Publications-Theses
Article View/Open
Publication Export
-
題名 地方政府推動長期照顧政策之組織成效分析
Performance of the Long-Term Care Policy of local governments作者 簡鈺珒
Chien, Yu-Chin貢獻者 陳敦源
Chen, Don-Yun
簡鈺珒
Chien, Yu-Chin關鍵詞 長照政策
組織建築
網絡治理
在地老化
Long-term care policy
Organizational architecture
Network governance
Aging in place日期 2019 上傳時間 5-Sep-2019 16:49:26 (UTC+8) 摘要 自106年起，長期照顧十年計畫2.0開始實施，目標是希望建構「找得到、看得到、用得到、付得起」社會安全系統，落實「在地老化」觀念，期望藉由地方政府結合社會資源，建構長照ABC社區三級整合服務。組織建築學的觀點在於，組織結構、策略及誘因設計等都必須回應外部環境需求，而網絡治理理論則是有助於觀察在網絡治理環境中，政府是否連結外部資源的能力。為檢視長照2.0施行以來的政策績效，本文運用組織建築學和網絡治理等理論基礎，檢視地方政府是否有培植長照機構或服務資源的能力？如何連結民間資源？成果如何？為回答影響長照政策績效的因素，本文運用問卷調查法、深度訪談法和檔案分析法。問卷調查結果顯示，組織建築管理相關措施、機關和主管人員網絡管理能力對組織績效有正向顯著的影響力；主管人員網絡管理能力、官方網站幫助程度、利害關係人的支持度對政策滿意度都有正向顯著的影響力。基此，本文發現長照這類需要公私部門合作的政策類型，政策績效的提升，不僅需要健全的組織設計，還需要靠主管連結社會資源的網絡管理能力，才能發揮綜效。經由深度訪談，本文發現在政府提供財政誘因之下，醫療院所、社福機構和基層社區組織都有意願參加長照社區整體照顧服務體系，近兩年的長照機構、照顧人力都有大幅的成長。為提升長照服務遞送的效率、效能與公平，未來地方政府應強化績效資訊的流動，公開長照機構的服務評比、善用民眾的申訴意見，以適時介入輔導長照機構。
The long-term care (LTC) policy ten-year plan 2.0, launched in 2017, aims to establish a relatively more comprehensive social security system and implement the vision of people being able to age in their community. Furthermore, to establish the ABC community service, local governments have been empowered to coordinate social resources.By using the theory of organizational architecture, we observed how local governments design organizational structures, strategies, and incentives to fit external environment. By using the theory of network governance, we evaluate whether local governments can coordinate external resources.Here, survey, in-depth interview, and archive analysis were used. The results demonstrated that organizational managerial measures, bureau networking abilities, and supervisors’ networking abilities have a positive influence on organizational performance of a department. In addition, supervisors’ networking abilities, helpfulness of official websites, and support from stakeholders had positive effects on the policy performance. These findings indicated that to enhance policy performance, we need not only well-functioning organizations but also supervisors who are skilled at networking.Because of financial incentives from the government, hospitals, social welfare institutions, and local communities were willing to enroll in the LTC service delivery system; the LTC institutions and human resources have expanded in these 2 years. To achieve efficient, effective, and fair LTC service delivery, local governments should pay more attention to the publicity of performance information. In other words, they are required to put more effort more to publish the rank of LTC institutions, incorporate user feedback, and ensure the timely delivery of the services provided by LTC institutions.參考文獻 中文書目王光旭 (2016)。社區據點服務品質與成功老化提升程度關連性之初探:政府角色認知的調節效果。公共行政學報, (50), 77-115。王光旭、陳敦源 (2014)。跨域治理下的政策執行: 對政策網絡與理性選擇比較與整合的方法論評估。 民主與治理, 1(2), 1-34。王光旭、陳筠芳 (2015)。老人福利服務輸送公私夥伴關係之評估: 臺南市社區照顧關懷據點的初步調查與反思。 民主與治理, 2(1), 1-35。王芷萱(2012)。養護中心內的照顧服務員工作特性, 工作滿意度與離職傾向之相關性探討。臺灣大學健康政策與管理研究所學位論文, 1-86。王篤強(2010)。臺灣社會福利民營化的未預期後果：地方政府相關人員「官僚自主性」的初步闡釋。社會政策與社會工作學刊, 14(2), 91-146。丘昌泰(2010)。公共政策(四版)。臺北市：巨流。朱鎮明(2005)。政策網絡中協力關係的成效：理論性的探討。公共行政學報, 17, 113-158。吳肖琪(2017)。我國長照政策之新契機。長期照護雜誌, 21(1), 1-7。呂寶靜(2012)。高齡社會的來臨：為2025 年的臺灣社會規劃之整合研究—臺灣老人社會整合之研究：以社區生活參與為例。國科會專題研究計畫成果報告(編號：NSC 97-2420-H-004-159-KF3)。臺北市：科技部。李百麟、王政彥(2016)。我國邁向高齡社會之發展特色與公共服務新思維。國土及公共治理季刊, 4(1), 8-20。李長晏、林煥笙(2009)。中央與地方協力夥伴關係之分析：以臺中縣潭子段旱溪整治工程為例，公共行政學報, 31, 49-100。沈建中、吳美雲、施乃元 (2017)。政府績效管理之變革。 國土及公共治理季刊, 5(3), 94-107。林志遠、陳珮青、李玉春 (2016)。以連帶思想檢視台灣長照政策發展之挑戰與啟發。台灣公共衛生雜誌, 35(4), 359-375。林依瑩 (2017)。長照政策量能提升的政府策略性作為之探討-以臺中市政府為例。長期照護雜誌, 21(1), 19-25。林明禛(2004)。談老人社區照顧服務輸送品質。社區發展季刊,106, 141-150。林春只、曾明月(2005)。照顧服務員工作滿意度及其相關因素之探討。長期照護雜誌, 9(4), 349-360。林桓(2016)。邁向高齡社會之公共服務發展趨勢。國土及公共治理季刊,4(1), 3-7。林淑馨(2017)。從協力治理檢視日本的災害防救：以東日本大地震為例。行政暨政策學報, 65, 1-37。張鎧如、陳敦源、簡鈺珒、李仲彬(2015). 探索臺灣公務人員工作績效之影響因素: 能力, 動機與機會的整合觀點. 東吳政治學報, 33(4), 1-71。莊文玲、張文典、黎秉東(2012)。長期照顧管理師的角色任務探討與服務滿意度調查之專案研究: 以苗栗長期照顧管理中心為例. 健康與照顧科學學刊, 1(2), 33-41。莊秀美(2009)。從老人的類型與照顧需求看「居家照顧」、「社區照顧」及「機構照顧」三種方式的功能。社區發展季刊, 125, 177-194。陳怡君 (2008)。優質網路政府主動服務新思維-民衆 e 管家。 研考雙月刊, 32(1), 57-65。陳政智(2003)。「顧客導向」的服務理念在老人安養機構之發展。社區發展季刊,101, 421-428。陳美惠、簡莉盈(2010)。居家護理人員工作滿意度及相關因素之探討。護理雜誌, 57(2), 39-48。陳重安(2011)。