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引用本文:尹慧,李福建.亚太经合组织卫生合作机制的演进、治理特征与展望[J].中国卫生政策研究,2026,19(5):57-66
亚太经合组织卫生合作机制的演进、治理特征与展望
投稿时间:2026-03-13  修订日期:2026-05-03  PDF全文浏览  HTML全文浏览
尹慧1,2,3,李福建3,4
1北京大学公共卫生学院 北京 100191;2北京大学全球卫生研究院 北京 100191;3外交学院全球生物安全治理研究中心 北京 100037;4外交学院亚洲研究所 北京 100037
摘要:亚太经合组织卫生合作基于非约束性、项目化和共识导向的制度框架逐步发展。在中方担任2026年轮值主席的背景下,本文系统分析了卫生工作组的机制演进与战略重点,特别是卫生任务组向卫生工作组的机制转型、职权范围与战略框架的历时变化,以及成员经济体通过轮值主席、议程设置、项目合作参与区域卫生治理的方式。通过对142个亚太经合组织卫生项目数据的实证分析,本研究发现亚太经合组织卫生合作以项目驱动为核心,合作领域逐步扩展至传染病防控、卫生系统建设、非传染性疾病、数字健康等多个领域,合作网络呈现项目驱动的多行为体协同。制度优势在于将卫生议题嵌入经济合作框架,通过政策对话与能力建设促进区域经验扩散与共识形成,同时也以包容性与灵活性弥补了成员经济体之间的差异,推动了区域卫生治理的多层次合作。未来卫生工作组可在全球卫生治理、卫生产品可及性、跨机制协同等方向深化合作,以应对日益复杂的区域卫生挑战。
关键词:亚太经合组织  卫生工作组  区域卫生合作  全球卫生治理
基金项目:北京大学中文作者简介:跨文化全球卫生外交项目(251417)
Health cooperation institution within APEC: Evolution, governance features, and future directions
YIN Hui1,2,3, LI Fu-jian3,4
1School of Public Health, Peking University, Beijing 100191, China;2Institute of Global Health, Peking University, Beijing 100191, China;3Center for Global Biosecurity Governance, China Foreign Affairs University, Beijing 100037, China;4Institute of Asian Studies, China Foreign Affairs University, Beijing 100037, China
Abstract:Health cooperation within the Asia-Pacific Economic Cooperation has evolved within an institutional framework characterized by non-binding commitments, project-based implementation, and consensus-based decision-making. In the context of China's chairmanship of APEC in 2026, this study systematically examines the institutional evolution and strategic priorities of the Health Working Group, with attention to the transition from the Health Task Force to the HWG, the historical development of its mandate and strategic framework, and the ways in which member economies participate in regional health governance through chairmanship, agenda-setting, and project-based cooperation. Drawing on an original dataset of 142 APEC health projects, the study finds that APEC health cooperation is fundamentally project-driven, with cooperation areas expanding from communicable disease control to health systems strengthening, non-communicable diseases, and digital health. The collaboration network demonstrates a project-based, multi-actor coordination pattern. The institutional strength of APEC health cooperation lies in embedding health issues within an economic cooperation framework, facilitating the diffusion of policy experience and the formation of consensus through policy dialogue and capacity building. At the same time, its inclusiveness and flexibility help accommodate disparities among member economies and support a multi-layered model of regional health governance. Looking ahead, the Health Working Group may further advance cooperation in areas such as global health governance, access to health products, and cross-mechanism coordination, in order to address increasingly complex regional health challenges.
Key words:Asia-Pacific Economic Cooperation  Health working group  Regional health cooperation  Global health governance
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