Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Int J Health Policy Manag. 2017 Mar 1;6(3):165-168. doi: 10.15171/ijhpm.2016.113.
There were once again high expectations that a major global health event - the Ebola virus outbreak of 2014-2015 - would trigger meaningfully World Health Organization (WHO) reform and strengthen global health governance (GHG). Rather than a "turning point," however, the global community has gone back to business as usual. This has occurred against a backdrop of worldwide political turmoil, characterised by a growing rejection of existing political leaders and state-centric institutions. Debates about GHG so far have given insufficient attention to the need for institutional innovation. This entails rethinking the traditional bureaucratic model of postwar intergovernmental organizations which is disconnected from the transboundary, fast-paced nature of today's globalizing world.
人们曾一度对重大全球卫生事件——2014-2015 年埃博拉病毒爆发——抱有很高的期望,认为这将引发世界卫生组织(WHO)的重大改革,并加强全球卫生治理(GHG)。然而,全球社会并没有像人们所期望的那样进行“变革”,而是一切照旧。在这种情况下,全世界都陷入了政治动荡,人们越来越反对现有的政治领导人以及以国家为中心的机构。到目前为止,关于 GHG 的辩论还没有充分关注到制度创新的必要性。这需要重新思考传统的战后政府间组织官僚模式,这种模式与当今全球化世界的跨界、快节奏性质脱节。