S村社區發展協會的社區初級照顧實踐：共同事務治理與準市場架構之計畫行政的對話

The practice of primary care in S community association, Jiuru Village, Pingtong County: The Dialogue between the governing of commons and Planning Administration of quasi-market

本文擬以共同事務治理與準市場之計畫行政的理念型，分析S村社區發展協會在承接長照2.0初級照顧據點所面臨的挑戰。經由社區協會成員構成、人力資源、財務籌措，以及社區協會成員共同參與和決策構面的質量化資料搜集與詮釋，我們發現該社區協會之初級照顧可能產生的不足：包括了社區成員的有限性、非正式照顧參與者的無償工作條件，社區財務資源生產與成長的限制，以及社區成員實質參與和決策過程的欠缺等。而這些促使我們重新反思國家對社區整體照顧體系的建立途徑，特別是國家與市場，和國家與社區在老人照顧上的制度銜接所扮演的角色，以及上述差異可能引發的爭議。

 

This article, based on the ideal archetypes of governing the commons and planning administration of quasi-market, analyzes the practices and challenges S Community Association, Jiuru Village, Pingtong County, faced in implementing its long-term care policy 2.0. We found the S Association’s insufficiency in the primary care, including the limitation of community membership, the working condition provided for the informal care givers, the limited growth of the community financial resource from community industries, and the lack of actual and democratic participation from community members. These research findings make us reconsider the approach of building a community-integrated care system, especially the institutional connection between state and market and between state and community in aged care, and the disputes from their different connections.