ISSN 1008-2204
CN 11-3979/C

突发公共卫生事件治理模式探索基于风险社会理论视角

Exploration of the Governance Model of Public Health Emergencies: From the Perspective of Risk Society Theory

  • 摘要: 突发公共卫生事件的暴发风险是现代理性极度扩张的产物,可以看作是人类迈向风险社会历程中现代性极度膨胀的副产品,在很大程度上意味着人类对自身风险认知的缺失或严重不足。风险社会已经成为国家治理亟须面对的新常态,现代风险的不确定性、整体性、平等性、自反性等特征,要求更多的治理主体协同共治。传统的突发公共卫生事件治理的“三层结构”仅仅聚焦于国家内部,割裂了政府与社会力量的协同配合,已经不能适应现代风险社会的特征。要克服“有组织的不负责”,突发公共卫生事件治理模式应向“三角结构”转变,逐步改变“政府预防”的传统模式,实现政府、社会组织、个人(社区)“协同预防”的三种治理能力联动发力的新型治理模式。

     

    Abstract: The outbreak risk of public health emergencies is the product of the extreme expansion of modern rationality, and can be regarded as the by-product of the extreme expansion of modernity in the course of human beings stepping into the risk society. This means, to a large extent, that human beings lack or seriously lack knowledge about their own risks. The risk society has become a new normal that national governance needs to face urgently, and the characteristics of modern risk, such as uncertainty, integrity, equality, and reflexivity, require more governance entities to cooperate and co-govern. The traditional “three-tier structure” of public health emergencies governance only focuses on the intra-state, and can no longer adapt to the modern risk society, for it separates the coordination between the government and social forces. To overcome the “organized irresponsibility”, the governance model of public health emergencies should be transformed into the “triangular structure”, and the traditional model of “government prevention” should be gradually changed to the new governance model of “coordinated prevention” by the three governance capacities of the government, social organizations, and individuals (communities).

     

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