「整筆撥款補助制度」對社福服務的衝擊與挑戰：香港經驗對臺灣的啟示

Impact and Challenges of Social Welfare Service under the Lump Sum Grant: Implication from Hong Kong Experience

有鑑於臺灣社會福利界對於總額支付制度的爭議，本文分析新公共管理對福利服務的影響，公私協力與香港整筆撥款補助制度的發展，提供制訂政策之參考。研究發現公私協力存在許多挑戰，包括：受託者不足、契約管理、政府抗拒、認知差距、委託經費不足、權力不對等、人力成本過高、勞資關係等。香港實施整筆撥款制度雖具有效益，例如董事會擁有自主性重新審視服務供給與人力配備，有效因應經濟不景氣下新興的多元家庭議題、邊緣青年族群及長期照顧需求。但是，制度發展迄今仍有困境，包括程序複雜、降低效率、缺乏彈性、人力流失。最後，整筆撥款補助制度的成功關鍵，有賴公私部門的夥伴關係，政府的適度監管、機構的資訊開放、財務與人資的健全治理。

Due to the controversy over the total payment system in Taiwan, this paper analyzes the impact of New Public Management on welfare services, and provides a policy Implications for the development of public-private partnerships from Hong Kong's lump sum grant system. The study found that there are many challenges in public-private partnerships, including: lack of trustees, contract management, government resistance, cognitive gaps, insufficient commissions, power mismatch, high labor costs, and poor employer-employee relations. Although Hong Kong's implementation of the lump sum grant system is effective. For example, the board of directors can have the autonomy to re-examine the service supply and manpower allocation. NGOs also can respond to the emerging multi-family issues effectively, including marginal youth groups and long-term care needs under the economic downturn. However, the development of LSG has so far been difficult, including complicated procedures, reduced efficiency, lack of flexibility, and staff losing. Finally, the key to the success of the lump sum grant system depends on partnerships between the public and private sectors, appropriate government regulation, information opening, accountability, and good governance of finance and human resources.