政府契約委外的再檢視: 目標、理論應用、績效衡量與知識論基礎。公共行政學報, 40, 111-145.陳敦源(2002)。行政與民主：誰掌握官僚體系？民主與官僚：新制度論的觀點。臺北。韋伯文化事業出版社。頁69-98。陳敦源(2002)。績效制度設計的資訊問題：訊號、機制設計與代理成本。行政暨政策學報, 35, 45-69。陳敦源(2009)。民主治理：公共行政與民主政治的制度性調和。臺北：五南。陳敦源、廖洲棚、董祥開 (2017)。公共治理與績效管理: 以政府網站管理為例之研究。 國土及公共治理季刊, 5(3), 34-53。曾冠球(2011)。協力治理觀點下公共管理者的挑戰與能力建立，文官制度季刊，3(1), 27-52。曾冠球(2017)。良善協力治理下的公共服務民間夥伴關係，國土及公共治理季刊，5(1), 67-79。曾桂琴 (2002)。運用衛生服務利用行為模式探討影響主要照顧者對長期照護服務利用及滿意度之相關因素. 臺北醫學大學護理學系碩士暨碩士在職專班學位論文, 1-173。黃紀、王德育(2012)。質變數與受限依變數的迴歸分析。臺北市：五南圖書出版股份有限公司。黃健育譯(2017)。2025長照危機：理解在宅醫療實況，起造一個老有所終的長照美麗島。商周出版社。朝日新聞2025衝擊採訪小組黃源協(2000)。社區照顧---台灣與英國經驗的檢視。臺北：揚智文化事業股份有限公司。黃源協(2000)。社區照顧---台灣與英國經驗的檢視。臺北：揚智文化事業股份有限公司。黃源協、吳書昀、陳正益 (2011)。政府推動長期照顧服務機制之評估研析。研考雙月刊, 35(3), 56-70。黃源協、蕭文高(2006)。社會服務契約管理：社會行政人員觀點之分析。臺大 社會工作學刊, 13, 173-218。葉淑娟 (2003)。病患服務員在長期照護機構之滿意度研究。秀傳醫學雜誌, 4(1), 11-21。靳燕玲 (2016)。友善高齡化社會生活環境之公共服務發展策略。國土及公共治理季刊, 4(1), 63-78。劉宜君 (2006)。公共網絡的管理與績效評估之探討。 行政暨政策學報, 42, 107-142。劉宜君、陳啟清(2013)。國民年金政策執行之研究-福利治理的觀點。臺灣社會福利學刊, 11(1), 69-111。劉宜君、陳敦源、蕭乃沂、林昭吟 (2011)。利害關係人管理之概念與實務: 以我國全民健康保險政策改革為例。國家與社會, 10 , 1-65。劉宜君、陳敦源、蕭乃沂、林昭吟(2005)。網絡分析在利害關係人概念之應用--以我國全民健保政策改革為例。臺灣社會福利學刊, 4(1), 95-130。蔡玉霞、彭馨穎、江佩珊、林邵慈、涂慧慈、劉佳柔、史麗珠(2015)。長期照顧管理中心的服務滿意度調查。台灣醫學, 19(4), 335-345。賴兩陽(2006)。社區工作與社會福利社區化(修訂版)。臺北：洪葉出版公司。魏陌、陳敦源、郭昱瑩(2001)。政策分析在民主政體當中的機會與挑戰。中國行政評論, 11(1), 1-28。英文書目Agranoff, R. (2006). Inside collaborative networks: Ten lessons for public managers. Public Administration Review, 66, 56-65.Agranoff, R., and M., McGuire. (2001). Big questions in public network management research. Journal of Public Administration Research and Theory, 11(3), 295-326.Agranoff, R. (2007). Managing within Networks: Adding Value to Public Organizations. Washington, DC: Georgetown University Press.Ashworth, R., G. Boyne and T. Entwistle, eds. (2010). Public Service Improvement: Theories and Evidence, New York, NY: Oxford University Press.Bao, G., X. Wang, G. L. Larsen and D. F. Morgan. (2013). Beyond New Public Management: A Value-Based Global Framework for Performance Management, Governance, and Leadership. Administration and Society 45(4), 443-467.Boyne. G. A., K. J. Meier, and L. J. O’Toole and R. M. Walker. (2006). Introduction. In K. J. Meier, L. J. O`Toole, and R. M. Walker ads. Public Service Performance: Perspectives on Measurement and Management. Leiden: Cambridge University Press.Brewer, G.A., andS. C., Selden. (2000). Why Elephants Gallop: Assessing and Predicting Organizational Performance in Federal Agencies. Journal of Public Administration Research and Theory, 10(4), 685-712.Brewer, G. A. (2006). All Measures of Performance Are Subjective: More Evidence on Federal Agencies. In Kenneth J. Meier, Laurence J. O`Toole, and Richard M. Walker ads. Public Service Performance: Perspectives on Measurement and Management. Leiden: Cambridge University Press.Brickley, J. A., C. W., Smith, J. L., Zimmerman, Z., Zhang, and C., Wang. (2004). Managerial Economics and Organizational Architecture. 3rd. Boston et. al.: McGraw-Hill/Irwin.Bryson, J. M., B. C. Crosby and L. Bloomberg. (2014). Public Value Governance: Moving beyond Traditional Public Administration and the New Public Management. Public Administration Review, 74(4), 445-456.Bryson, J. M., B. C. Crosby, and M. M. Stone. (2006). The Design and Implementation of Cross-sector Collaborations: Propositions from the Literature.Special issue, Public Administration Review, 66, 44–55.Burke, W. W. (2017). Organization Change: Theory and Practice. Sage Publications.Chen, C. W., J., Herr, and L., Weintraub. (2004). Decision support system for stakeholder involvement. Journal of environmental engineering, 130(6), 714-721.Coleman, J. S. (1990). Foundations of social theory. Cambridge, MA: Belknap Press of Harvard University Press.Denhardt, R. B., and T. J., Catlaw. (2014). Theories of Public Organization. Cengage learning.Dunn, W. N. (2016). Public Policy Analysis. Routledge.Eggers, W., and S., Goldsmith. (2004). Government by Network: The New Public Management. Washington D.C.. The Brookings Institution.Ferris, G. R., D. C., Treadway, R. W., Kolodinsky, , W. A. K., Hochwarter, C. J. C., Douglas, and D. D., Frink. (2005). Development and Validation of the Political Skill Inventory. Journal of Management, 31(1), 126-152.Freeman, R. E. (1984) Strategic Management: A Stakeholder