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Article(id=1320438105241403921, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438090615862080, articleNumber=null, orderNo=null, doi=10.11847/zgggws1148371, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1751817600000, receivedDateStr=2025-07-07, revisedDate=1764691200000, revisedDateStr=2025-12-03, acceptedDate=1768579200000, acceptedDateStr=2026-01-17, onlineDate=1792746576843, onlineDateStr=2026-10-23, pubDate=1775750400000, pubDateStr=2026-04-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792746576843, onlineIssueDateStr=2026-10-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792746576843, creator=13701087609, updateTime=1792746576843, updator=13701087609, issue=Issue{id=1320438090615862080, tenantId=1146029695717560320, journalId=1319373219989389464, year='2026', volume='42', issue='4', pageStart='385', pageEnd='512', issueExtLink='null', onlineDate='null', pubDate='1775750400000', pubDateStr='2026-04-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792746573356, creator='13701087609', updateTime=1792748076043, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1320444393430040620, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438090615862080, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1320444393430040621, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438090615862080, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=447, endPage=452, ext={EN=ArticleExt(id=1320438105992184339, articleId=1320438105241403921, tenantId=1146029695717560320, journalId=1319373219989389464, language=EN, title=Health cooperation mechanism under the APEC framework and China′s participation, current status, and reflections, columnId=1320427686514770171, journalTitle=Chinese Journal of Public Health, columnName=Survey and Report, runingTitle=null, highlight=null, articleAbstract=

The Asia-Pacific Economic Cooperation (APEC) is one of the influential intergovernmental multilateral cooperation organizations in the Asia-Pacific region. In recent years, it has increasingly prioritized health cooperation, establishing operational mechanisms such as the Health Working Group. In 2026, China will host the APEC meetings, presenting a critical opportunity to deepen health cooperation under the APEC framework and enhance China′s influence, which warrants thorough exploration. This study systematically reviews 239 official publicly available documents and project materials published from 1997 to 2024 to analyze the current state, priority topics, and trends in health governance within the APEC framework. Furthermore, it examines China’s progress, challenges, and reflections and recommendations regarding its participation in APEC health cooperation, aiming to provide a scientific reference for China to deepen health collaboration under this framework in the future.

, authors=Xiang LI1, 2, Yujie HUANG2, Chenlu HONG2, Guangwen LIU2, Yating LIU2, Yanan LUO2, authorsList=Xiang LI, Yujie HUANG, Chenlu HONG, Guangwen LIU, Yating LIU, Yanan LUO, authorCompany=null, correspAuthors=Yanan LUO, authorNote=null, correspAuthorsNote=
LUO Yanan, E-mail:
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亚太经合组织（APEC）是亚太地区最具影响力的政府间多边合作组织，近年来逐渐重视卫生领域合作，建立起卫生工作组等运行机制。2026年中国将作为APEC会议东道主，如何抓住此次重要契机深化APEC机制下的卫生合作、提升我国话语权是亟待探索的议题。本研究基于1997—2024年官网公开文件与项目资料共239份，系统梳理APEC 机制框架下卫生领域的治理现状、优先议题和工作重点现况的变化趋势，同时总结和梳理中国参与 APEC 卫生合作当前进展、面临挑战及相关思考建议，为中国未来在该框架下深化卫生合作提供科学参考。

, authors=李想1, 2, 黄玉洁2, 洪晨璐2, 刘广文2, 刘娅婷2, 罗雅楠2, *, *, authorsList=李想, 黄玉洁, 洪晨璐, 刘广文, 刘娅婷, 罗雅楠, authorCompany=null, correspAuthors=罗雅楠, authorNote=

