Abstract
Public health crises are the “touchstone” to test the ability of national public health crisis governance. The public health crisis in the new era presents new characteristics: systematic, cross-border and uncertainty. The governance dilemma of a public health crisis generally emphasizes the joint participation and communication of different subjects, which is suspected of overlapping and redundancy, and lacks the auxiliary support of major public health crisis events. It dispels the significance of government-level cooperation. The essence of the public health crisis governance system is the chain law of stimulus–response. In combination with COVID-19 development in China, we track down the main reasons for the temporary disruption and the government’s response to this major public health crisis. We mainly examine the tension between the centralization of power in China’s governance structure and the effectiveness of local governance, and the control of local governments in information disclosure. The response to a public health crisis and the optimization of a decision-making mechanism should build tension between the centralization of power and effectiveness of local governance. It is suggested that government should disclose and share information to the public timely and pay more attention to the core value of order in crisis management.
Highlights
The world is facing a great change that has not happened in a century
We mainly examine the tension between the centralization of power in China’s governance structure and the effectiveness of local governance, and the control of local governments in information disclosure
The occurrence of a public health crisis can be divided into natural causes and man-made causes, while most public crises are the process of interaction between human causes and natural causes, such as earthquakes, floods, fires, explosions, meteorological disasters, geological disasters, major traffic accidents, terrorist attacks and infectious disease disasters [19]
Summary
The world is facing a great change that has not happened in a century. The lack of global governance resources calls for diversified national governance practices and experience sharing [1,2]. National governance systems and governance capacity are reflected in the regular governance activities, and reflected in the response level when encountering a major public health crisis [3,4]. From normal governance to response to abnormal public health crisis events, the governance system and governance capacity have undergone process evolution in time series, especially in major public health crisis events [5,6]. It can be seen that in the new era, the research on the response to public health crises and the optimization of decision-making mechanisms are practical problems worthy of attention, which play an important and positive role in further preventing and resolving social risks [9,10]. Reviewing the COVID-19 prevention and control and government-level collaboration process in China is conducive to the optimization of public health crisis response and decision-making mechanisms
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