Approach. Boston: Pitman Publishing.Gill, K. (2012). Usability of Public Web Sites. Edited by Elizabeth Buie and Dianne Murray, Usability in Government Systems User Experience Design for Citizens and Public Servants. Waltham, MA:Elsevier, Inc.Gulick, L. (1937). Notes on the Theory of Organization. In L. Gulick and L. Urwick (Eds.) The Science of Administration. New York: Institute of Public Administration.Hardy, C. and S., Maguire. (2008). Institutional Entrepreneurship. In Greenwood, R., Oliver, C., Suddaby, R., and Sahlin, K. (eds.), Organizational Institutionalism. First Edition, Los Angeles: Sage.Hasnain-Wynia, R., S., Sofaer, G. J., Bazzoli, J. A., Alexander, S. M., Shortell, D. A, Conrad, B. Chan, A. P., Zukoki, J. Sweney. (2003). Members’ Perception of Community Care Network Partnerships’ Effectiveness. Medical Care and Research and Review, 60 (4), 4 -62 .Hill, M., and P. Hupe. (2006). Implementing Public Policy: An Introduction to the Study of Operational Governance. London: Sage Publications.Horn, C. E. V., and D. S. V., Meter. (1976). The implementation of intergovernmental policy. In C. O. Jones (Ed.), Public Policy Making in a Federal System. Beverly Hills, CA: Sage.Jessop , B. (2002) . The Future of the Capitalist State. Cambridge : Polity Press .Kane, R. L., and R. A., Kane. (2001). What older people want from long-term care, and how they can get it. Health Affairs, 20(6), 114-127.Kaufman, H. (1967). The Forest Ranger: A Study in Administrative Behavior. The Johns Hopkins Univ. Press, Baltimore, Md.Kettl, D. F. (1997). The Global Revolution in Public Management: Driving Themes, Missing Links. Journal of Policy Analysis and Management, 16(3), 446-462.Kettl, D. F. (1999). The Transformation of Governance: Public Administration for Twenty-First Century America. Baltimore, MD: The John Hopkins University Press.Kickert, W. J.M., E.-H. Klijn, & J. F. M. Koppenjan. (1997). “Introduction: A Management Perspective on Policy Networks.” In Managing Complex Networks: Strategies for the Public Sector, ed. Walter J. M. Kickert, Eerik-Hans Klijn and Joop F. M. Koppenjan, 1-11. London. Sage.Kim, Sangmook. (2005). Individual-Level Factors and Organizational Performance in Government Organizations. Journal of Public Administration Research and Theory, 15(2), 245-261.Klijn, E.-H., and J.F.M., Koppenjan. (2004). Managing Uncertainties in Networks . London : Routledge .Klijn, E.-H., and C., Skelcher. (2007). Democracy and Governance Networks: Compatible or Not? Public Administration, 85(3), 587–609.Koliba, C. J., R. M., Mills, and A. Zia. (2011). Accountability in governance networks: An assessment of public, private, and nonprofit emergency management practices following hurricane Katrina. Public Administration Review, 71(2), 210-220.Koliba, C., J. W. Meek, and A. Zia. (2010). Governance Networks in Public Administration and Public Policy. Boca Raton, FL: CRC Press.Kooiman , J. (2003). Governing as Governance. London : Sage .Linder, S. H. and P. V. Rosenau. (2000). Mapping the Terrain of the Public-Private Policy Partnership. In Pauline Vallaincourt Rosenau(Ed) Public–Private Policy Partnerships. Cambridge, MA: MIT Press.Marsh, D. (1998). The development of the policy network approach. In D. Marsh (Ed.) Comparing Policy Network. Buckingham, UK: Open University Press.McAdam, D. and W. R. Scott. (2005). Organizations and Movements. In Davis, G. F., McAdam, D., Scott, W. R., and Zald, M. N. (Eds.). Social Movements and Organization Theory. First Edition. New York: Cambridge University Press.Meier, K. and L. O’Toole. 2013. “Subjective Organizational Performance and Measurement Error: Common Source Bias and Spurious Relationships.” Journal of Public Administration Research and Theory 23, 2: 429-456.Mintzberg, H. (1983). Power in and around Organizations. Englewood Cliffs, NJ: Prentice Hall.Mintzberg, H. (1985). The organization as a political arena. Journal of Management Studies, 22, 133-154.Mor, V. (2005). Improving the quality of long‐term care with better information. The Milbank Quarterly, 83(3), 333-364.O’Toole, L. J. (1996). Rational choice and the public management of interorganizational networks. In D. F. Kettl & H. B. Milward (Eds.), The State of Public Management (pp. 241-266). London, UK: