何以“造血”?信息支持视角下健康贫困的演化逻辑与治理路径  

How to“Make Blood”?The Evolutionary Logic and Governance Path of Health Poverty from the Perspective of Information Support

作　　者：陈娟 孙琪[1] CHEN Juan;SUN Qi(School of Public Administration,South China University of Technology,Guangzhou 510006,Guangdong;School of Journalism and Communication,South China University of Technology,Guangzhou 510006,Guangdong;Guangdong Provincial Public Health Risk Monitoring and Information Communication Center,Guangzhou 510000,Guangdong)

机构地区：[1]华南理工大学公共管理学院,广东广州510000 [2]华南理工大学新闻与传播学院,广东广州510000 [3]广东省公众健康风险监测与信息传播中心,广东广州510000

出　　处：《陕西师范大学学报（哲学社会科学版）》2024年第3期123-135,共13页Journal of Shaanxi Normal University(Philosophy and Social Sciences Edition)

基　　金：国家社会科学基金重点项目“基于突发重大公共卫生事件治理的传播创新研究”(20AXW0032020)。

摘　　要：当下实存的健康治理理念与举措正面临着适配性危机。立足于精准扶贫全面决胜背景,我国已进入相对贫困治理时期,但现有研究仍拘囿于强调“输血”式为主的工具性支持,忽视了媒介化社会背景下信息支持的适时性与内生性。作为对“造血”式治理路径的探索,本研究以信息支持为视角,尝试剖释相对贫困人群健康贫困的演化逻辑及其阶段性矛盾,并提出信息赋能健康贫困治理的实践进路。研究认为,相对贫困人群可能因健康认知匮乏而诱发疾病威胁,并由于知识—行为差距再度返贫,而固有的健康信息回避倾向则会使其陷入新的滞贫危机。因此,有必要在致病前普及以“治未病”为主的预防性健康信息,增进健康认知;在致病后传递有效应对信息,提升自我效能;还应面向因病滞贫人群,加大其疾病致因接触,以降低个体脆弱性,通过专业的信息支持逐渐弥合不同群体间的健康不平等,最终实现健康贫困治理“关口前移”。The current existing health governance concepts and measures are facing a crisis of adaptability.Based on the background of the comprehensive victory in targeted poverty alleviation,China has entered a period of relative poverty governance.However,existing research is still limited to emphasizing instrumental support based on“blood transfusion”,and neglects the timeliness and endogeneity of information support in the context of the media society.As an exploration of the“hematopoietic”governance path,this study takes the perspective of information support to attempt to explain the evolutionary logic and phased contradictions of health poverty among relatively impoverished populations,and proposes a practical approach to information empowered health poverty governance.Research suggests that relatively poor populations may be threatened by disease due to a lack of health awareness,and may return to poverty again due to knowledge behavior gaps.The inherent tendency to avoid health information can lead them into a new crisis of poverty stagnation.Therefore,it is necessary to popularize preventive health information that focuses on“treating diseases before they occur”before the onset of illness,in order to enhance health awareness;Transmitting effective response information and enhancing self-efficacy after becoming ill;We should also target the impoverished population due to illness,increase their exposure to the causes of illness,in order to reduce individual vulnerability,gradually bridge the health inequality between different groups through professional information support,and ultimately achieve the“gateway forward”of health poverty governance.

关 键 词：信息支持 健康贫困 “造血”式治理 相对贫困人群 

分 类 号：C913[经济管理]