

Аутсорсинг социальных услуг некоммерческому сектору: экономический анализ
https://doi.org/10.32609/0042-8736-2022-2-95-119
Аннотация
Рассматриваются факторы и предпосылки аутсорсинга государством социальных услуг некоммерческим организациям. При анализе выбора между НКО и частными фирмами в качестве партнеров государства по аутсорсингу особое внимание уделяется возможности верифицировать качество предоставляемых услуг, которое не всегда может быть обеспечено рыночными стимулами. По данным международной статистики выявляются факторы, влияющие на масштабы сотрудничества государства с некоммерческими организациями; показано, что к аутсорсингу НКО шире прибегают эффективные государства при наличии развитого гражданского общества. Излагается теория, позволяющая сопоставить последствия передачи социальной услуги на аутсорсинг некоммерческой организации или частной фирме с точки зрения качества услуги, экономии издержек и вклада в общественное благосостояние. В качестве иллюстрации рассматривается передача на аутсорсинг домов престарелых частным фирмам и НКО с привлечением данных о последствиях пандемии коронавируса.
Об авторах
Н. В. ЗобернюсРоссия
Зобернюс Николай Владимирович, старший аналитик
Москва
Л. И. Полищук
Россия
Полищук Леонид Иосифович, профессор
Москва
И. Л. Шагалов
Россия
Шагалов Игорь Львович, научный сотрудник
Москва
Список литературы
1. Василенок Н., Полищук Л., Шагалов И. (2019). Общественно-государственное партнерство: теория и российские практики // Общественные науки и современность. № 2. С. 35—53. https://doi.org/10.31857/S086904990004392-3
2. Полищук Л. (2008). Нецелевое использование институтов: причины и следствия // Вопросы экономики. № 8. С. 28—44. https://doi.org/10.32609/0042-8736-2008-8-28-44
3. Полищук Л. (2009). Корпоративная социальная ответственность или государственное регулирование: анализ институционального выбора // Вопросы экономики. № 10. С. 4—22. https://doi.org/10.32609/0042-8736-2009-10-4-22
4. Якушев Е., Синявская О., Ворон О. (2020). COVID-19 и смертность в домах престарелых в мире и в России // Аналитический бюллетень НИУ ВШЭ об экономических и социальных последствиях коронавируса в России и в мире. 14 мая. С. 42— 53.
5. Acemoglu D., Robinson J. (2019). The narrow corridor. States, societies, and the fate of liberty. New York: Penguin Press.
6. Benevolenski V., Toepler S. (2017). Modernizing social service delivery in Russia: Еvolving government support for non-profit organizations. Development in Practice, Vol. 27, No. 1, pp. 64—76. https://doi.org/10.1080/09614524.2017.1259392
7. Bjørnskov C. (2006). The multiple facets of social capital. European Journal of Political Economy, Vol. 22, No. 1, pp. 22—40. https://doi.org/10.1016/j.ejpoleco.2005.05.006
8. Bos A., Boselie P., Trappenburg M. (2017). Financial performance, employee well-being, and client well-being in for-profit and not-for-profit nursing homes: A systematic review. Health Care Management Review, Vol. 42, No. 4, pp. 352—368. https://doi.org/10.1097/HMR.0000000000000121
9. Bos A., Krus F., Jeurissen P. (2020). For-profit nursing homes in the Netherlands: What factors explain their rise? International Journal of Health Services, Vol. 50, No. 4, pp. 431—443. https://doi.org/10.1177/0020731420915658
10. Broms R., Dahlström C., Nistotskaya M. (2020). Competition and service quality: Evidence from Swedish residential care homes. Governance, Vol. 33, No. 3, pp. 525—543. https://doi.org/10.1111/gove.12436
11. Castle N., Ferguson J. (2010). What is nursing home quality and how is it measured? The Gerontologist, Vol. 50, No. 4, pp. 426—442. https://doi.org/10.1093/geront/gnq052
12. Chen M., Chevalier J., Long E. (2020). Nursing home staff networks and COVID-19. Proceedings of the National Academy of Sciences, Vol. 118, No. 1, article e2015455118. https://doi.org/10.1073/pnas.2015455118
13. Chou S. (2002). Asymmetric information, ownership and quality of care: An empirical analysis of nursing homes. Journal of Health Economics, Vol. 21, No. 2, pp. 293—311. https://doi.org/10.1016/S0167-6296(01)00123-0
14. Coase R. (1937). The nature of the firm. Economica, Vol. 4, No. 16, pp. 386—405. https://doi.org/10.1111/j.1468-0335.1937.tb00002.x
15. CIHI (2020). Pandemic experience in the long-term care sector: How does Canada compare with other countries? Ottawa, ON: Canadian Institute for Health Information.
