公共危机与卫生创新采纳变化——以互联网医院为例  

Public Crisis and Dynamics of Adoption of Health Innovation-A Case Study of Internet Hospital

作　　者：丁淑娟 朱亚鹏[2,3] Ding Shujuan;Zhu Yapeng(School of Law and Social Work(School of Intellectual Property),Dongguan University of Technology,Dongguan 523106;the Center for Chinese Public Administration Research and Professor at School of Government,Sun Yat-Sen University,Guangzhou 510275)

机构地区：[1]东莞理工学院法律与社会工作学院(知识产权学院),东莞523106 [2]中山大学中国公共管理研究中心,广州510275 [3]中山大学政治与公共事务管理学院,广州510275

出　　处：《中国行政管理》2021年第11期85-92,共8页Chinese Public Administration

基　　金：国家社科基金重大项目“健全充分发挥中央和地方两个积极性体制优势的实现机制研究”(编号:20ZDA042);东莞理工学院法治与基层社会治理研究团队项目(编号:TDZD2019010)。

摘　　要：既有研究较多探讨常态政府管理情境下医疗卫生等政策创新扩散,但公共危机如何影响卫生创新的采纳还鲜有人关注。本研究通过考察新冠肺炎疫情发生前后互联网医院采纳过程,着重分析公共危机对卫生创新采纳的影响。在没有中央政府明确干预的情况下,地方对卫生创新的采纳主要是基于城市内部特征,内生性因素决定了卫生创新的采纳,推动自发性的横向扩散。当2018年中央明确定调支持互联网医院后,纵向命令机制和横向学习机制共同影响地方对创新的采纳过程。然而,2020年疫情爆发后在中央高位推动的政治压力和创新属性的影响下,地方政府快速地推广互联网医院。因此,重大公共危机会"中断"创新原有相对稳定的渐进采纳过程,推动卫生创新爆发式采纳与推广;比较优势这种创新属性同时影响采纳速度和方式。本研究丰富了我国危机情境下政府创新采纳、扩散的相关讨论,对优化卫生治理创新的推广应用也具有实践意义。Existing studies mainly discuss the diffusion of policy innovation such as health policy under the context of commom government administration,but how public crisis affects the adoption of health innovation is rarely paid attention to.This paper studies the impact of public crisis on health innovation adoption based on the analysis of the adoption dynamics of internet hospitals before and after the COVID-19 crisis.In the absence of explicit intervention from the central government,local-level adoption was mainly based on the internal factors leading to the horizontal diffusion.After the central government has clearly shown its support for internet hospitals in 2018,the vertical mandatory and the horizontal learning mechanisms jointly have influenced the gradual adoption process of innovation.However,after the outbreak of the COVID-19 crisis shock in 2020 local governments quickly promoted internet hospitals’ adoption driven by political pressure from central government and innovation’s relative advantage.Therefore,a critical exogenous crisis shock will “punctuate” the original incremental innovation adoption model and lead to rapid adoption of health innovation in diffusion dynamics.The innovation attribute of relative advantage has positively affected adoption speed as well as its model.This study enriches the discussion on the adoption and diffusion of government innovation in the context of public health crisis in China,and has practical implications for the application and dissemination of health innovation.

关 键 词：公共危机 创新采纳 互联网医院 创新属性 

分 类 号：D035[政治法律—政治学]