公共卫生应急协同管理:理论、情境及机制分析

Collaborative public health emergency management:theory,context,and mechanisms

公共卫生突发事件直接影响到人民群众健康与生命安全,也对政府应急响应能力提出严峻挑战。自重症急性呼吸综合征(SARS)疫情以来,我国已建立以"一案三制"为核心内容的公共卫生应急管理体系,但如何将制度优势转化为治理效能,仍有待深入讨论和研究。本文根据利益相关者理论和制度性集体行动理论,以2020年疫情防控工作为实证背景,重点阐述公共卫生应急系统内各利益相关者关系,构建以解决制度性集体行动困境为策略,以价值协同、制度协同、信息协同和行动协同为实施路径的公共卫生应急协同管理框架,为进一步完善公共卫生应急管理体系,提高我国公共卫生治理效能提供参考。

Public health emergency has a direct impact on the health of people and challenges China′s emergency response governance.Since the outbreak of severe acute respiratory syndrome(SARS),China has established its public health emergency management system.Yet,how to transform the institution into practice remains a question.Taking the coronavirus disease 2019(COVID-19)epidemic as a case and adopting stakeholder theory and institutional collective action framework,the study addresses collaborative mechanisms between the government,public hospitals,media,scientific institutions,enterprises,and the public in public health emergency management.More studies shall be performed to improve public health governance of China.