探究全球健康治理模式的政策类型匹配:基于QCA方法的联动效应研究
Explore the policy matching of global health governance model:A study on co-movement effect based on QCA
蔡媛青 1薛澜2
作者信息
- 1. 中国社会科学院中国社会科学评价研究院,北京 100732
- 2. 清华大学苏世民书院,北京 100084
- 折叠
摘要
在公共性理论视角下,形成包括公共性消费、公共性决策、公共性收益的全球健康治理理论框架.基于194 个国家的案例并采用模糊集定性比较分析(fsQCA)的研究方法,探究3 类推动健康治理公共性收益提升的配适性政策方案,揭示中国参与全球健康治理高公共性收益的核心条件和复杂互动路径.研究发现:(1)提升国内政府一般卫生支出占比在高公共性收益上发挥着较普适的作用,但在中国参与全球健康治理的高公共性收益中发挥的作用并不显著;(2)存在3 类推动健康治理公共性收益提升的配适性政策方案,即公共性消费的配适模式、公共性决策的配适模式、公共性消费—决策混合型的配适模式,而中国参与全球健康治理的模式属于公共性消费的配适模式;(3)中国参与全球健康治理路径中的关键变量主要包括全民健康覆盖指数、医生密度、与水和卫生设施有关的官方发展援助.建议要提高中国参与全球健康治理的系统效益、提升中国参与全球健康治理的能力、加强中国参与全球健康治理的多部门协同治理机制.
Abstract
From the perspective of publicity theory,a global health governance framework of public consumption,public decision-making and public benefits is established.Based on 194 countries as cases,using fuzzy set qualitative comparative analysis(fsQCA)method,this paper explores three types of suitable policy schemes to promote the improvement of public benefits of health governance,and reveals the core conditions and complex interaction paths of China's participation in global health governance with high public benefits.Main conclusions:(1)Increasing the proportion of government's general health expenditure plays a general role in high public benefits,but does not play a significant role in China's participation in global health governance.(2)There are three kinds of suitable options for the promotion of public benefits of national health governance,including the suitable mode of public consumption,the suitable mode of public decision-making,the suitable mode of public consumption and public decision-making.China's participation in global health governance is the suitable mode of public consumption.(3)Key elements in China's path to global health governance include UHC service coverage index,density of medical doctors,and amount of water-related and sanitation-related official development assistance.It is suggested to improve the systematic efficiency of China's participation in global health governance,enhance China's capability to participate in global health governance,and strengthen the multi-sectoral collaborative governance mechanism of China's participation in global health governance.
关键词
全球健康治理/政策匹配/公共性消费/公共性决策/公共性收益Key words
global health governance/policy matching/public consumption/public decision-making/public benefits引用本文复制引用
基金项目
国家社会科学基金青年项目(22CGL052)
中国社科院青年人文社会科学研究中心社会调研项目(2024QNZX028)
中国社科院"青启计划"(2024QQJH010)
比尔及梅琳达·盖茨基金会项目(INV-006261)
出版年
2024
NETL
NSTL
万方数据