Balancing Public Interest and Private Gain:Challenges and Strategies for the Integration of Long-term Care Service Systems
With the advent of an aging society,the long-term care service system for disabled and elderly individuals is increasingly integrating.However,fragmentation within the long-term care service system is still evident.From an institutional logic perspective,integration challenges stem from the tensions between the market-driven logic of elderly care institutions and the public interest logic of the government.These tensions result in four main challenges for integration:the dilemma of public-private cooperation,where the government encourages market entry while the market may withdraw;the dilemma of service network construction,where the government builds service chains while the market develops industry chains;the dilemma of resource utilization,where the government provides support while the market response is lukewarm;and the dilemma of service integration,where government safeguards tend to institutionalize while the market experiences"decoupling".To address these,it is necessary to enhance government administrative efficiency,establish case management organizations,innovate resource provision methods,and leverage the role of value identification to strike a balance between"public interest"and"private interest",thereby promoting the integration and improvement of the long-term care service system.
long-term care service systeminstitutional logicfragmentationintegration