Department of Construction and Real Estate, School of Civil Engineering, Southeast University, Nanjing, P. R. China.
Nanjing Municipal Education Bureau, Nanjing, P. R. China.
PLoS One. 2021 Mar 17;16(3):e0248474. doi: 10.1371/journal.pone.0248474. eCollection 2021.
The community and home-based elderly care service system has been proved an effective pattern to mitigate the elderly care dilemma under the background of accelerating aging in China. In particular, the participation of social organizations in community and home-based elderly care service has powerfully fueled the multi-supply of elderly care. As the industry of the elderly care service is in the ascendant, the management lags behind, resulting in the waste of significant social resources. Therefore, performance evaluation is proposed to resolve this problem. However, a systematic framework for evaluating performance of community and home-based elderly care service centers (CECSCs) is absent. To overcome this limitation, the SBM-DEA model is introduced in this paper to evaluate the performance of CECSCs. 186 social organizations in Nanjing were employed as an empirical study to develop the systematic framework for performance evaluation. Through holistic analysis of previous studies and interviews with experts, a systematic framework with 33 indicators of six dimensions (i.e., financial management, hardware facilities, team building, service management, service object and organization construction) was developed. Then, Sensitivity Analysis is used to screen the direction of performance optimization and specific suggestions were put forward for government, industrial associations and CECSCs to implement. The empirical study shows the proposed framework using SBM-DEA and sensitivity analysis is viable for conducting performance evaluation and improvement of CECSCs, which is conducive to the sustainable development of CECSCs.
社区和居家养老服务体系已被证明是缓解中国老龄化加速背景下养老困境的有效模式。特别是社会组织参与社区和居家养老服务，有力地推动了养老服务的多元化供给。随着养老服务行业的兴起，管理却相对滞后，导致了大量社会资源的浪费。因此，提出了绩效评估来解决这个问题。然而，社区和居家养老服务中心（CECSC）的绩效评估缺乏系统的框架。为了克服这一局限性，本文引入 SBM-DEA 模型来评估 CECSCs 的绩效。以南京市 186 家社会组织为实证研究对象，构建了绩效评估的系统框架。通过对以往研究的综合分析和专家访谈，构建了一个包含六个维度（财务管理、硬件设施、团队建设、服务管理、服务对象和组织建设）共 33 项指标的系统框架。然后，通过敏感性分析来筛选绩效优化的方向，并为政府、行业协会和 CECSCs 提出具体建议以实施。实证研究表明，使用 SBM-DEA 和敏感性分析的建议框架，对 CECSCs 的绩效评估和改进是可行的，有利于 CECSCs 的可持续发展。