The Johns HopkinsO’Toole, L. J., and R. S., Montjoy (1984). Inter-organizational policy implementation: A theoretical perspective. Public Administration Review, 44(6), 491-503.O’Toole, L. J., ed. (2000). American Intergovernmental Relations: Foundations, Perspectives, and Issues. Washington, DC: CQ Press.O`Leary, R., and L. B., Bingham (2007). A Manager`s Guide to Resolving Conflicts in Collaborative Networks. Washington, DC: Center for the Business of Government.Ostrom, V. (2008). The Intellectual Crisis in American Public Administration. University of Alabama Press.Ostrom, V., and E. Ostrom. (1977). Public goods and public choices. The Workshop in Political Theory and Policy Analysis, Indiana University.O`Toole, L. J., and K. J., Meier. (2011). Public Management: Organizations, Governance, and Performance. Cambridge, UK: Cambridge University Press.Pfeffer, J. (1981). Power in Organizations. Boston: Pitman.Podsakoff, P. M., S. B. MacKenzie, J. Y. Lee, and N. P. Podsakoff. (2003). “Common method biases in behavioral research: A critical review of the literature and recommended remedies.” Journal of Applied Psychology, 88(5), 879.Pressman, J. L., and A.B.Wildavsky. (1984). Implementation. Berkeley: University of CaliforniaProvan, K.G. and H.B. Milward. (1995). A Preliminary Theory of Interorganizational Effectiveness: A Comparative Study of Four Community Mental Health Systems, Administrative Science Quarterly , 40 (1), 1-33 .Rainey, H. G. (1997). Understanding and Managing Public Organizations. (2nd). Jossey-Bass Publishers, San Francisco.Rao, H., C. Morill, and M. N., Zald. (2000). Power Play: How Social Movements and Collective Action Create New Organizational Forms. Research in Organizational Behavior, 22(1), 237-281.Rhodes, R. A. W. (1996). The New Governance: Governing Without Government. Political Studies, 44(4), 652-667.Rhodes, R. A. W. (1997). Understanding Governance: Policy Networks, Governance, Reflexivity, and Accountability. Buckingham, UK: Open University Press.Rosenau, J. N., & E. O. Czempiel. (1992). Governance Without Government: Order and Change in World Politics. New York, NY: Cambridge University Press.Salamon, L. M., ed. (2002). The Tools of Government: A Guide to the New Governance. New York: Oxford University Press.Schneiberg, M. and E. Clemens. (2006). The Typical Tools for the Job: Research Strategies in Institutional Analysis. Sociological Theory, 24(3), 195-227.Selznick, P. (1949). TVA and the Grass Roots: A Study in the Sociology of Formal Organization. California: Univ of California Press.Simon, H. A. (1972). Theories of bounded rationality. Decision and Organization, 1(1), 161-176.Sørensen, E., and J. Torfing. (2009). Making governance networks effective and democratic through metagovernance. Public Administration, 87(2), 234-258.Sørensen, E., and J. Torfing. (2005). The Democratic Anchorage of Governance Networks. Scandinavian Political Studies, 28(3), 195–218.Teisman, T.R. (1992). Complex Decision-Making: A Pluricentric View . The Hague : Vuga .Thompson, J. D. (1967). Organizations in Action: Social Science Bases of Administrative Theory. Transaction publishers.Thornton, P. H. (2002). The Rise of the Corporation in a Craft Industry conflict and Conformity in Institutional Logics. Academy of Management Journal, 45(1), 81-101.U. S. Department of Health and Human Services. (2006). The Research-Based Web Design and Usability Guidelines, Enlarged/Expanded edition. Washington: U.S. Government Printing Office. 描述 博士
國立政治大學
公共行政學系
98256502資料來源 http://thesis.lib.nccu.edu.tw/record/#G0982565021 資料類型 thesis dc.contributor.advisor 陳敦源 zh_TW dc.contributor.advisor Chen, Don-Yun en_US dc.contributor.author (Authors) 簡鈺珒 zh_TW dc.contributor.author (Authors) Chien, Yu-Chin en_US dc.creator (作者) 簡鈺珒 zh_TW dc.creator (作者) Chien, Yu-Chin en_US dc.date (日期) 2019 en_US dc.date.accessioned 5-Sep-2019 16:49:26 (UTC+8) - dc.date.available 5-Sep-2019 16:49:26 (UTC+8) - dc.date.issued (上傳時間) 5-Sep-2019 16:49:26 (UTC+8) - dc.identifier (Other Identifiers) G0982565021 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/125738 - dc.description (描述) 博士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 公共行政學系 zh_TW dc.description (描述) 98256502 zh_TW dc.description.abstract (摘要) 自106年起，長期照顧十年計畫2.0開始實施，目標是希望建構「找得到、看得到、用得到、付得起」社會安全系統，落實「在地老化」觀念，期望藉由地方政府結合社會資源，建構長照ABC社區三級整合服務。