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題名 正式契約與關係治理的替代與互補--長期照顧居家服務委託關係之研究
Relationship between Contracting Out and Public Private Partnerships as substitutes or complements in contracting management：an empirical examination of Long-Term Care Service System in Taiwan
作者 王千文
Wang, Chian Wen
貢獻者 陳敦源
Chen, Don Yun
王千文
Wang, Chian Wen
關鍵詞 委託代理
正式契約
公私協力
關係治理
協力關係成效
principal-agent
formal contract
public-private partnership
relational governance
performance of collaboration
日期 2013
上傳時間 1-Oct-2014 13:32:41 (UTC+8)
摘要 【研究動機與目的】「公私協力」已成為當代政府運作與學術研究風潮，然協力研究實際上忽略一重要議題，即公私部門管理者對於協力究竟抱持著什麼樣的態度。由於態度會決定人的行為模式，對於在制度與組織層面提出各項能左右協力成效的要件，但也不能忽略運用這些遊戲規則的卻是代表組織的公私部門管理者。再者，對於公私協力的研究多採單一經濟途徑，較缺乏整全跨學科領域的實證模型。基於上述，本研究主要分從公私部門管理者角度，建構融合經濟與社會-心理的理論途徑，探究公私部門管理者在契約管理上的態度意向「為何」與「如何」對協力行為產生影響(正式契約與關係治理)。並以目前公私協力中最具爭議且重要的長期照顧制度做為研究個案。
【研究設計】本研究主要研究目的有二，其一，探討現階段長期照顧制度中，公私部門管理者對於委託代理的預期、協調運作機制以及對於績效的看法。這個部份將透過質化訪談方式進行資料蒐集；其二，藉由結構方程模式循證公私部門管理者對於委託代理的態度，及此態度如何影響管理者的契約管理行為(正式契約與關係治理)，及此行為如何影響協力成效。而本研究實證模型將整合經濟與社會心理途徑，希冀涵容跨學科及實務現象。
【研究結果】本研究主要貢獻在於以公私部門管理者為分析單位，建構融合經濟與社會途徑的公私協力成效模式。同時以質量化方式驗證協力成效理論模式與實務間的契合度。主要研究發現如下：1、官僚體制在面對行政變革時會產生心態與行為上的不一致性；2、公部門希冀透過正式契約作為契約運作機制；然私部門則較偏向於關係治理機制；3、影響契約研擬因素中以社會心理因素較重要於經濟因素的影響；4、從質量化資料驗證正式契約與關係治理是互補關係而非抵換關係；5、居家服務委外呈現公私部門雙方的資源互賴，在互動中也透過社會交換行為以維繫互賴關係的穩定。針對以上發現，在未來實務建議上，可透過組際信任的培植，來厚植公私協力的理想治理情境；建議將長期照顧管理中心定位為正式機關而非臨時的任務編組；透過組織文化的潛移默化調整官僚體對於去人性化的本質，而從重視正式契約轉向關係治理的培植；為求關係治理機制的培育與應用，契約規範應跳脫交易成本的假定。在未來研究上，建議以時間遞移為主軸，縱貫式解構協力的動態過程；官僚體制中的組織文化，對於協力本質與行為的影響將是值得深入討論的議題。
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描述 博士
國立政治大學
公共行政研究所
94256505
102
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0094256505
資料類型 thesis
dc.contributor.advisor 陳敦源zh_TW
dc.contributor.advisor Chen, Don Yunen_US
dc.contributor.author (Authors) 王千文zh_TW
dc.contributor.author (Authors) Wang, Chian Wenen_US
dc.creator (作者) 王千文zh_TW
dc.creator (作者) Wang, Chian Wenen_US
dc.date (日期) 2013en_US
dc.date.accessioned 1-Oct-2014 13:32:41 (UTC+8)-
dc.date.available 1-Oct-2014 13:32:41 (UTC+8)-
dc.date.issued (上傳時間) 1-Oct-2014 13:32:41 (UTC+8)-
