引用本文:钱熠, 王伟, 张明吉, 郭敏璐, 王泳仪, 严非, 侯志远.非政府组织在全球健康治理中的作用研究[J].中国卫生政策研究,2016,9(11):5-10 |
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非政府组织在全球健康治理中的作用研究 |
投稿时间:2016-05-30 修订日期:2016-09-06 PDF全文浏览 HTML全文浏览 |
钱熠, 王伟, 张明吉, 郭敏璐, 王泳仪, 严非, 侯志远 |
复旦大学公共卫生学院 卫生部卫生技术评估重点实验室 国民健康社会风险预警协同创新中心 上海 200032 |
摘要:全球健康体系正在经历变革和更新,从而带来全球健康参与者的重大转变。非政府组织(Non-governmental organization,NGO)作为全球健康体系中的一个关键参与者和决策者,具有全球健康治理的丰富经验,可以为中国参与全球健康决策与治理提供系统性的经验。本文旨在研究NGO在全球健康领域中的作用。结果发现,NGO在全球健康领域中的作用可以总结为四个方面:倡导、实施、支持和社区动员,但同时NGO也会给全球健康治理带来一些潜在的风险,如某些NGO所代表的国外组织或政府的利益和本国利益产生冲突;NGO组织可能会吸引当地卫生官员和技术人员加入,从而削弱了本国卫生人力和卫生体系;捐助者驱动的资助模式可能不能完全用于国家健康需要的优先领域。中国和中国NGO在借鉴经验的同时,也要合理规避这些风险。 |
关键词:非政府组织 全球健康 治理 |
基金项目:英国国际发展部资助的中英全球卫生支持项目(GHSP-CS-OP3) |
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Study on the roles of NGOs in global health |
QIAN Yi, WANG Wei, ZHANG Ming-ji, GUO Min-lu, WANG Yong-yi, YAN Fei, HOU Zhi-yuan |
School of Public Health, Fudan University, National Key Laboratory of Health Technology Assessment(Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, China |
Abstract:The global health system is undergoing dramatic reforms, which would further bring about significant changes in key global health stakeholders. As a key actor and decision maker in global health system, NGO owns extensive experiences in global health governance and can provide a systematic experience for China's participation in global health decision-making as a reference model. This paper aimed at studying the roles of NGOs in the field of global health, the roles which can be summarized in four aspects of advocacy, implementation, support, and community mobilization. In addition, NGOs also developed some potential risks and unexpected impacts on global health governance. As represented by some typical examples, there occurred conflicts of interests between some NGOs and the local governments. A number of local health systems suffered from a considerable brain drain of health personnel to NGOs, especially the health officials and technical staff, which weakened the country's health workforce and system. The financing model driven by external donors could weaken the influences and capacity of local governments on health planning. As a key member involved in global health, we that suggested China and Chinese NGOs should strategically and rationally borrow their experiences and try to avoid these risks. |
Key words:Non-governmental organization Global health Governance |
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