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中国公共卫生危机的社区韧性治理。

Community Resilience Governance on Public Health Crisis in China.

机构信息

School of Public Policy & Management (School of Emergency Management), China University of Mining and Technology, Xuzhou 221116, China.

出版信息

Int J Environ Res Public Health. 2021 Feb 22;18(4):2123. doi: 10.3390/ijerph18042123.

Abstract

The COVID-19 pandemic has immensely affected economic and social order in not only China but the entire world, seriously threatening peoples' lives and property. In China's fight against COVID-19, the community is at the front line of joint prevention and control of the disease, yet it faces the problem of insufficient resilience. We explored the manifestations and formation mechanism of the problem of insufficient resilience in community public health crisis governance, based on the complex adaptive system theory, which emphasizes interaction among subjects and between subjects and the environment to improve the adaptability to the environment. Questionnaires and in-depth interviews were conducted in 28 counties (districts) of 14 cities of 7 provinces in China; 2345 questionnaires and 71 interview data were collected, and we conducted descriptive statistical analysis on questionnaire data. It is found that some communities faced insufficient resilience problems such as "simply isolating households and communities", "blindly setting limits", "layer-by-layer law", and "rejecting and repelling all individuals from or even related to Hubei". These problems are due to the fact that the community have a non-interactive relationship, which is a one-dimensional linear governance model to some extent. The legal content of the building of a "comprehensive disaster-reduction demonstration community" implemented by the Chinese government is compelled to stay at the level of system design to some extent, with its existence playing an ornamental role but lacking a substantial one. In this regard, this study suggests that a resilient governance model of community pluralistic cooperation be established based on the theoretical framework of complex adaptive system. This model is designed to increase the resilience of community public health crisis governance. The authoritative role of central and local policies is expected to be truly developed and played in dealing with the grassroots community public health crisis.

摘要

新冠疫情不仅对中国,而且对全球的经济和社会秩序都产生了巨大影响,严重威胁着人们的生命和财产安全。在中国抗击新冠疫情的过程中,社区是疫情联防联控的第一线,但存在韧性不足的问题。本研究基于复杂适应系统理论,该理论强调主体间以及主体与环境间的相互作用,以提高对环境的适应能力,探讨社区公共卫生危机治理中韧性不足问题的表现及其形成机制。本研究在中国 7 个省的 14 个城市的 28 个县(区)开展问卷调查和深入访谈,共收集到 2345 份问卷和 71 份访谈资料,对问卷数据进行描述性统计分析。结果发现,部分社区存在“简单化隔离封控”“盲目设限”“层层加码”“排斥乃至歧视一切来自或与湖北相关的个人”等韧性不足问题。这些问题的产生是由于社区之间存在非互动关系,在一定程度上是一种单向线性治理模式。中国政府推行的“综合减灾示范社区”建设的法律内容在一定程度上被迫停留在制度设计层面,其存在更多地发挥了装饰作用,而缺乏实质性作用。对此,本研究建议构建社区多元合作的韧性治理模式,以提高社区公共卫生危机治理的韧性。在应对基层社区公共卫生危机时,有望真正发挥中央和地方政策的权威性作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04aa/7926474/23e615c18090/ijerph-18-02123-g001.jpg

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本文引用的文献

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Ritualized Law and Livelihood Fragility of Left-Behind Women in Rural China.
Int J Environ Res Public Health. 2020 Jun 17;17(12):4323. doi: 10.3390/ijerph17124323.
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Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness.
Am J Community Psychol. 2008 Mar;41(1-2):127-50. doi: 10.1007/s10464-007-9156-6.

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