相同威胁,不同应对:专家引导政治家和利益相关者制定2009年H1N1疫苗接种政策

SAME THREAT, DIFFERENT RESPONSES: EXPERTS STEERING POLITICIANS AND STAKEHOLDERS IN 2009 H1N1 VACCINATION POLICY‐MAKING

Public Administration · 2016
被引 85
ABS 4

中文导读

分析荷兰和丹麦面对2009年H1N1流感疫情时采取不同疫苗接种政策的原因,发现专家遵循的国家规范差异是主要解释因素。

Abstract

Why do similar countries facing the same threat respond differently? To throw light on this question, this article analyses Dutch and Danish vaccinations against the 2009 H1N1 ‘swine’ influenza pandemic (most‐similar cases with different outcomes). Policy‐making in the cases intersected the politics of crisis management (including risk management and disaster management), pharmaceuticals and epidemic response. Uncertainty and urgency were basic conditions and reduced the potential for evidence‐based policy. Public health specialists, elected leaders, and organizations in the economy and society contributed to each national response. Related literatures show that such decision‐making can turn on politicians' blame avoidance ( A1 ) or demonstrations of value to swing voters ( A2 ), stakeholders seeking gains (B), or experts following national standards (i.e. norms) for appropriate response (C). While each of these four logics is in evidence to some degree, differences in norms used by national experts advising their governments on pandemic responses best answer the question in the extant cases.

公共管理政治学公共卫生政策危机管理