国际卫生机构的停滞与变革:基于制度理论的效应分析

Exploring the utility of institutional theory in analysing international health agency stasis and change

近期人们普遍关注国际卫生机构适应全球卫生环境变化和各国需求的能力,但很少研究采用路径依赖和制度变迁等制度理论来分析世界卫生组织与抗击艾滋病、结核病和疟疾的全球基金为何没有很好地适应这一变化,而世界银行和联合国艾滋病规划署却可以很好地完成转变。本文认为这些制度理论可以帮助我们更好地理解国际卫生机构在适应国际环境变化方面存在的差异,同时提出了当前政策研究和分析的一些新领域。

Of recent interest is the capacity of international health agencies to adapt to changes in the global health environment and country needs .Yet, little is known about the potential benefits of using social science institu-tional theory , such as path dependency and institutional change theory , to explain why some international agencies , such as the WHO and the Global Fund to Fight AIDS , Tuberculosis and Malaria, fail to adapt, whereas others, such as the World Bank and UNAIDS , have .This article suggests that these institutional theories can help to better under-stand these differences in international agency adaptive capacity , while highlighting new areas of policy research and analysis .