A Policy Implementation Analysis on the Care Voucher for the Aged -Focusing on Choice and Competition-

노인돌보미바우처 정책집행분석 -선택과 경쟁은 실현되는가?-

  • 양난주 (서울대학교 사회복지학과)
  • Received : 2009.04.13
  • Accepted : 2009.06.29
  • Published : 2009.08.31

Abstract

As a case study in the field of policy implementation research, this study focuses on how the logic of consumer choice and provider competition operates on the front line of policy processing. To find the implementation process of the program, 39 interview data were analyzed, including voucher users, care workers, social workers in 4 agencies and local public officers in one of the district in Seoul, and relevant officials from the Ministry for Health, Welfare and Family affairs and the Center for Social Service Management. The main results are as follows: In the level of policy implementation, user choice and competition, which was the main logic behind the implementation of the voucher program, did not occur as expected by policy makers. Instead of user choosing his/her provider, it was found that the providers were choosing its users. Secondly, the case study found that providers have formed a caucus which allocated the local users equally amongst the providers. In this process, local public officers have supported the meeting by providing them with a list of users. Such results may be interpreted as a habitual execution from the tradition of supply-side subsidy, rather than the way of implementation in the market system. Thirdly, although voucher users could not choose their preferred agency in the first stage of service, some other choices exists so that users may choose their preferred care-giver and time for service. Finally, the change of agency and care-giver in the way of delivering services were observed.

Keywords

voucher;the Elderly Care Service Voucher;policy implementation analysis;choice and competition;backward mapping