Complementary and Substitution Effects between Institutional and Community-based Care for the Elderly under the Mixed Economy of Welfare-A Case Study

碩士 === 逢甲大學 === 合作經濟學所 === 98 === The increasing problem of the welfare mixed economy represented in the “aging of population”. For a long-term development under market- and institutional challenges, the traditional welfare for the elderly in Taiwan has evolved and embedded in as a mixed model among...

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Bibliographic Details
Main Authors: Yi-wen Ding, 丁怡文
Other Authors: none
Format: Others
Language:zh-TW
Published: 2010
Online Access:http://ndltd.ncl.edu.tw/handle/68881205457509459720
Description
Summary:碩士 === 逢甲大學 === 合作經濟學所 === 98 === The increasing problem of the welfare mixed economy represented in the “aging of population”. For a long-term development under market- and institutional challenges, the traditional welfare for the elderly in Taiwan has evolved and embedded in as a mixed model among government, business, voluntary, and informal sectors. It means a new kind of service delivery has been transformed from institutional to community and personal care. However, most literatures focus on the impact of institutional or community care for the elderly separately, but nearly shows the specific interactive effectiveness. The research based on case study finds interactive effect between institutional and community care in the mixed economy. We discussed the issue and thus finished the paper by using semi-structured interviews, participant observation, and secondary data analysis. The results indicate that past literatures only discussing “non-interactive model”, but substantially trying to generalize the care for the elderly should to find the optimal utility portfolio of dynamic “interactive model”. The care of the interactive model shows how traditional institution and community increase supply, improve service quality, reduce costs, increase satisfaction, and access to social values under sharing resources and complementary services. In a word, community care has developed as a necessary form for future elderly care, but institutional care still has its dominant impact so that the optimal utility could be brought into the interaction model.