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行政国家能力决定因素对可持续医疗保健的影响。

Impact of administrative state capacity determinants on sustainable healthcare.

作者信息

Abbas Hafiz Syed Mohsin, Xu Xiaodong, Sun Chunxia, Abbas Sadia

机构信息

College of Public Administration, Huazhong University of Science and Technology (HUST-Main Campus), Wuhan, 430074, Hubei, China.

School of Education, Huazhong University of Science and Technology (HUST-Main Campus), Wuhan, 430074, Hubei, China.

出版信息

Heliyon. 2023 Jul 14;9(7):e18273. doi: 10.1016/j.heliyon.2023.e18273. eCollection 2023 Jul.

DOI:10.1016/j.heliyon.2023.e18273
PMID:37539303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10395479/
Abstract

Public administration implements government policies through prudent administrative practices and state capacity. Based on Asia's political and administrative proficiency and paradox, this study explores the administrative state capacity determinants-bureaucratic quality (BQ) and military in politics (MP)-and their interaction with sustainable public health quality (PHQ) in Asia from 2006 to 2020. With its focus on the scenario and Asian state administrative issues, Goal 04: Health and Well-being of Sustainable Development Goals has been the core aspect of state capacity and sustainable development. Applying the generalized method of moments (GMM) econometric estimation, the study finds that the high risk of poor BQ due to political pressures and policy inconsistency has significantly and negatively impacted PHQ in Asia. In contrast, by overtaking the administration, a high degree of MP and military dominancy has been a progressive force for PHQ in Asia. The interaction of BQ and MP negatively affects the state's social development due to conflict of interest and shredding policy outcomes. This is the first study that deals with the nexus between sustainable development and administrative state capacity determinants of Asia's public sector. The paper finds that an effective and prudent administrative collaboration and expertise-sharing between the bureaucracy and the military accelerates sustainable healthcare in Asia. Furthermore, the study believes that a healthy institutional collaboration will help overcome the development loopholes in Asia, promote PHQ, and accelerate regional development.

摘要

公共行政通过审慎的行政实践和国家能力来实施政府政策。基于亚洲的政治和行政能力及悖论,本研究探讨了2006年至2020年期间亚洲行政国家能力的决定因素——官僚素质(BQ)和政治中的军事因素(MP),以及它们与可持续公共卫生质量(PHQ)的相互作用。鉴于其关注亚洲的情况和国家行政问题,可持续发展目标的目标4:健康与福祉一直是国家能力和可持续发展的核心方面。运用广义矩估计(GMM)计量经济学估计方法,研究发现,由于政治压力和政策不一致导致的官僚素质低下的高风险,对亚洲的公共卫生质量产生了显著的负面影响。相比之下,通过超越行政管理,高度的政治中的军事因素和军事主导地位一直是亚洲公共卫生质量的一股进步力量。由于利益冲突和政策结果的碎片化,官僚素质和政治中的军事因素的相互作用对国家的社会发展产生了负面影响。这是第一项探讨亚洲公共部门可持续发展与行政国家能力决定因素之间关系的研究。该论文发现,官僚机构与军队之间有效且审慎的行政协作和专业知识共享能够加速亚洲的可持续医疗保健。此外,该研究认为,健康的机构协作将有助于克服亚洲的发展漏洞,促进公共卫生质量,并加速区域发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8445/10395479/1df7a9aee5f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8445/10395479/1df7a9aee5f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8445/10395479/1df7a9aee5f5/gr1.jpg

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