Institute of Development Studies, Library Road, Brighton, BN1 9RE, UK.
Global Health. 2020 May 1;16(1):39. doi: 10.1186/s12992-020-00569-0.
Recent years have seen a rapid change in China's global engagement and a recognition that solving global challenges will need to take the changing role of China into account. The paper discusses China's growing involvement in global health. Health is an area where there is broad agreement over global priorities and, potentially, a fertile space to build new forms of collaboration that point the way towards the adaptation of global governance to a rapidly changing context.
Drawing on previous analyses of China's management of change in its domestic health reforms and interviews with a range of stakeholders in China, the UK and Switzerland, the paper argues that China's engagement in global health is developing and diversifying rapidly in response to the central government's desire to see a greater role for China in global health. This diversification is part of a pattern of change management familiar from China's domestic reform experience. Explorations underway by a range of Chinese agencies form part of a process of rapid experimentation and experiential learning that are informing China's search for (a) new global role(s).
China is undergoing rapid institutional innovation and developing capacity for greater global engagement, including in health; however, substantial, recent leadership commitments make clear Chinese agencies' need for continued exploration, innovation and rapid learning. How China engages globally is of significance to the world, not just China. The challenge for China, other global actors and multilateral organisations is to incorporate new approaches into existing global governance arrangements, including for the management of global health. This will require a willingness on all sides to learn from each other and invest the effort needed to build governance arrangements appropriate for the coming decades. This is not only important as a means of protecting global public health, but also as a demonstration of how governance arrangements can be adapted to the needs of a pluralistic global order in a context of rapid change.
近年来，中国在全球事务中的参与度迅速提升，人们认识到，解决全球性挑战需要考虑中国角色的变化。本文探讨了中国在全球卫生领域不断增强的参与度。卫生领域是全球各国优先事项广泛一致的领域，有可能为建立新的合作形式提供肥沃土壤，为适应迅速变化的全球环境、调整全球治理指明方向。
本文借鉴了中国国内卫生改革管理变化的前期分析以及对中、英、瑞三方利益攸关方的访谈，认为中国在全球卫生领域的参与正在迅速发展和多样化，这是中国政府希望在全球卫生领域发挥更大作用的结果。这种多样化是中国国内改革经验中熟悉的变革管理模式的一部分。中国各机构正在进行的探索是快速试验和经验学习过程的一部分，这为中国寻找（新的）全球角色提供了信息。
中国正在进行快速的体制创新，增强其全球参与能力，包括在卫生领域；然而，最近领导层的大力承诺明确表明，中国各机构需要继续探索、创新和快速学习。中国如何在全球范围内开展合作，不仅对中国，而且对世界都具有重要意义。中国、其他全球行为体和多边组织面临的挑战是将新方法纳入现有全球治理安排，包括全球卫生治理安排。这需要各方愿意相互学习，并投入必要的努力，建立适合未来几十年的治理安排。这不仅是保护全球公共卫生的重要手段，也是如何在快速变化的背景下，使治理安排适应多元化全球秩序需求的一个范例。
