| 引用本文：王安琪, 唐昌海, 王婉晨, 范成鑫, 尹文强.协同优势视角下突发公共卫生事件社区网格化治理研究[J].中国卫生政策研究,2021,14(7):26-31 |
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| 协同优势视角下突发公共卫生事件社区网格化治理研究 |
| 投稿时间：2021-05-28 修订日期：2021-07-10 PDF全文浏览 HTML全文浏览 |
| 王安琪1,3,4, 唐昌海1,3,4, 王婉晨1,3,4, 范成鑫2,3,4, 尹文强2,3,4 |
1. 潍坊医学院公共卫生学院 山东潍坊 261053;
2. 潍坊医学院管理学院 山东潍坊 261053;
3. "健康山东"重大社会风险预测与治理协同创新中心 山东潍坊 261053;
4. 健康风险预警治理协同创新中心 上海 200032 |
| 摘要:突发公共卫生事件对基层治理提出严峻挑战，为提高基层监测预警与响应处置能力，转变以往被动服务与静态管控、资源分散与主体单一的治理格局，社区网格化治理理念被提出。社区网格化治理强调服务理念共生、资源要素共享、多元主体共治的基层精细化协同治理，但在突发公共卫生事件基层协作过程中，仍存在多元主体的目标难以统一、"权力点"固化、成员结构模糊复杂、主体间信任缺失、领导力不足等"协同惰性"风险。利用协同优势理论的"反思性建构"逻辑，对社区网格化协同治理的困境机理进行分析，进而提出价值理念协同、制度体系协同、身份规范协同、考核标准协同、条块政社协同等消解路径，能够实现突发公共卫生事件基层精细化与协同化治理目标。 |
| 关键词:公共卫生 突发事件 网格化治理 协同优势 协同惰性 |
| 基金项目:山东省自然科学基金（ZR2019MG010） |
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| A study on community grid-based governance of public health emergencies from the perspective of collaborative advantage |
| WANG An-qi1,3,4, TANG Chang-hai1,3,4, WANG Wan-chen1,3,4, FAN Cheng-xin2,3,4, YIN Wen-qiang2,3,4 |
1. School of Public Health, Weifang Medical University, Weifang Shandong 261053, China;
2. School of Management, Weifang Medical University, Weifang Shandong 261053, China;
3. "Health Shandong" Serve Social Risk Prediction and Governance Synergy Innovation Center, Weifang Shandong 261053, China;
4. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, China |
| Abstract:As public health emergencies constitute serious challenges to the grassroots governance, the concept of community grid-based governance was put forward to improve grassroots monitoring, early warning and responses and to transform the previous governance model featured by passive services, static controls, scattered resources and single subjects. The community grid-based governance focuses on a refined and collaborative grassroots governance which combines multiple service concepts, shared resource elements and the co-governance by multiple subjects. However, when tackling public health emergencies, the grassroots collaboration is also in the risk of "collaborative intertia" including difficulties in unifying multiple subjects, inflexible administrative powers, confusing and complicated organizational structure, lack of trust among subjects and incompetent leadership. Based on the logic of "reflexive construction" in the collaborative advantage theory, this paper analyzes the dilemma mechanism of community grid-based collaborative governance causing such problems, and then provide relevant solutions which integrate the collaboration of values and concepts, systems and institutions, identity norms, assessment standards and the cooperation between local governments and communities, thus achieving a refined and collaborative grassroots governance to tackle public health emergencies. |
| Key words:Public health Emergency Grid-based governance Collaborative advantage Collaborative inertia |
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