Department of Sociology, The City College of New York (CCNY/CUNY), New York, NY 10031, USA.
Sociol Health Illn. 2013 Feb;35(2):255-67. doi: 10.1111/j.1467-9566.2012.01496.x. Epub 2012 Aug 29.
This article examines New York City's response to the 2009 H1N1 pandemic in the context of the post-9/11 US security regime. While the federal level 'all-hazards' approach made for greater depth of support, it also generated unrealistic assumptions at odds with an effective local response. The combination of structurally induced opportunity and actor specific strengths (size, expertise) made for effective local governance by the New York City Department of Health and Mental Hygiene. By underlining the importance of locality as a first line of defence and linking defence function to policy initiative in regard to health governance, this study illustrates the continuing relevance of Weber's insight into the institutional structure of the city.
本文考察了纽约市在后 9/11 时代美国安全机制背景下对 2009 年 H1N1 大流行的应对措施。虽然联邦层面的“全灾害”方法提供了更深入的支持，但也产生了与有效地方应对措施不一致的不切实际的假设。结构性机会的结合和特定行动者的优势（规模、专业知识）使纽约市卫生局能够进行有效的地方治理。通过强调地方作为第一道防线的重要性，并将防御功能与卫生治理方面的政策倡议联系起来，本研究说明了韦伯对城市制度结构的洞察力在健康治理方面的持续相关性。
