突发公共卫生事件视阈下基层社区多元协同韧性治理研究  

Study on Multi-Collaborative Resilience Governance in Grassroots Communities from the Perspective of Public Health Emergencies

作　　者：黄心如 王昕[2] 陈雪 杨雯 Huang Xinru(School of Management,Xuzhou Medical University,Xuzhou,P.R.China)

机构地区：[1]徐州医科大学管理学院,江苏徐州221004 [2]中国医科大学 [3]徐州医科大学附属医院 [4]大连市卫生健康事业发展中心

出　　处：《中国卫生事业管理》2024年第7期730-735,753,共7页Chinese Health Service Management

基　　金：国家自然科学基金项目“医护人员非常规行为与工作结果之间的关系研究”(72202201);教育部人文社会科学研究青年项目“公共卫生危机视阈下基层社区韧性治理共同体建设与多元协同演化研究”(22YJC630040);江苏省社会科学基金项目“基于主体-资源-弹性的江苏公共卫生危机韧性治理能力评估与提升研究”(22GLC003);江苏高校哲学社会科学研究一般项目“我国尘肺病问题多元协同治理机制与引导政策研究”(2021SJA1071);徐州市社会科学基金项目“应急管理视阈下徐州基层社区治理机制与引导策略研究”(21XSZ-039);江苏省社科应用研究精品工程课题“江苏基层社区韧性治理共同体建设与多元协同演化研究”(21SYC-184);徐州医科大学优秀人才基金项目(D2020025)。

摘　　要：目的:对基层社区治理进行质性分析,为我国基层公共卫生治理相关理论提供理论参考,为我国推进国家治理体系和治理能力现代化的实践工作提供经验借鉴。方法:以突破社会公共事务难点的社区访谈文本作为基础,以个体和群体层面治理作为抓手,本研究结合深度访谈与焦点小组完成数据采集,基于扎根理论方法,运用MAXQDA2018质性分析工具对访谈资料进行三级编码,归纳总结社区在韧性治理过程中的关键影响因素,并借鉴Strauss的三阶段分析法,构建社区多元韧性系统整合分析框架。结果:基层社区应急管理中存在一个社区、物业、居民多元交互网络,通过信息整理、数据编码,最后归纳提取7个核心范畴,即影响社区公共卫生治理的7个维度影响因素类属:突发事件刺激、个体韧性、社区韧性、关系特征、异质性特征、风险特征、道德准则。各类突发因素耦合重叠,对加强和创新社会治理提出了新要求。结论:从社区治理行动主体三方视角构建多元协同治理体系、社区治理主体协同平台、风险与异质性特征的调节,有利于改进社区应急管理提升路径,进一步完善社区常态化公共卫生治理机制。Objective To conduct qualitative analysis of grassroots community governance,provide theoretical reference for grassroots public health governance in China,and provide empirical reference for the practice of promoting the modernization of national governance system and governance capacity in China.Methods Based on the community interview text which breaks through the difficulties of social public affairs,data were collected by combining in-depth interviews with focus group.Based on the grounded theory method,by using the MAXQDA 2018 qualitative analysis tool,three-level coding was conducted on the interview data to summarize the key influencing factors in the resilience governance process of the community.By using Strausss three-stage analysis method,a community-based resilience system integration analysis framework was constructed to analyze the resilience community construction.Results There is a multi-dimensional interactive network among communities,property management,and residents in emergency management at the grassroots level.Through information collation and data coding,seven core categories were extracted,namely,seven dimensional affecting community public health governance,which were emergency stimulus,individual resilience,community resilience,relationship characteristics,heterogeneity characteristics,risk characteristics,and ethical norms.Coupling and overlapping of various emergency factors have put forward new requirements for strengthening and innovating social governance.Conclusion It is suggested to construct a multi-dimensional collaborative governance system from the perspective of three parties involved in community governance actions,construct a collaborative platform for community governance subjects,and regulate risk and heterogeneity characteristics,which are conducive to improving the path of community emergency management and further perfecting the mechanism of regular public health governance in the community.

关 键 词：突发公共卫生事件 社区 多元协同 韧性治理 

分 类 号：R193.2[医药卫生—卫生事业管理]