台灣社會福利服務發展脈絡,自七十年代已將社會福利服務藉由契約委託外包的方式轉由政府機關之外的委託單位來提供服務,但從實務運作可發現契約委託外包相關問題:專業隔閡、資訊不對稱以及道德危機等問題,而「課責」機制有效善用來解決這些問題。 因此,本研究之目的分別為一、從公共行政觀點來建構社會福利服務契約委託外包之課責評估構面與指標、二、以台北市老人居家服務為本研究個案,藉由檢視社會福利服務委託外包運作狀況,說明課責影響社會福利服務委託外包的強度。首先,試圖從文獻探討中,以委託-代理人理論建構出社會福利服務契約委託外包的課責架構,分別提出其課責構面為專業課責、法律課責、道德倫理課責與政治課責構面。其次,採取深度訪談法以蒐集實證資料,以台北市老人居家服務為個案研究,瞭解老人居家服務契約委託外包之運作實務。 最後,藉由理論與實務對話,本研究提出其發現可知,專業課責與道德倫理課責對於社會福利服務委託外包的課責影響程度最大,缺乏契約委託外包的正式法規使得政策不確定性提高。
In the development of Taiwan social welfare services context, since the 1970s the social services has been delivered by contracting out , but in the practice, we can find some question about contracting out: professional barriers , asymmetric information and moral hazard problems, and the "accountability" mechanism could solve these problems effectively. Therefore, the purpose of this study is as below: (1).To build the measurable index and dimensions of the contracting out in social welfare services from the viewpoint of public administration; (2).To explain the influential degree of accountability by researching the operating conditions of the contracting out in social welfare services through case study: home care for elderly in Taipei city. First of all, this report uses surveys literature from principal-agent theory to build a theoretical framework of principal-agent models, that including four dimensions: professional accountability , legal accountability ,moral and ethical accountability ,political accountability.Second, it use in-depth interview to research the case of home care for elderly in Taipei city practice. Finally, dialoguing between the theory and practice, this study is found that professional accountability, moral and ethical accountability is useful to the accountability of contracting out in social welfare services operation. And due to lack of formal law in contracting out, will cause and enhance policy uncertainty.