dc.identifier (Other Identifiers) G0094256505en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/70263-
dc.description (描述) 博士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 公共行政研究所zh_TW
dc.description (描述) 94256505zh_TW
dc.description (描述) 102zh_TW
dc.description.abstract (摘要) 【研究動機與目的】「公私協力」已成為當代政府運作與學術研究風潮，然協力研究實際上忽略一重要議題，即公私部門管理者對於協力究竟抱持著什麼樣的態度。由於態度會決定人的行為模式，對於在制度與組織層面提出各項能左右協力成效的要件，但也不能忽略運用這些遊戲規則的卻是代表組織的公私部門管理者。再者，對於公私協力的研究多採單一經濟途徑，較缺乏整全跨學科領域的實證模型。基於上述，本研究主要分從公私部門管理者角度，建構融合經濟與社會-心理的理論途徑，探究公私部門管理者在契約管理上的態度意向「為何」與「如何」對協力行為產生影響(正式契約與關係治理)。並以目前公私協力中最具爭議且重要的長期照顧制度做為研究個案。
【研究設計】本研究主要研究目的有二，其一，探討現階段長期照顧制度中，公私部門管理者對於委託代理的預期、協調運作機制以及對於績效的看法。這個部份將透過質化訪談方式進行資料蒐集；其二，藉由結構方程模式循證公私部門管理者對於委託代理的態度，及此態度如何影響管理者的契約管理行為(正式契約與關係治理)，及此行為如何影響協力成效。而本研究實證模型將整合經濟與社會心理途徑，希冀涵容跨學科及實務現象。
【研究結果】本研究主要貢獻在於以公私部門管理者為分析單位，建構融合經濟與社會途徑的公私協力成效模式。同時以質量化方式驗證協力成效理論模式與實務間的契合度。主要研究發現如下：1、官僚體制在面對行政變革時會產生心態與行為上的不一致性；2、公部門希冀透過正式契約作為契約運作機制；然私部門則較偏向於關係治理機制；3、影響契約研擬因素中以社會心理因素較重要於經濟因素的影響；4、從質量化資料驗證正式契約與關係治理是互補關係而非抵換關係；5、居家服務委外呈現公私部門雙方的資源互賴，在互動中也透過社會交換行為以維繫互賴關係的穩定。針對以上發現，在未來實務建議上，可透過組際信任的培植，來厚植公私協力的理想治理情境；建議將長期照顧管理中心定位為正式機關而非臨時的任務編組；透過組織文化的潛移默化調整官僚體對於去人性化的本質，而從重視正式契約轉向關係治理的培植；為求關係治理機制的培育與應用，契約規範應跳脫交易成本的假定。在未來研究上，建議以時間遞移為主軸，縱貫式解構協力的動態過程；官僚體制中的組織文化，對於協力本質與行為的影響將是值得深入討論的議題。		zh_TW
dc.description.tableofcontents 目次 1
表次 IV
圖次 IV
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與研究問題 4
第三節 研究流程 9
第四節 小結 12
第二章 文獻回顧 15
第一節 政府與社會福利服務契約關係 15
第二節 委託代理與公私協力：兩種不同的契約管理機制 19
一、 概念意涵 19
二、 理論基礎 21
三、 應用於契約制定上的差異 23
四、 小結 24
第三節 正式契約與關係治理的替代與互補 25
一、 正式契約 25
二、 關係治理 26
三、 正式契約與關係治理是抵換的 27
四、 正式契約與關係治理是互補的 29
第四節 契約管理與協力成效的理論評估架構 30
一、 公私協力績效評估指標建構：協力關係成效的反思 30
二、 影響趨向正式契約或關係治理的相關評估指標建構 38
第五節 小結 41
第三章 研究設計與方法 45
第一節 資料蒐集 45
一、 方法及其合理性 45
二、 方法運用策略 47
第二節 我國長期照顧服務概述 48
一、 長期照顧需求日增 48
二、 長期照顧政策演變 48
三、 長期照顧十年計畫服務內容 50
四、 長期照顧管理中心之籌設 51
第三節 深度訪談與研究個案界定 55
一、 深度訪談的執行過程 55
二、 研究個案的界定過程 57
三、 訪談資料的效度確保 59
第四節 理論架構與構念操作化 59
一、 理論模型界定 59
二、 構念操作化 62
第五節 理論架構暨問卷設計修正：焦點座談與前測 68
一、 學者專家的焦點座談 69
二、 實務專家對於問卷設計的檢視 74
第六節 問卷結構、抽樣設計與施測 82
一、 正式問卷內容暨量表計分編碼 82
二、 抽樣設計 83
三、 問卷施測過程 85
第七節 資料分析方法 86
