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市场化进程中公办养老机构的改革及其发展
引用本文:董红亚.市场化进程中公办养老机构的改革及其发展[J].浙江大学学报(人文社会科学版),2018,4(4):14-26.
作者姓名:董红亚
摘    要:基于我国特殊政事关系背景,公办养老机构改革沿着事业单位改革和社会福利社会化两个维度,以职能、效率和机制为三条主线,不断推进社会化和市场化。近四十年的改革卓有成效,但始终难以平衡好公平和效率的关系。以政事分开为目标的公办养老机构改革的核心是所有权、经营权的处理。从产权及委托—代理理论的视角检视其改革历程及存在的问题,根本上说是没有厘清政府、事业单位和社会主体的责权边界和利益关系,未能建立起科学的激励约束机制。在全面放开养老服务市场的背景下,公办养老机构改革要明确目标,从确立独立法人再逐步走向法人治理,完善事业单位法人治理结构;加强公建民营机构的规制,打造现代型养老机构,从而切实履行公益服务职能,提高效率,提升养老服务品质。


Rethinking the Reform of Public Pension Institutions in the Process of Marketization
Dong Hongya.Rethinking the Reform of Public Pension Institutions in the Process of Marketization[J].Journal of Zhejiang University(Humanities and Social Sciences),2018,4(4):14-26.
Authors:Dong Hongya
Abstract:The reform of public pension institutions involves the relations among many subjects such as government, market and society. This paper studies the development process of the reform of public pension institutions in China and analyzes its effectiveness and problems by using property rights and principal-agent theory. In the context of the fact that the pension service market is fully open, this paper has an important practical significance. 1.The course of development of the reform. Taking the Urban Social Welfare Institute as the focus, this paper divides the 40-year reform process of public pension institutions since the Reform and Opening Up into four stages as follows. The first stage is the establishment of president responsibility system and the permission of the privately-run welfare institutions(1979-1986). The second stage is the establishment of the artificial person system and the socialization of social welfare(1986-1997). The third stage is the general promotion of pan-marketization and the socialization of social welfare(1997-2007). The last stage is the proposal of public welfare and the adjustment of the socialization of social welfare(2007 to date). This paper points out that we must start from the two dimensions, in which one is public institutions and another is socialization of social welfare if we study the reform of public pension institutions. 2.Review of the reform. There are three specific themes throughout the 40-year reform: the pursuit of independent institutional artificial person, the clear direction of efficiency and a socialized development mechanism. These topics refer to the nature, basic attributes and operational mechanisms of public pension institutions. However, due to insufficient theoretical preparation and insufficient research, these topics have not been completed. The main reason is the unclear boundary of responsibilities of the government and public institutions, the contradiction between public welfare properties and public institutions' goal of economic benefits, and the lack of regulation of socialization so that public welfare can hardly be realized. The essence of these reasons is the handling of the relationship between fairness and efficiency. 3.Interpretation of the reform from the perspective of property and principal-agent theory. After the reform and opening up, public pension institutions nominally became the independent artificial person, forming the second tier of commission-agency. However, under the institution management system, there are some problems such as the lack of legal validity of decentralization, the deviations of the commissioned goals and the lack of professionalism of the management team, resulting in the inefficiency or failure of the principal-agent. Afterwards, the state made adjustments, promoting the state-building and privately-run forms and formed the third tier of commission-agency. However, due to the lack of awareness and regulation of state-building and private-run forms in practice, the principal-agent relationship has been distorted. The third layer is not necessarily better than the second layer. The key is to clarity the public welfare of public pension institutions and their functions, including regulating the market and resolving the risk. 4.Deepening the reform of the target path. There are three major goals: becoming a truly independent artificial person; comprehensively strengthening the commonweal property; regulating the market and resolving risks in the development of pension services. In order to achieve these goals, we must take the construction of modern pension institutions as the focus of reform, improve the governance structure of the institutional artificial person, build the council, the management and the board of supervisors, strengthen the regulation of state-building and privately-run forms and improve the governance structure of the legal entity. At the same time, government's power should be restricted and the spirit of contract should be established.
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