16. Comas-Herrera A., Zalakaín J., Lemmon E., Henderson D., Litwin C., Hsu A. T., Schmidt A. E., Arling G., Kruse F., Fernández J.-L. (2021). Mortality associated with COVID-19 in care homes: International evidence. International Long-Term Care Policy Network, CPES‑LSE, February 1. https://ltccovid.org/wp-content/uploads/2021/02/LTC_COVID_19_international_report_January-1-February-1-2.pdf
17. Cook L., Iarskaia-Smirnova E., Tarasenko A. (2021). Outsourcing social services to NGOs in Russia: Federal policy and regional responses. Post-Soviet Affairs, Vol. 37, No. 2, pp. 119—136. https://doi.org/10.1080/1060586X.2020.1853454
18. Figueroa J. et al. (2020). Association of nursing home ratings on health inspections, quality of care, and nursing staffing with COVID-19 cases. Journal of American Medical Association, Vol. 324, No. 11, pp. 1103—1105. https://doi.org/10.1001/jama.2020.14709
19. Foster W., Fine G. (2007). How nonprofits get really big. Stanford Social Innovation Review, Vol. 5, No. 2, pp. 46—55. https://doi.org/10.48558/FD5G-HC38
20. Glaeser E., Shleifer A. (2001). Not-for-profit entrepreneurs. Journal of Public Economics, Vol. 81, No. 1, pp. 99—115. https://doi.org/10.1016/S0047-2727(00)00130-4
21. Grossman S., Hart O. (1986). The costs and benefits of ownership: A theory of vertical and lateral integration. Journal of Political Economy, Vol. 94, No. 4, pp. 691—719. https://doi.org/10.1086/261404
22. Hansmann H. (1980). The role of non-profit enterprise. Yale Law Journal, Vol. 89, No. 5, pp. 835—901. https://doi.org/10.2307/796089
23. Hart O. (2003). Incomplete contracts and public ownership: Remarks, and an application to public-private partnerships. Economic Journal, Vol. 113, No. 486, C69—C76. https://doi.org/10.1111/1468-0297.00119
24. Hart O., Shleifer A., Vishny R. (1997). The proper scope of government: Theory and an application to prisons. Quarterly Journal of Economics, Vol. 112, No. 4, pp. 1127—1161. https://doi.org/10.1162/003355300555448
25. Hashiguchi T., Llena-Nozal A. (2020). The effectiveness of social protection for longterm care in old age: Is social protection reducing the risk of poverty associated with care needs? OECD Health Working Papers, No. 117.
26. Hillmer M., Wodchis W. P., Gill S. S., Anderson G. M., Rochon, P. A. (2005). Nursing home profit status and quality of care: Is there any evidence of an association? Medical Care Research and Review, Vol. 62, No. 2, pp. 139—166. https://doi.org/10.1177/1077558704273769
27. Kaffenberger K. (2001). Nursing home ownership: An historical analysis. Journal of Aging and Social Policy, Vol. 12, No. 1, pp. 35—48. https://doi.org/10.1300/J031v12n01_04
28. McCambridge R. (2020). Study finds more COVID deaths in for-profit nursing homes than nonprofit ones. Nonprofit Quarterly, August 19. https://nonprofitquarterly.org/study-finds-more-covid-deaths-in-for-profit-nursing-homes-than-nonprofit-ones/
29. Matsunaga Y., Yamauchi N., Okuyama N. (2010). What determines the size of the nonprofit sector? A cross-country analysis of the government failure. Theory Voluntas, Vol. 21, No. 2, pp. 180—201. https://doi.org/10.1007/s11266-010-9125-9
30. Molinuevo D., Anderson R. (2017). Care homes for older Europeans: Public, for-profit and non-profit providers. Luxembourg: Eurofound.
31. Najam A. (2000). The four-C’s of third sector-government relations: Cooperation, confrontation, complementarity, and co-optation. Nonprofit Management and Leadership, Vol. 10, No. 4, pp. 375—396. https://doi.org/10.1002/nml.10403
32. Nissan E., Castaño M.-S., Carrasco I. (2012). Drivers of non-profit activity: A crosscountry analysis. Small Business Economics, Vol. 38, No. 3, pp. 303—320. https://doi.org/10.1007/s11187-010-9276-5
33. Osborne S. (2006). The new public governance? Public Management Review, Vol. 8, No. 3, pp. 377—387. https://doi.org/10.1080/14719030600853022
34. Ostrom E. (1996). Crossing the great divide: Coproduction, synergy, and development. World Development, Vol. 24, No. 6, pp. 1073—1087. https://doi.org/10.1016/0305-750X(96)00023-X
35. Polishchuk L., Rubin A., Shagalov I. (2021). Managing collective action: Governmentsponsored community initiatives in Russia. Europe-Asia Studies, Vol. 73, No. 6, pp. 1176—1209. https://doi.org/10.1080/09668136.2021.1935466
36. Pradhan R., Weech-Maldonado R. (2011). Exploring the relationship between private equity ownership and nursing home performance: A review. Advances in Health Care Management, Vol. 11, pp. 63—89. https://doi.org/10.1108/S1474-8231(2011)0000011007
37. Roland G. (2004). Understanding institutional change: Fast-moving and slow-moving institutions. Studies in Comparative International Development, Vol. 38, No. 4, pp. 109—131. https://doi.org/10.1007/BF02686330
38. Ronald L. A., McGregor M. J., Harrington C., Pollock A., Lexchin J. (2016). Observational evidence of for-profit delivery and inferior nursing home care: When is there enough evidence for policy change? PLoS Med, Vol. 13, No. 4, article e1001995. https://doi.org/10.1371/journal.pmed.1001995
39. Rose-Ackerman S. (1996). Altruism, non-profits, and economic theory. Journal of Economic Literature, Vol. 34, No. 2, pp. 701—728.