組織建築學的觀點在於，組織結構、策略及誘因設計等都必須回應外部環境需求，而網絡治理理論則是有助於觀察在網絡治理環境中，政府是否連結外部資源的能力。為檢視長照2.0施行以來的政策績效，本文運用組織建築學和網絡治理等理論基礎，檢視地方政府是否有培植長照機構或服務資源的能力？如何連結民間資源？成果如何？為回答影響長照政策績效的因素，本文運用問卷調查法、深度訪談法和檔案分析法。問卷調查結果顯示，組織建築管理相關措施、機關和主管人員網絡管理能力對組織績效有正向顯著的影響力；主管人員網絡管理能力、官方網站幫助程度、利害關係人的支持度對政策滿意度都有正向顯著的影響力。基此，本文發現長照這類需要公私部門合作的政策類型，政策績效的提升，不僅需要健全的組織設計，還需要靠主管連結社會資源的網絡管理能力，才能發揮綜效。經由深度訪談，本文發現在政府提供財政誘因之下，醫療院所、社福機構和基層社區組織都有意願參加長照社區整體照顧服務體系，近兩年的長照機構、照顧人力都有大幅的成長。為提升長照服務遞送的效率、效能與公平，未來地方政府應強化績效資訊的流動，公開長照機構的服務評比、善用民眾的申訴意見，以適時介入輔導長照機構。 zh_TW dc.description.abstract (摘要) The long-term care (LTC) policy ten-year plan 2.0, launched in 2017, aims to establish a relatively more comprehensive social security system and implement the vision of people being able to age in their community. Furthermore, to establish the ABC community service, local governments have been empowered to coordinate social resources.By using the theory of organizational architecture, we observed how local governments design organizational structures, strategies, and incentives to fit external environment. By using the theory of network governance, we evaluate whether local governments can coordinate external resources.Here, survey, in-depth interview, and archive analysis were used. The results demonstrated that organizational managerial measures, bureau networking abilities, and supervisors’ networking abilities have a positive influence on organizational performance of a department. In addition, supervisors’ networking abilities, helpfulness of official websites, and support from stakeholders had positive effects on the policy performance. These findings indicated that to enhance policy performance, we need not only well-functioning organizations but also supervisors who are skilled at networking.Because of financial incentives from the government, hospitals, social welfare institutions, and local communities were willing to enroll in the LTC service delivery system; the LTC institutions and human resources have expanded in these 2 years. To achieve efficient, effective, and fair LTC service delivery, local governments should pay more attention to the publicity of performance information. In other words, they are required to put more effort more to publish the rank of LTC institutions, incorporate user feedback, and ensure the timely delivery of the services provided by LTC institutions. en_US dc.description.tableofcontents 第一章 緒論 1第一節 研究背景 1第二節 研究目的與問題 3第二章 文獻回顧 7第一節 高齡社會與長照服務 7第二節 長照服務的組織建築學 18第三節 長照服務的網絡管理 25第四節 長照服務的組織績效與政策績效 44第五節 小結 48第三章 研究設計 51第一節 研究架構 51第二節 研究假設 54第三節 研究資料收集 56第四節 研究變數之操作型定義 64第五節 小結 69第四章 問卷調查分析 71第一節 組織績效與政策績效 71第二節 影響組織績效與政策績效之因素 79第三節 因素分析及信度分析 94第四節 影響機關組織績效與政策績效的分析 98第五節 小結 107第五章 深度訪談 109第一節 長照服務的組織建築面 109第二節 長照服務的網絡治理面 138第六章 結論與建議 157第一節 研究發現 157第二節 研究建議 167第三節 研究限制 172參考文獻 175附錄一：問卷調查之變項分析 185附錄二：調查問卷 191附錄三：訪談紀錄表 201 zh_TW dc.format.extent 3533040 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0982565021 en_US dc.subject (關鍵詞) 長照政策 zh_TW dc.subject (關鍵詞) 組織建築 zh_TW dc.subject (關鍵詞) 網絡治理 zh_TW dc.subject (關鍵詞) 在地老化 zh_TW dc.subject (關鍵詞) Long-term care policy en_US dc.subject (關鍵詞) Organizational architecture en_US dc.subject (關鍵詞) Network governance en_US dc.subject (關鍵詞) Aging in place en_US dc.title (題名) 地方政府推動長期照顧政策之組織成效分析 zh_TW dc.title (題名) Performance of the Long-Term Care Policy of local governments en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 中文書目王光旭 (2016)。社區據點服務品質與成功老化提升程度關連性之初探:政府角色認知的調節效果。公共行政學報, (50), 77-115。王光旭、陳敦源 (2014)。跨域治理下的政策執行: 對政策網絡與理性選擇比較與整合的方法論評估。 民主與治理, 1(2), 1-34。王光旭、陳筠芳 (2015)。老人福利服務輸送公私夥伴關係之評估: 臺南市社區照顧關懷據點的初步調查與反思。 民主與治理, 2(1), 1-35。王芷萱(2012)。養護中心內的照顧服務員工作特性, 工作滿意度與離職傾向之相關性探討。臺灣大學健康政策與管理研究所學位論文, 1-86。王篤強(2010)。臺灣社會福利民營化的未預期後果：地方政府相關人員「官僚自主性」的初步闡釋。社會政策與社會工作學刊, 14(2), 91-146。丘昌泰(2010)。公共政策(四版)。臺北市：巨流。朱鎮明(2005)。政策網絡中協力關係的成效：理論性的探討。公共行政學報, 17, 113-158。吳肖琪(2017)。我國長照政策之新契機。長期照護雜誌, 21(1), 1-7。呂寶靜(2012)。高齡社會的來臨：為2025 年的臺灣社會規劃之整合研究—臺灣老人社會整合之研究：以社區生活參與為例。國科會專題研究計畫成果報告(編號：NSC 97-2420-H-004-159-KF3)。臺北市：科技部。李百麟、王政彥(2016)。我國邁向高齡社會之發展特色與公共服務新思維。國土及公共治理季刊, 4(1), 8-20。李長晏、林煥笙(2009)。中央與地方協力夥伴關係之分析：以臺中縣潭子段旱溪整治工程為例，公共行政學報, 31, 49-100。沈建中、吳美雲、施乃元 (2017)。政府績效管理之變革。 國土及公共治理季刊, 5(3), 94-107。林志遠、陳珮青、李玉春 (2016)。