China engages global health governance: processes and dilemmas.
Identifieur interne : 002B64 ( Main/Exploration ); précédent : 002B63; suivant : 002B65China engages global health governance: processes and dilemmas.
Auteurs : L H Chan [Australie] ; P K Lee ; G. ChanSource :
- Global public health [ 1744-1706 ] ; 2009.
Descripteurs français
- KwdFr :
- Administration de la santé publique, Animaux, Chine (épidémiologie), Coopération internationale, Flambées de maladies, Grippe chez les oiseaux (épidémiologie), Humains, Infections à VIH (épidémiologie), Oiseaux, Organisation mondiale de la santé, Prestations des soins de santé, Santé mondiale, Sous-type H5N1 du virus de la grippe A, Syndrome respiratoire aigu sévère (épidémiologie).
- MESH :
- épidémiologie : Chine, Grippe chez les oiseaux, Infections à VIH, Syndrome respiratoire aigu sévère.
- Administration de la santé publique, Animaux, Coopération internationale, Flambées de maladies, Humains, Oiseaux, Organisation mondiale de la santé, Prestations des soins de santé, Santé mondiale, Sous-type H5N1 du virus de la grippe A.
- Wicri :
- geographic : République populaire de Chine.
English descriptors
- KwdEn :
- Animals, Birds, China (epidemiology), Delivery of Health Care, Disease Outbreaks, Global Health, HIV Infections (epidemiology), Humans, Influenza A Virus, H5N1 Subtype, Influenza in Birds (epidemiology), International Cooperation, Public Health Administration, Severe Acute Respiratory Syndrome (epidemiology), World Health Organization.
- MESH :
- geographic , epidemiology : China.
- epidemiology : HIV Infections, Influenza in Birds, Severe Acute Respiratory Syndrome.
- Animals, Birds, Delivery of Health Care, Disease Outbreaks, Global Health, Humans, Influenza A Virus, H5N1 Subtype, International Cooperation, Public Health Administration, World Health Organization.
Abstract
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.
DOI: 10.1080/17441690701524471
PubMed: 19153928
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">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.</div>
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