Zhang Jiayu, Chan Wing Kit
School for Business and Society, University of York, York, UK.
Center for Chinese Public Administration Research / School of Government, Sun Yat-sen University, Guangzhou, China.
Australas J Ageing. 2023 Mar;42(1):90-97. doi: 10.1111/ajag.13151. Epub 2022 Nov 18.
This paper investigates how the public-private partnership (PPP) functions in the care provision for older people in Guangdong, China, particularly for ageing-in-place programs.
Three cities with diversified PPP forms of care provision for older people were chosen as case studies. Focus groups were conducted in these cities for the local authorities and care homes involved in the partnerships.
Three forms of PPP, including private sector involvement for the ownership, construction, and operation of the facilities delivering care services, were identified. The public-private co-constructed and privately run model with greater private sector involvement may lead to higher quality care in one specific program. The publicly constructed and privately run program is widely used in many cities, advancing the expansion of ageing-in-place programs in more communities. These PPPs reflect flexible and practical collaboration between the public and private sectors at the local level in the Chinese context.
PPP have accelerated the development of a better care system for older people, mainly in terms of more affordable and higher-quality care options for the public. They are also a feasible solution for the local government due to more cost-effective and sustainable care provisions than previous publicly provided programs. The specific forms adopted are primarily associated with the scale of home care provision for ageing-in-place and the local government's financial capacity. Despite increasing private sector involvement, the public sector retains its crucial role in delivering care services targeting ageing in China.
本文探讨公私合作伙伴关系（PPP）在中国广东省老年人护理服务中的运作方式，特别是就地养老项目。
选择三个在老年人护理服务方面具有多样化PPP形式的城市作为案例研究。对这些城市中参与合作关系的地方当局和养老院进行了焦点小组访谈。
确定了三种PPP形式，包括私营部门参与提供护理服务设施的所有权、建设和运营。在一个特定项目中，私营部门参与度更高的公私共建民营模式可能会带来更高质量的护理服务。公立建设民营模式在许多城市广泛应用，推动了更多社区就地养老项目的扩展。在中国背景下，这些PPP模式反映了地方层面公私部门之间灵活务实的合作。
PPP加速了更好的老年人护理体系的发展，主要体现在为公众提供了更经济实惠且质量更高的护理选择。由于比以前的公共提供项目更具成本效益和可持续性，它们也是地方政府的可行解决方案。所采用的具体形式主要与就地养老家庭护理服务的规模以及地方政府的财政能力有关。尽管私营部门的参与度不断提高，但公共部门在中国针对老年人的护理服务提供中仍发挥着关键作用。
