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