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題名 從兄弟到夥伴:中國對非洲醫療援助的變遷
From Brotherhood to Partnership: The Evolution of China’s Medical Aid to Africa
作者 許媁淳
Hsu, Wei-Chun
貢獻者 劉曉鵬
Liu, Hsiao-Pong
許媁淳
Hsu, Wei-Chun
關鍵詞 中國對外援助
醫療援助
夥伴關係
中非醫藥合作
醫藥投資貿易
China Foreign Aid
Medical Aid
China-Africa Partnership
China-Africa Medical Cooperation
Pharmaceutical Trade and Investment
日期 2023
摘要 在對外關係的實務上,各國將醫療援助視為實踐外交政策與提升軟實力的重要手段已是不爭的事實。本文以中國實施改革開放為分界點,探討在1980年代前後,中國分別依據何種考量而對非洲提供醫療援助,並將非洲民眾的態度進行比對。爬梳歷史脈絡,發現中非醫療援助經歷了「以文帶醫、以醫促藥、以藥興商」的轉型,在1980年代以前,中國以社會主義兄弟相稱並以意識形態為基礎而對非洲提供無償醫療援助,隨著實施改革開放與對外援助改革,則更側重雙邊合作關係下所發揮的經濟作用,如促進中非醫藥貿易的發展與拓展中國醫藥製造商「走出去」的海外新市場等,欲達成興盛醫藥產業的目的。 此外,本文也觀察到原先透過國家援助計畫而派至非洲的中國醫生,由於薪資差異與醫病關係等因素而逐漸地衍生出個人至非洲經營私人診所的現象,屬於微觀層面的個體行為之演變。 醫療援助與經貿結合的途徑帶來經濟利益,然而,將具有人道精神的醫療援助用以實現商業利益的做法不可避免地也會帶來許多負面觀感,將之對比過去醫療援助為中國帶來正面形象且贏得非洲人民的感謝,此種態度轉變導致中國利用醫療援助提升軟實力的觀點有待商榷。
Medical aid is not only a policy but also an important means for promoting soft power. This article analyzes why did China provide medical aid to Africa before and after the 1980s, as well as studies African attitude towards this Chinese medical aid. Before the 1980s, China provided gratuitous medical aid to Africa based on socialist brotherhood and ideology. Since the beginning of the economic reform, new foreign aid strategies focused more on business interests resulted from humanitarian projects, such as bilateral trade in medical products and overseas market exploration for Chinese pharmaceutical manufacturer, to achieve the goal of pharmaceutical industry`s prosperity. Besides, this article also discusses micro changes of the individual behavior. Chinese doctors, who used to be dispatched to Africa through the state’s medical aid program, have gradually developed a phenomenon, in which they began to operate private clinics in Africa due to salary differences and doctor-patient relationships. The combination of medical aid, trade and investment bring economic benefits. However, the use of medical aid to realize commercial benefits will inevitably bring many negative perceptions. In comparison to medical teams that had brought a positive image to China and won the gratitude of the African people in the past, this change in attitude has become challenges to China`s expectation of making medical aid as a soft power.