以連帶思想檢視台灣長照政策發展之挑戰與啟發。台灣公共衛生雜誌, 35(4), 359-375。林依瑩 (2017)。長照政策量能提升的政府策略性作為之探討-以臺中市政府為例。長期照護雜誌, 21(1), 19-25。林明禛(2004)。談老人社區照顧服務輸送品質。社區發展季刊,106, 141-150。林春只、曾明月(2005)。照顧服務員工作滿意度及其相關因素之探討。長期照護雜誌, 9(4), 349-360。林桓(2016)。邁向高齡社會之公共服務發展趨勢。國土及公共治理季刊,4(1), 3-7。林淑馨(2017)。從協力治理檢視日本的災害防救：以東日本大地震為例。行政暨政策學報, 65, 1-37。張鎧如、陳敦源、簡鈺珒、李仲彬(2015). 探索臺灣公務人員工作績效之影響因素: 能力, 動機與機會的整合觀點. 東吳政治學報, 33(4), 1-71。莊文玲、張文典、黎秉東(2012)。長期照顧管理師的角色任務探討與服務滿意度調查之專案研究: 以苗栗長期照顧管理中心為例. 健康與照顧科學學刊, 1(2), 33-41。莊秀美(2009)。從老人的類型與照顧需求看「居家照顧」、「社區照顧」及「機構照顧」三種方式的功能。社區發展季刊, 125, 177-194。陳怡君 (2008)。優質網路政府主動服務新思維-民衆 e 管家。 研考雙月刊, 32(1), 57-65。陳政智(2003)。「顧客導向」的服務理念在老人安養機構之發展。社區發展季刊,101, 421-428。陳美惠、簡莉盈(2010)。居家護理人員工作滿意度及相關因素之探討。護理雜誌, 57(2), 39-48。陳重安(2011)。政府契約委外的再檢視: 目標、理論應用、績效衡量與知識論基礎。公共行政學報, 40, 111-145.陳敦源(2002)。行政與民主：誰掌握官僚體系？民主與官僚：新制度論的觀點。臺北。韋伯文化事業出版社。頁69-98。陳敦源(2002)。績效制度設計的資訊問題：訊號、機制設計與代理成本。行政暨政策學報, 35, 45-69。陳敦源(2009)。民主治理：公共行政與民主政治的制度性調和。臺北：五南。陳敦源、廖洲棚、董祥開 (2017)。公共治理與績效管理: 以政府網站管理為例之研究。 國土及公共治理季刊, 5(3), 34-53。曾冠球(2011)。協力治理觀點下公共管理者的挑戰與能力建立，文官制度季刊，3(1), 27-52。曾冠球(2017)。良善協力治理下的公共服務民間夥伴關係，國土及公共治理季刊，5(1), 67-79。曾桂琴 (2002)。運用衛生服務利用行為模式探討影響主要照顧者對長期照護服務利用及滿意度之相關因素. 臺北醫學大學護理學系碩士暨碩士在職專班學位論文, 1-173。黃紀、王德育(2012)。質變數與受限依變數的迴歸分析。臺北市：五南圖書出版股份有限公司。黃健育譯(2017)。2025長照危機：理解在宅醫療實況，起造一個老有所終的長照美麗島。商周出版社。朝日新聞2025衝擊採訪小組黃源協(2000)。社區照顧---台灣與英國經驗的檢視。臺北：揚智文化事業股份有限公司。黃源協(2000)。社區照顧---台灣與英國經驗的檢視。臺北：揚智文化事業股份有限公司。黃源協、吳書昀、陳正益 (2011)。政府推動長期照顧服務機制之評估研析。研考雙月刊, 35(3), 56-70。黃源協、蕭文高(2006)。社會服務契約管理：社會行政人員觀點之分析。臺大 社會工作學刊, 13, 173-218。葉淑娟 (2003)。病患服務員在長期照護機構之滿意度研究。秀傳醫學雜誌, 4(1), 11-21。靳燕玲 (2016)。友善高齡化社會生活環境之公共服務發展策略。國土及公共治理季刊, 4(1), 63-78。劉宜君 (2006)。公共網絡的管理與績效評估之探討。 行政暨政策學報, 42, 107-142。劉宜君、陳啟清(2013)。國民年金政策執行之研究-福利治理的觀點。臺灣社會福利學刊, 11(1), 69-111。劉宜君、陳敦源、蕭乃沂、林昭吟 (2011)。利害關係人管理之概念與實務: 以我國全民健康保險政策改革為例。國家與社會, 10 , 1-65。劉宜君、陳敦源、蕭乃沂、林昭吟(2005)。網絡分析在利害關係人概念之應用--以我國全民健保政策改革為例。臺灣社會福利學刊, 4(1), 95-130。蔡玉霞、彭馨穎、江佩珊、林邵慈、涂慧慈、劉佳柔、史麗珠(2015)。長期照顧管理中心的服務滿意度調查。台灣醫學, 19(4), 335-345。賴兩陽(2006)。社區工作與社會福利社區化(修訂版)。臺北：洪葉出版公司。魏陌、陳敦源、郭昱瑩(2001)。政策分析在民主政體當中的機會與挑戰。中國行政評論, 11(1), 1-28。英文書目Agranoff, R. (2006). Inside collaborative networks: Ten lessons for public managers. Public Administration Review, 66, 56-65.Agranoff, R., and M., McGuire. (2001). Big questions in public network management research. Journal of Public Administration Research and Theory, 11(3), 295-326.Agranoff, R. (2007). Managing within Networks: Adding Value to Public Organizations. Washington, DC: Georgetown University Press.Ashworth, R., G. Boyne and T. Entwistle, eds. (2010). Public Service Improvement: Theories and Evidence, New York, NY: Oxford University Press.Bao, G., X. Wang, G. L. Larsen and D. F. Morgan. (2013). Beyond New Public Management: A Value-Based Global Framework for Performance Management, Governance, and Leadership. Administration and Society 45(4), 443-467.Boyne. G. A., K. J. Meier, and L. J. O’Toole and R. M. Walker. (2006). Introduction. In K. J. Meier, L. J. O`Toole, and R. M. Walker ads. Public Service Performance: Perspectives on Measurement and Management. Leiden: Cambridge University Press.Brewer, G.A., andS. C., Selden. (2000). Why Elephants Gallop: Assessing and Predicting Organizational Performance in Federal Agencies. Journal of Public Administration Research and Theory, 10(4), 685-712.Brewer, G. A. (2006). All Measures of Performance Are Subjective: More Evidence on Federal Agencies. In Kenneth J. Meier, Laurence J. O`Toole, and Richard M. Walker ads. Public Service Performance: Perspectives on Measurement and Management. Leiden: Cambridge University Press.Brickley, J. A., C. W., Smith, J. L., Zimmerman, Z., Zhang, and C., Wang. (2004). Managerial Economics and Organizational Architecture. 