一、 內容分析 87
二、 結構方程模式分析 88
第四章 研究結果(一)：長照服務的事實陳述與態度價值 89
第一節 長期照顧服務委外的使用現況 89
一、 長期照顧服務使用現況 89
二、 居家服務的兩類模式—「定量委託」及「區域委託」 91
第二節 居家服務契約執行前的輸入 97
一、 私部門參與居家服務委託的動機 97
二、 公、私部門對於契約的角色認知 102
三、 公、私部門對於契約研擬的態度 105
四、 影響公、私部門契約研擬態度的因素 108
第三節 居家服務契約執行中的轉換與輸出 110
一、 受託單位承接後居服員的招募問題 111
二、 公、私部門間在居服提供過程中的人際互動 113
三、 正式契約與關係規範間的關係 116
四、 信任與契約關係 118
五、 長期照顧管理中心的角色與功能 120
第四節 居家服務契約執行後的評估 129
一、 評鑑對於受託單位的影響 129
二、 公私雙方對於評鑑考核的態度及評鑑指標的看法 130
三、 委員在評鑑過程中所扮演的角色 132
第五節 居家服務契約執行的態度與價值反思 134
一、 公、私部門對於互動關係的看法 134
二、 公部門所扮演的角色 138
三、 私部門所扮演的角色 142
第六節 解構訪談資料暨重構評估架構 151
一、 深度訪談資料的解構 151
二、 評估架構的重構 161
第五章 研究結果(二)：契約關係與協力成效的共變驗證 175
第一節 樣本特性分析 175
第二節 契約關係與協力成效描述統計 178
一、 影響契約研擬的外部因素 179
二、 調節因素：組際信任認知 185
三、 正式契約與關係治理機制 189
四、 協力關係成效評估 194
第三節 公私部門管理者在各概念上的差異性檢定 198
第四節 模型實證分析—結構方程模式的運用 203
一、 測量模型分析 203
二、 結構模型分析與假設驗證 209
第五節 小結 227
一、 公私部門對於各測量題目的態度 227
二、 人口統計變項與相關變數的統計檢定 231
三、 結構方程模式與假設檢定 231
第六章 研究結論與建議 239
第一節 研究發現與討論 240
一、 研究貢獻 240
二、 研究發現與討論 242
第二節 未來實務與研究建議 251
一、 實務建議 251
二、 未來研究建議 255
第三節 研究限制 257
參考書目 259
附錄一：台灣長期照護機構品質確保系統重要發展之回顧 277
附錄二：長期照顧管理中心服務流程分析表 279
附錄三：深度訪談題綱-委託單位 283
附錄四：深度訪談題綱-受託單位 284
附錄五：焦點座談會參考資料 285
附錄六：實務專家問卷檢視比較對照表 307
附錄七：正式施測問卷_委託單位 317
附錄八：正式施測問卷_受託單位 325
附錄九：委託單位問卷編碼簿 333
附錄十：受託單位問卷編碼簿 341		zh_TW
dc.format.extent 3736950 bytes-
dc.format.mimetype application/pdf-
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0094256505en_US
dc.subject (關鍵詞) 委託代理zh_TW
dc.subject (關鍵詞) 正式契約zh_TW
dc.subject (關鍵詞) 公私協力zh_TW
dc.subject (關鍵詞) 關係治理zh_TW
dc.subject (關鍵詞) 協力關係成效zh_TW
dc.subject (關鍵詞) principal-agenten_US
dc.subject (關鍵詞) formal contracten_US
dc.subject (關鍵詞) public-private partnershipen_US
dc.subject (關鍵詞) relational governanceen_US
dc.subject (關鍵詞) performance of collaborationen_US
dc.title (題名) 正式契約與關係治理的替代與互補--長期照顧居家服務委託關係之研究zh_TW
dc.title (題名) Relationship between Contracting Out and Public Private Partnerships as substitutes or complements in contracting management：an empirical examination of Long-Term Care Service System in Taiwanen_US
dc.type (資料類型) thesisen
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