The Study of the Process of Public Health Institution Change in Beijing from 1905 to 1937

本文以1905-1937年间北京公共卫生制度变迁为具体个案,将其分为移植、扩散和转化三个阶段。通过对三个阶段的行动者、制度逻辑和制度环境的分析,揭示出近代中国制度变迁是一个复杂多变的过程,既是由上而下的强制性变迁与由下而上的诱致性变迁相结合的产物,也是受内外因素影响的渐变过程。但由于未能解决好嵌入性问题,公共卫生制度仅仅凸显出国家管理的特性,未能真正达成有效的卫生治理。

This article examines the process of public health institution changes in Beijing from 1905 to 1937. The process is divided into three different stages: transplant, diffusion and transformation. Each stage is analyzed by the factors of actor, institutional logic and system environment. The article reveals that the process of institution change in modern China was complex and uncertain, which was not only the product of the imperative transition from top to bottom, but also the result of the induced transition from bottom to top. Moreover, it was a gradual process of transformation influenced by both the inside and outside factors. Nevertheless t because the problem of imbeddedness had never been properly solved, the public health institution had just highlighted the characteristic of authority other than governance. 

杜丽红

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