健康扶贫政策的历史变迁及演进逻辑——基于历史制度主义的考察

On the Historical Changes and Evolutionary Logic of Health Poverty Alleviation Policy——Based on the Investigation of Historical Institutionalism

健康扶贫关涉人力资本开发和社会公平正义,科学认知健康扶贫政策的历史变迁及演进逻辑是贫困治理和推进共同富裕的重要论题。历史制度主义视角下,我国健康扶贫政策经历了扶贫救济局部工作、扶贫开发专项行动、脱贫攻坚重大工程三个重大历史阶段。我国健康扶贫政策演进,一方面是宏大制度背景下增量改革、整体效益和权责跟进综合作用所决定的渐进式结构调整,另一方面又是主体互动关系中过热竞争、良性合作和思想定势交互影响所形塑的延展性框架调适。展望未来,健康扶贫政策演进要统筹增量改革与存量优化的整体部署,把控路径稳定与节点创新的决策节奏,形成协同合作与良性竞争的治理网络。

Healthy poverty alleviation involves human capital development and social fairness,scientific understanding of the historical changes and evolution logic of health poverty alleviation policy is an important topic in the process of poverty governance and the promotion of common prosperity.From the perspective of historical institutionalism,China’s healthy poverty alleviation policy has gone through three major historical stages:the partial work of poverty relief,the special action for poverty alleviation through development,the major project of poverty alleviation.The evolution of China’s healthy poverty alleviation policy is not only a progressive structural adjustment determined by the comprehensive effects of incremental reforms,overall benefits,and functional saturation under the background of the country’s grand system,but also the malleable frame adaptation produced by the interaction of overheated competition,benign cooperation,and ideological stereotypes in the interactive relationship between institutional entities.Looking to the future,the evolution of healthy poverty alleviation policy should coordinate the overall deployment of incremental reforms and stock optimization,control decision-making rhythms of path stability and node innovation,form governance network of collaboration and benign competition.