摘要
医疗卫生事业是研究晚清地方治理的重要领域。四川省巴县档案中光绪年间“卫生医馆”开办的记载,为考察地方政府与地方精英在医疗救济中的互动提供了实证案例。晚清地方治理呈现“官民共治”模式:一方面,地方精英通过医疗救济介入基层事务,地方政府则凭行政权威制约其行为,且地方精英内部因利益冲突产生博弈,此为“张力”;另一方面,地方政府和地方精英基于职能互补和目标趋同形成协作,共同推动医馆持续运作,此为“合力”。国家通过制度性权威引导社会力量,社会力量在妥协与调适中填补官方治理空隙,二者在张力与合力的动态平衡中维护基层社会的稳定与发展。
Medical and health undertakings constitute an important field for studying local governance in the late Qing Dynasty.The records in the Ba County Archives in Sichuan Province regarding the establishment of the Health Clinic during the reign of Emperor Guangxu provide an empirical case for examining the interaction between local government and local elites in medical relief.Local governance in late Qing China exhibits a“state-society co-governance”pattern.On the one hand,local elites intervene in grassroots affairs through medical relief,while local governments constrain their behavior through administrative authority.Moreover,internal conflicts of interest among local elites generate game-playing,which constitutes the“tension.”On the other hand,local governments and local elites form collaborative relations based on functional complementarity and converging goals,jointly promoting the sustained operation of the clinic,which represents the“synergy.”The state guides social forces through institutional authority,while social forces fill the governance gaps left by official governance through compromise and adaptation.Both maintain the stability and development of grassroots society through a dynamic balance between tension and synergy.
作者
黄茂
张昱佩
Huang Mao;Zhang Yupei(College of Marxism,Sichuan University,Chengdu 610207)
出处
《西部学刊》
2026年第4期1-4,共4页
Journal of Western
基金
西华师范大学地方档案与文献研究中心2024年度课题“清代巴县档案中的医疗卫生事业与地方权力结构研究”(编号:DAWXC2405)的研究成果。
关键词
地方治理
医疗卫生
巴县档案
local governance
medical and health undertakings
Ba County Archives