3rd. Boston et. al.: McGraw-Hill/Irwin.Bryson, J. M., B. C. Crosby and L. Bloomberg. (2014). Public Value Governance: Moving beyond Traditional Public Administration and the New Public Management. Public Administration Review, 74(4), 445-456.Bryson, J. M., B. C. Crosby, and M. M. Stone. (2006). The Design and Implementation of Cross-sector Collaborations: Propositions from the Literature.Special issue, Public Administration Review, 66, 44–55.Burke, W. W. (2017). Organization Change: Theory and Practice. Sage Publications.Chen, C. W., J., Herr, and L., Weintraub. (2004). Decision support system for stakeholder involvement. Journal of environmental engineering, 130(6), 714-721.Coleman, J. S. (1990). Foundations of social theory. Cambridge, MA: Belknap Press of Harvard University Press.Denhardt, R. B., and T. J., Catlaw. (2014). Theories of Public Organization. Cengage learning.Dunn, W. N. (2016). Public Policy Analysis. Routledge.Eggers, W., and S., Goldsmith. (2004). Government by Network: The New Public Management. Washington D.C.. The Brookings Institution.Ferris, G. R., D. C., Treadway, R. W., Kolodinsky, , W. A. K., Hochwarter, C. J. C., Douglas, and D. D., Frink. (2005). Development and Validation of the Political Skill Inventory. Journal of Management, 31(1), 126-152.Freeman, R. E. (1984) Strategic Management: A Stakeholder Approach. Boston: Pitman Publishing.Gill, K. (2012). Usability of Public Web Sites. Edited by Elizabeth Buie and Dianne Murray, Usability in Government Systems User Experience Design for Citizens and Public Servants. Waltham, MA:Elsevier, Inc.Gulick, L. (1937). Notes on the Theory of Organization. In L. Gulick and L. Urwick (Eds.) The Science of Administration. New York: Institute of Public Administration.Hardy, C. and S., Maguire. (2008). Institutional Entrepreneurship. In Greenwood, R., Oliver, C., Suddaby, R., and Sahlin, K. (eds.), Organizational Institutionalism. First Edition, Los Angeles: Sage.Hasnain-Wynia, R., S., Sofaer, G. J., Bazzoli, J. A., Alexander, S. M., Shortell, D. A, Conrad, B. Chan, A. P., Zukoki, J. Sweney. (2003). Members’ Perception of Community Care Network Partnerships’ Effectiveness. Medical Care and Research and Review, 60 (4), 4 -62 .Hill, M., and P. Hupe. (2006). Implementing Public Policy: An Introduction to the Study of Operational Governance. London: Sage Publications.Horn, C. E. V., and D. S. V., Meter. (1976). The implementation of intergovernmental policy. In C. O. Jones (Ed.), Public Policy Making in a Federal System. Beverly Hills, CA: Sage.Jessop , B. (2002) . The Future of the Capitalist State. Cambridge : Polity Press .Kane, R. L., and R. A., Kane. (2001). What older people want from long-term care, and how they can get it. Health Affairs, 20(6), 114-127.Kaufman, H. (1967). The Forest Ranger: A Study in Administrative Behavior. The Johns Hopkins Univ. Press, Baltimore, Md.Kettl, D. F. (1997). The Global Revolution in Public Management: Driving Themes, Missing Links. Journal of Policy Analysis and Management, 16(3), 446-462.Kettl, D. F. (1999). The Transformation of Governance: Public Administration for Twenty-First Century America. Baltimore, MD: The John Hopkins University Press.Kickert, W. J.M., E.-H. Klijn, & J. F. M. Koppenjan. (1997). “Introduction: A Management Perspective on Policy Networks.” In Managing Complex Networks: Strategies for the Public Sector, ed. Walter J. M. Kickert, Eerik-Hans Klijn and Joop F. M. Koppenjan, 1-11. London. Sage.Kim, Sangmook. (2005). Individual-Level Factors and Organizational Performance in Government Organizations. Journal of Public Administration Research and Theory, 15(2), 245-261.Klijn, E.-H., and J.F.M., Koppenjan. (2004). Managing Uncertainties in Networks . London : Routledge .Klijn, E.-H., and C., Skelcher. (2007). Democracy and Governance Networks: Compatible or Not? Public Administration, 85(3), 587–609.Koliba, C. J., R. M., Mills, and A. Zia. (2011). Accountability in governance networks: An assessment of public, private, and nonprofit emergency management practices following hurricane Katrina. Public Administration Review, 71(2), 210-220.Koliba, C., J. W. Meek, and A. Zia. (2010). Governance Networks in Public Administration and Public Policy. Boca Raton, FL: CRC Press.Kooiman , J. (2003). Governing as Governance. London : Sage .Linder, S. H. and P. V. Rosenau. (2000). Mapping the Terrain of the Public-Private Policy Partnership. In Pauline Vallaincourt Rosenau(Ed) Public–Private Policy Partnerships. Cambridge, MA: MIT Press.Marsh, D. (1998). The development of the policy network approach. In D. Marsh (Ed.) Comparing Policy Network. Buckingham, UK: Open University Press.McAdam, D. and W. R. Scott. (2005). Organizations and Movements. In Davis, G. F., McAdam, D., Scott, W. R., and Zald, M. N. (Eds.). Social Movements and Organization Theory. First Edition. New York: Cambridge University Press.Meier, K. and L. O’Toole. 