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区域公共卫生治理的府际协作模式:基于权威性、执行率与参与度组合——来自中国五个区域的观察
Inter-Governmental Collaboration Model for Regional Public Health Governance: Based on a Combination of Authority, Execution Rate, and Participation——Observations from Five Regions of China
【摘要】 突发公共卫生事件的跨界性与属地化管理体制之间的张力,促使地方政府在党中央协调下或自愿开展多种形式的协作并形成差异化的区域协作模式。首先,文章构建了权威(正式)性、执行率和参与度的类型学三维框架,进而析出区域公共卫生府际协作模式的八种理论类型。其次,对我国五个典型区域在公共卫生治理中的府际协作模式予以测定,并分析了各区域协作模式呈现的规律性特征。最后,研究发现:(1)目前,我国区域公共卫生治理协作工具呈碎片化,远未形成系统化工具箱;(2)地方政府倾向采用更为正式的协作工具来降低协作风险;(3)强负外部性公共问题治理的协作紧密程度取决于地方政府间已有协作基础。
【Abstract】 The tension between the cross-regional nature of public health emergencies and the territorial management system has prompted local governments, under the coordination of the Party Central Committee or voluntarily, to engage in diverse forms of collaboration, forming differentiated regional collaboration models. First, this study constructs a typological three-dimensional framework—authoritativeness, implementation rate, and stakeholder participation—to derive eight theoretical types of inter-governmental collaboration models in regional public health governance. Second, it investigates the intergovernmental collaboration models in five typical Chinese regions for public health governance and analyzes the characteristic patterns of regional collaboration. Finally, the study reveals three findings:(1) Current collaborative instruments for regional public health governance in China remain fragmented, far from constituting a systematic toolkit;(2) Local governments tend to adopt more formal collaborative instruments to mitigate collaboration risks;(3) The closeness of collaboration in addressing public issues with strong negative externalities depends on the preexisting collaborative foundations among local governments.
【Key words】 Public Health Governance; Inter-Governmental Collaboration; Collaborative Instruments;
- 【文献出处】 中国应急管理科学 ,Journal of China Emergency Management Science , 编辑部邮箱 ,2025年05期
- 【分类号】D630;R19
- 【下载频次】76