摘要
通过选取10个公共卫生危机案例,将案例最后的结果变量设置为突发公共卫生危机多元主体协同治理的成功或失灵,并通过文献梳理、经验总结等方法整理了3个维度、24个条件变量,通过清晰集定性比较分析(csQCA)得出突发公共卫生危机协同治理效果的影响因素。主要包括:政府自身的危机应对能力;企业参与突发公共卫生危机的途径方式;政府部门的信息公开透明度;政府与民众间的情感互动、情绪干扰;医疗卫生部门与其他相关机构的横向联系度;不同地方政府部门间的合作性。未来应进一步优化多元主体之间的有效协作,建立完善的预警机制、监督管理制度、可倒查追溯的过程管控制度、信息联动机制,强化主观可控类突发公共卫生危机的预防工作。同时,克服现有条块分割的行政管理体制弊端,赋予各主体一定的自由裁量权,优化突发公共卫生危机多元主体协同治理环境。
Ten public health crisis cases are selected,and the final outcome variable is set as success or failure of multi-subject coordinated governance of the sudden public health crises.Three dimensions and 24 conditional variables are sorted out by means of literature review and experience summary.The influence factors on the governance effect of sudden public health crises are analyzed through crisp-set qualitative comparative analysis(csQCA),mainly including(1)the government's own crisis response capacity;(2)ways and means for enterprises to participate in sudden public health crises;(3)information disclosure and transparency of government departments;(4)emotional interaction and emotional interference between the government and the public;(5)horizontal connection between the health sectors and other relevant institutions;(6)Coordination between different local government departments.In the future,effective coordination between multiple subjects should be further optimized,meanwhile,a sound early warning mechanism,supervision and management system,backtracking process control system and information linkage mechanism should be established,so as to ensure the prevention of public health crises which are controllable.At the same time,we should overcome the drawbacks of the existing segmented administrative management system,grant each subject a certain degree of discretion,and optimize the environment in which multiple subjects of sudden public health crises coordinate.
作者
于翠平
YU Cuiping(School of Public Administration and Policy, Shandong University of Finance and Economics,Jinan 250014,China)
出处
《山东科技大学学报(社会科学版)》
2021年第1期76-83,共8页
Journal of Shandong University of Science and Technology(Social Sciences)
关键词
突发公共卫生危机
多元主体
协同失灵
sudden public health crises
multiple subjects
coordination failure