2013. “Subjective Organizational Performance and Measurement Error: Common Source Bias and Spurious Relationships.” Journal of Public Administration Research and Theory 23, 2: 429-456.Mintzberg, H. (1983). Power in and around Organizations. Englewood Cliffs, NJ: Prentice Hall.Mintzberg, H. (1985). The organization as a political arena. Journal of Management Studies, 22, 133-154.Mor, V. (2005). Improving the quality of long‐term care with better information. The Milbank Quarterly, 83(3), 333-364.O’Toole, L. J. (1996). Rational choice and the public management of interorganizational networks. In D. F. Kettl & H. B. Milward (Eds.), The State of Public Management (pp. 241-266). London, UK: The Johns HopkinsO’Toole, L. J., and R. S., Montjoy (1984). Inter-organizational policy implementation: A theoretical perspective. Public Administration Review, 44(6), 491-503.O’Toole, L. J., ed. (2000). American Intergovernmental Relations: Foundations, Perspectives, and Issues. Washington, DC: CQ Press.O`Leary, R., and L. B., Bingham (2007). A Manager`s Guide to Resolving Conflicts in Collaborative Networks. Washington, DC: Center for the Business of Government.Ostrom, V. (2008). The Intellectual Crisis in American Public Administration. University of Alabama Press.Ostrom, V., and E. Ostrom. (1977). Public goods and public choices. The Workshop in Political Theory and Policy Analysis, Indiana University.O`Toole, L. J., and K. J., Meier. (2011). Public Management: Organizations, Governance, and Performance. Cambridge, UK: Cambridge University Press.Pfeffer, J. (1981). Power in Organizations. Boston: Pitman.Podsakoff, P. M., S. B. MacKenzie, J. Y. Lee, and N. P. Podsakoff. (2003). “Common method biases in behavioral research: A critical review of the literature and recommended remedies.” Journal of Applied Psychology, 88(5), 879.Pressman, J. L., and A.B.Wildavsky. (1984). Implementation. Berkeley: University of CaliforniaProvan, K.G. and H.B. Milward. (1995). A Preliminary Theory of Interorganizational Effectiveness: A Comparative Study of Four Community Mental Health Systems, Administrative Science Quarterly , 40 (1), 1-33 .Rainey, H. G. (1997). Understanding and Managing Public Organizations. (2nd). Jossey-Bass Publishers, San Francisco.Rao, H., C. Morill, and M. N., Zald. (2000). Power Play: How Social Movements and Collective Action Create New Organizational Forms. Research in Organizational Behavior, 22(1), 237-281.Rhodes, R. A. W. (1996). The New Governance: Governing Without Government. Political Studies, 44(4), 652-667.Rhodes, R. A. W. (1997). Understanding Governance: Policy Networks, Governance, Reflexivity, and Accountability. Buckingham, UK: Open University Press.Rosenau, J. N., & E. O. Czempiel. (1992). Governance Without Government: Order and Change in World Politics. New York, NY: Cambridge University Press.Salamon, L. M., ed. (2002). The Tools of Government: A Guide to the New Governance. New York: Oxford University Press.Schneiberg, M. and E. Clemens. (2006). The Typical Tools for the Job: Research Strategies in Institutional Analysis. Sociological Theory, 24(3), 195-227.Selznick, P. (1949). TVA and the Grass Roots: A Study in the Sociology of Formal Organization. California: Univ of California Press.Simon, H. A. (1972). Theories of bounded rationality. Decision and Organization, 1(1), 161-176.Sørensen, E., and J. Torfing. (2009). Making governance networks effective and democratic through metagovernance. Public Administration, 87(2), 234-258.Sørensen, E., and J. Torfing. (2005). The Democratic Anchorage of Governance Networks. Scandinavian Political Studies, 28(3), 195–218.Teisman, T.R. (1992). Complex Decision-Making: A Pluricentric View . The Hague : Vuga .Thompson, J. D. (1967). Organizations in Action: Social Science Bases of Administrative Theory. Transaction publishers.Thornton, P. H. (2002). The Rise of the Corporation in a Craft Industry conflict and Conformity in Institutional Logics. Academy of Management Journal, 45(1), 81-101.U. S. Department of Health and Human Services. (2006). The Research-Based Web Design and Usability Guidelines, Enlarged/Expanded edition. Washington: U.S. Government Printing Office. zh_TW dc.identifier.doi (DOI) 10.6814/NCCU201900806 en_US
