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近期人们普遍关注国际卫生机构适应全球卫生环境变化和各国需求的能力,但很少研究采用路径依赖和制度变迁等制度理论来分析世界卫生组织与抗击艾滋病、结核病和疟疾的全球基金为何没有很好地适应这一变化,而世界银行和联合国艾滋病规划署却可以很好地完成转变。本文认为这些制度理论可以帮助我们更好地理解国际卫生机构在适应国际环境变化方面存在的差异,同时提出了当前政策研究和分析的一些新领域。
Recently, there is widespread concern about the ability of international health agencies to adapt to changes in the global health environment and the needs of various countries. However, few studies have investigated the use of institutional theories such as path dependence and institutional changes to analyze the failure of the World Health Organization and the Global Fund to Fight AIDS, Tuberculosis and Malaria In keeping with this change, the World Bank and UNAIDS are well on the way to making the transition. This paper argues that these institutional theories can help us to better understand the differences of international health agencies in adapting to changes in the international environment and at the same time propose some new areas for current policy research and analysis.