理念认同与共生互赖:大湾区跨境公共服务中的合作治理--基于香港大学深圳医院的分析

Identity and Interdependence: Cooperative Governance in the Cross-Border Public Services in Guangdong-Hong Kong-Macao Greater Bay Area--Based on the Analysis of Shenzhen Hospital of Hong Kong University

跨境公共服务需要克服制度差异、应对文化挑战,是公共治理中的难题。论文以香港大学深圳医院为分析对象,展示在"一国两制"背景下粤港澳大湾区跨境医疗服务供给过程中行动者间的合作互动,探讨双方合作的基础、支持合作治理平稳持续的机制。研究发现,地方政府、党组织和专业医疗力量所抱持的国家认同是合作开展的基础,他们依托"两制"下的行动空间充分发挥所长,巩固了基于利益形成的共生互赖关系,推动跨境合作持续深化。论文将发展中国家和次国家层面的"政-社"跨境合作纳入分析,可以拓展跨境公共服务研究的视野;同时,也通过展示党在公共服务领域中同专业力量、地方政府的关系,为理解中国地方政治提供助益。

Providingcross-border public services is a overnance challenge that needs to overcome obstacles such as institutional differences and cultural misunderstandings. The existing research literature either focuses on cross-border public services between developed countries or cross-regional practices within sovereign countries. Few"government-society"cooperative projects between cross-border or cross-system public serviceshave been examined. This study took the Shenzhen University of Hong Kong University as a case study, and demonstrates that cooperation and interaction between actors in the provision of cross-border medical services under the context of "one country,two systems". This paper explores the basis of "government-society"cooperation and the mechanism for supporting stable and sustainable cooperation governance. This study shows that identity recognition by all actors is the conceptual basis for cooperation,and the formation of a symbiotic and interdependent relationship based on interests is the catalyst for cross-border medical cooperation. In addition,the Chinese Communist Party(CCP) plays an intermediate role between professional forces and local governments. The CCP also promotes long-term cooperation by providing development consulting and operational supervision. This study both broadens the perspective of cross-border public service research and helps to provide better understanding of China’ s local politics.