40. Ross L., Harrington C. (2016). California nursing home chains by ownership type: Facility and resident characteristics, staffing, and quality outcomes in 2015. Unpublished manuscript. https://theconsumervoice.org/uploads/files/general/CA-Chains-Report_20AUG2016.pdf
41. Rowan P., Gupta R., Lester R., Lever M., Liao K., Libersky J., Lipson D., Wysocki A., Robinson J., Bowen P. A. (2020). A study of the COVID-19 outbreak and response in connecticut long-term care facilities. Princeton, NJ: Matematica.
42. Salamon L. (1995). Partners in public service: Government-nonprofit relations in the modern welfare state. Baltimore: Johns Hopkins University Press.
43. Salamon L. (ed.) (2002). The tools of government: A guide to the new governance. New York: Oxford University Press.
44. Salamon L., Sokolowski W., Anheier H. (2000). Social origins of civil society: An overview. Working Papers of the Johns Hopkins Comparative Nonprofit Sector Project, No. 38.
45. Salamon L., Sokolowski W., and Associates (2004). Global civil society. Dimensions of the nonprofit sector. Vol. 2. Bloomfield, CT: Kumarian Press.
46. Salamon L., Sokolowski W., Haddock M., and Associates (2017). Explaining civil society development: A social origins approach. Baltimore: Johns Hopkins University Press.
47. Salamon L., Toepler S. (2015). Government—nonprofit cooperation: Anomaly or necessity? Voluntas, Vol. 26, No. 6, pp. 2155—2177. https://doi.org/10.1007/s11266-015-9651-6
48. Skokova Y., Pape U., Krasnopolskaya I. (2018). The non-profit sector in today’s Russia: Between confrontation and co-optation. Europe-Asia Studies, Vol. 70, No. 4, pp. 531—563. https://doi.org/10.1080/09668136.2018.1447089
49. Sokolowski W. (2012). Effects of government support of nonprofit institutions on aggregate private philanthropy: Evidence from 40 countries. Voluntas, Vol. 24, No. 2, pp. 359—381. https://doi.org/10.1007/s11266-011-9258-5
50. Stall N., Jones A., Brown, K., Rochon P., Costa A. (2020). For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. Canadian Medical Association Journal, Vol. 192, No. 33, pp. E946—E955. https://doi.org/10.1503/cmaj.201197
51. Tarasenko A. (2018). Russian non-profit organizations in service delivery: Neoliberal and statist social policy principles intertwined. Europe-Asia Studies, Vol. 70, No. 4, pp. 514—530. https://doi.org/10.1080/09668136.2018.1463357
52. Toepler S., Pape U., Benevolenski V. (2020). Subnational variations in governmentnonprofit relations: A comparative analysis of regional differences within Russia. Journal of Comparative Policy Analysis: Research and Practice, Vol. 22, No. 1, pp. 47—65. https://doi.org/10.1080/13876988.2019.1584446
53. Unruh M. A., Yun H., Zhang Y., Braun R. T., Jung H.-Y. (2020). Nursing home characteristics associated with COVID-19 deaths in Connecticut, New Jersey, and New York. Journal of the American Medical Directors Association, Vol. 21, pp. 1001—1003. https://doi.org/10.1016/j.jamda.2020.06.019
54. Weisbrod B. (1988). The nonprofit economy. Cambridge MA: Harvard University Press.
55. Winblad U., Blomquist P., Karlsson A. (2017). Do public nursing home care providers deliver higher quality than private providers? Evidence from Sweden. BMC Health Services Research, Vol. 17, No. 487, pp. 1—12. https://doi.org/10.1186/s12913-017-2403-0
56. Young D. (2000). Alternative models of government-nonprofit sector relations: Theoretical and international perspectives. Nonprofit and Voluntary Sector Quarterly, Vol. 29, No. 1, pp. 149—172. https://doi.org/10.1177/0899764000291009
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Для цитирования:
Зобернюс Н.В., Полищук Л.И., Шагалов И.Л. Аутсорсинг социальных услуг некоммерческому сектору: экономический анализ. Вопросы экономики. 2022;(2):95-119. https://doi.org/10.32609/0042-8736-2022-2-95-119
For citation:
Zobernyus N.V., Polishchuk L.I., Shagalov I.L. Social services outsourcing to the non-profit sector: Economic analysis. Voprosy Ekonomiki. 2022;(2):95-119. (In Russ.) https://doi.org/10.32609/0042-8736-2022-2-95-119