China engages global health governance: Processes and dilemmas

被引:44
作者
Chan, L. H. [1 ]
Lee, P. K. [2 ]
Chan, G. [3 ]
机构
[1] Griffith Univ, Brisbane, Qld 4111, Australia
[2] Univ Kent, Rutherford Coll, Canterbury CT2 7NZ, Kent, England
[3] Univ Durham, Sch Govt & Int Affairs, Durham DH1 3HP, England
关键词
China; infectious diseases; global health governance; WHO; sovereignty; PUBLIC-HEALTH; HIV/AIDS; SECURITY; AIDS;
D O I
10.1080/17441690701524471
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Using HIV/AIDS, Severe Acute Respiratory Syndrome ( SARS), and avian influenza as case studies, this paper discusses the processes and dilemmas of China's participation in health governance, both at the domestic level and the global level. Globalization has eroded the boundary between public and private health and between domestic and global health governance. In addition, the SARS outbreak of 2002-2003 focused global attention on China's public health. As a rising power with the largest population on earth, China is expected by the international community to play a better and more active role in health management. Since the turn of this century, China has increasingly embraced multilateralism in health governance. This paper argues that China's multilateral cooperation is driven by both necessity and conscious design. International concerns about good governance and its aspiration to become a 'responsible' state have exerted a normative effect on China to change tack. Its interactions with United Nations agencies have triggered a learning process for China to securitize the spread of infectious diseases as a security threat. Conversely, China has utilized multilateralism to gain access to international resources and technical assistance. It is still a matter of debate whether China's cooperative engagement with global health governance can endure, because of the persistent problems of withholding information on disease outbreaks and because of its insistence on the Westphalian notion of sovereignty.
引用
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页码:1 / 30
页数:30
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