中国卫生政策研究
中國衛生政策研究
중국위생정책연구
CHINESE JOURNAL OF HEALTH POLICY
2014年
3期
64-68
,共5页
中非%卫生合作%复杂体系
中非%衛生閤作%複雜體繫
중비%위생합작%복잡체계
China-Africa%Health collaboration%Complex system
过去几十年,中国对非卫生援助规模不断扩大,范围不断拓宽。本文提出了中国对非卫生合作的4个特点:对非卫生援助定义模糊;没有专门的对外援助机构;卫生项目多由中国和当地政府共同制定;政府的援助行为和私企在当地的行为互相影响,共同发挥重要作用。中非卫生合作面临着资源匹配和影响力问题。中国与刚果合作作为一个案例,为中非卫生合作提供了启示,为了更好的提升中非卫生合作的有效性,应该利用复杂体系的优势,更多的创新和融入当地社会,并避免复杂体系分散性与低效性的缺点,以保证中非卫生合作的多个参与方能形成有效平衡的共识机制。
過去幾十年,中國對非衛生援助規模不斷擴大,範圍不斷拓寬。本文提齣瞭中國對非衛生閤作的4箇特點:對非衛生援助定義模糊;沒有專門的對外援助機構;衛生項目多由中國和噹地政府共同製定;政府的援助行為和私企在噹地的行為互相影響,共同髮揮重要作用。中非衛生閤作麵臨著資源匹配和影響力問題。中國與剛果閤作作為一箇案例,為中非衛生閤作提供瞭啟示,為瞭更好的提升中非衛生閤作的有效性,應該利用複雜體繫的優勢,更多的創新和融入噹地社會,併避免複雜體繫分散性與低效性的缺點,以保證中非衛生閤作的多箇參與方能形成有效平衡的共識機製。
과거궤십년,중국대비위생원조규모불단확대,범위불단탁관。본문제출료중국대비위생합작적4개특점:대비위생원조정의모호;몰유전문적대외원조궤구;위생항목다유중국화당지정부공동제정;정부적원조행위화사기재당지적행위호상영향,공동발휘중요작용。중비위생합작면림착자원필배화영향력문제。중국여강과합작작위일개안례,위중비위생합작제공료계시,위료경호적제승중비위생합작적유효성,응해이용복잡체계적우세,경다적창신화융입당지사회,병피면복잡체계분산성여저효성적결점,이보증중비위생합작적다개삼여방능형성유효평형적공식궤제。
China’s relationship with Africa has gained worldwide attention, with substantial scale and wide range of investment and development assistance over the past decades. We argue in this paper that China-Africa health collaboration has four main characteristics:China has a vague definition of the Development Fund for Health;there is no single development agency within Chinese government; the Chinese government is very responsive to re-quests from local government and most of the health programs are co-developed by the two governments;and China's private investment in Africa merges into the field of public development and plays an important role. Thus, China-Af-rica health collaboration has two major problems:resource mismatch and restricted impact. The case of Congo shows that in order to increase the effectiveness of China-Africa health collaboration and to make better use of the advantages of a complex system, decision-makers need to consider the bottom-up innovation and integration with local systems when making policies. They also need to avoid a scattered structure and inefficiency brought about by a complex sys-tem in order to ensure balanced consensus-building mechanisms among all stakeholders in China-Africa health collab-oration.