描述 碩士
國立政治大學
國家發展研究所
106261003
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0106261003
資料類型 thesis
dc.contributor.advisor 劉曉鵬zh_TW
dc.contributor.advisor Liu, Hsiao-Pongen_US
dc.contributor.author (Authors) 許媁淳zh_TW
dc.contributor.author (Authors) Hsu, Wei-Chunen_US
dc.creator (作者) 許媁淳zh_TW
dc.creator (作者) Hsu, Wei-Chunen_US
dc.date (日期) 2023en_US
dc.identifier (Other Identifiers) G0106261003en_US
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 國家發展研究所zh_TW
dc.description (描述) 106261003zh_TW
dc.description.abstract (摘要) 在對外關係的實務上,各國將醫療援助視為實踐外交政策與提升軟實力的重要手段已是不爭的事實。本文以中國實施改革開放為分界點,探討在1980年代前後,中國分別依據何種考量而對非洲提供醫療援助,並將非洲民眾的態度進行比對。爬梳歷史脈絡,發現中非醫療援助經歷了「以文帶醫、以醫促藥、以藥興商」的轉型,在1980年代以前,中國以社會主義兄弟相稱並以意識形態為基礎而對非洲提供無償醫療援助,隨著實施改革開放與對外援助改革,則更側重雙邊合作關係下所發揮的經濟作用,如促進中非醫藥貿易的發展與拓展中國醫藥製造商「走出去」的海外新市場等,欲達成興盛醫藥產業的目的。 此外,本文也觀察到原先透過國家援助計畫而派至非洲的中國醫生,由於薪資差異與醫病關係等因素而逐漸地衍生出個人至非洲經營私人診所的現象,屬於微觀層面的個體行為之演變。 醫療援助與經貿結合的途徑帶來經濟利益,然而,將具有人道精神的醫療援助用以實現商業利益的做法不可避免地也會帶來許多負面觀感,將之對比過去醫療援助為中國帶來正面形象且贏得非洲人民的感謝,此種態度轉變導致中國利用醫療援助提升軟實力的觀點有待商榷。zh_TW
dc.description.abstract (摘要) Medical aid is not only a policy but also an important means for promoting soft power. This article analyzes why did China provide medical aid to Africa before and after the 1980s, as well as studies African attitude towards this Chinese medical aid. Before the 1980s, China provided gratuitous medical aid to Africa based on socialist brotherhood and ideology. Since the beginning of the economic reform, new foreign aid strategies focused more on business interests resulted from humanitarian projects, such as bilateral trade in medical products and overseas market exploration for Chinese pharmaceutical manufacturer, to achieve the goal of pharmaceutical industry`s prosperity. Besides, this article also discusses micro changes of the individual behavior. Chinese doctors, who used to be dispatched to Africa through the state’s medical aid program, have gradually developed a phenomenon, in which they began to operate private clinics in Africa due to salary differences and doctor-patient relationships. The combination of medical aid, trade and investment bring economic benefits. However, the use of medical aid to realize commercial benefits will inevitably bring many negative perceptions. In comparison to medical teams that had brought a positive image to China and won the gratitude of the African people in the past, this change in attitude has become challenges to China`s expectation of making medical aid as a soft power.en_US
dc.description.tableofcontents 第一章 緒論 1 第一節 研究背景與動機 1 第二節 文獻回顧 5 第三節 問題意識與研究問題 17 第四節 研究方法與章節安排 19 第二章 改革開放以前中國對非洲醫療援助 23 第一節 社會主義兄弟:醫療援助的背景與政策 23 第二節 醫療援助的內容與執行情形 37 第三章 中國改革開放以來中非醫藥合作 55 第一節 有給有取:援助到合作的背景與政策 55 第二節 中非醫藥合作的機制與現況 76 第三節 回顧合作成果 104 第四章 中非醫藥合作的挑戰 107 第一節 主要制約因素 107 第二節 當地媒體負面報導 115 第三節 回顧主要挑戰 125 第五章 結論 127 參考文獻 132 附錄 164zh_TW
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0106261003en_US
dc.subject (關鍵詞) 中國對外援助zh_TW
dc.subject (關鍵詞) 醫療援助zh_TW
dc.subject (關鍵詞) 夥伴關係zh_TW
dc.subject (關鍵詞) 中非醫藥合作zh_TW
dc.subject (關鍵詞) 醫藥投資貿易zh_TW
dc.subject (關鍵詞) China Foreign Aiden_US
dc.subject (關鍵詞) Medical Aiden_US
dc.subject (關鍵詞) China-Africa Partnershipen_US
dc.subject (關鍵詞) China-Africa Medical Cooperationen_US
dc.subject (關鍵詞) Pharmaceutical Trade and Investmenten_US
dc.title (題名) 從兄弟到夥伴:中國對非洲醫療援助的變遷zh_TW
dc.title (題名) From Brotherhood to Partnership: The Evolution of China’s Medical Aid to Africaen_US
dc.type (資料類型) thesis-