李想（2002—），本科，研究方向：全球健康、老年护理

, correspAuthorsNote=
罗雅楠，E-mail：
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Guidance on the Conduct of Narrative Synthesis in Systematic Reviews [M]. Version 1. Lancaster: ESRC Methods Programme, 2006: 5-6., articleTitle=null, refAbstract=null), Reference(id=1320438114892497488, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=6, rfOrder=5, authorNames=null, journalName=null, refType=null, unstructuredReference=Tricco A C, Soobiah C, Antony J, et al. A scoping review identifies multiple emerging knowledge synthesis methods, but few studies operationalize the method[J]. 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Working level | APEC[EB/OL]. (2023-10)[2025-05-15]. https://www.apec.org/about-us/how-apec-operates/working-level., articleTitle=null, refAbstract=null), Reference(id=1320438116939317845, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=11, rfOrder=10, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. Health working group | APEC[EB/OL]. (2025-09)[2025-05-18]. https://www.apec.org/groups/som-steering-committee-on-economic-and-technical-cooperation/working-groups/health., articleTitle=null, refAbstract=null), Reference(id=1320438117002232406, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=12, rfOrder=11, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. 2024 APEC high level meeting on health and the economy[EB/OL]. (2024-08-18)[2025-05-18]. https://www.apec.org/meeting-papers/sectoral-ministerial-meetings/health/2024-apec-high-level-meeting-on-health-and-the-economy., articleTitle=null, refAbstract=null), Reference(id=1320438117077729879, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=13, rfOrder=12, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. APEC Putrajaya Vision 2040[EB/OL]. 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[2025-05-18]. https://aotearoaplanofaction.apec.org/strong-balanced-secure-sustainable-and-inclusive-growth.html., articleTitle=null, refAbstract=null), Reference(id=1320438117216141913, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=15, rfOrder=14, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. Medium term workplan (2010–2015)[EB/OL]. [2025-05-20]. https://mddb.apec.org/_layouts/download.aspx?SourceUrl=https%3a%2f%2fmddb.apec.org%2fDocuments%2f2010%2fHWG%2fHWG2%2f10_hwg2_020.doc., articleTitle=null, refAbstract=null), Reference(id=1320438117279056474, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=16, rfOrder=15, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. HWG strategic plan 2016–2020[EB/OL]. [2025-05-20]. https://mddb.apec.org/Documents/2016/HWG/HWG2/16_hwg2_005.pdf., articleTitle=null, refAbstract=null), Reference(id=1320438117333582427, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=17, rfOrder=16, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. Health working group strategic plan 2021–2025[EB/OL]. [2025-05-20]. https://mddb.apec.org/Documents/2022/HWG/HWG1/22_hwg1_005.pdf., articleTitle=null, refAbstract=null), Reference(id=1320438117392302684, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=18, rfOrder=17, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. Regulatory harmonization steering committee[EB/OL]. [2025-05-20]. https://www.apec.org/RHSC/About-us., articleTitle=null, refAbstract=null), Reference(id=1320438117451022941, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=19, rfOrder=18, authorNames=null, journalName=null, refType=null, unstructuredReference=中华人民共和国国家卫生健康委员会. 亚太经合组织卫生系列会议通过“健康亚太2020”倡议[EB/OL]. (2014-08-18)[2025-05-20]. https://www.nhc.gov.cn/gjhzs/c100032/201408/c5a9e35cd7ff4a49b8bc6baa39fe5909.shtml., articleTitle=null, refAbstract=null), Reference(id=1320438117518131806, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=20, rfOrder=19, authorNames=null, journalName=null, refType=null, unstructuredReference=APEC. Healthy Asia Pacific 2020[EB/OL]. (2024-08-15)[2025-05-20]. https://www.apec.org/docs/default-source/MinisterialStatements/Health/20140819_HLM-he_002.pdf., articleTitle=null, refAbstract=null), Reference(id=1320438117606212191, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=21, rfOrder=20, authorNames=null, journalName=null, refType=null, unstructuredReference=殷峻, 郑薇, 陈云良. 《美国政府全球卫生安全战略(2024)》解析及其对中国的启示[J]. 中国公共卫生, 2025, 41(4): 505-512., articleTitle=null, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1320438108542321173, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, xref=1, ext=[AuthorCompanyExt(id=1320438108550709782, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, companyId=1320438108542321173, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Peking University, Beijing 100191, China), AuthorCompanyExt(id=1320438108693316119, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, companyId=1320438108542321173, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1北京大学护理学院，北京 100191)]), AuthorCompany(id=1320438108911419928, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, xref=2, ext=[AuthorCompanyExt(id=1320438108915614233, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, companyId=1320438108911419928, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2Department of Global Health, School of Public Health, Peking University, Beijing 100191, China), AuthorCompanyExt(id=1320438108924002842, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, companyId=1320438108911419928, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2北京大学公共卫生学院全球卫生学系，北京 100191)])], figs=[ArticleFig(id=1320438113340604992, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=EN, label=Tab.1, caption=

Distribution of health topics at APEC informal leaders′ meetings, high-level meetings on health and the economy, and Health Working Group meetings under the senior officials′ meeting

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议题领导人非正式会议卫生与经济高级别会议高官会卫生工作组会议
1997—2019年2020—2024年2012—2019年2020—2024年2004—2019年2020—2024年
传染性疾病10073122
公共卫生安全8345115
卫生体系917483
卫生筹资205450
全民健康覆盖244362
数字健康1224104
初级卫生保健012200
非传染性疾病306160
全球公共产品225513
监管协同106300
全生命期健康247314
精神健康107313
女性健康105513
气候变化200200
医疗技术000300
), ArticleFig(id=1320438113424491073, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=CN, label=表1, caption=

APEC领导人非正式会议、卫生与经济高级别会议、高官会卫生工作组会议卫生议题（次数）

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议题领导人非正式会议卫生与经济高级别会议高官会卫生工作组会议
1997—2019年2020—2024年2012—2019年2020—2024年2004—2019年2020—2024年
传染性疾病10073122
公共卫生安全8345115
卫生体系917483
卫生筹资205450
全民健康覆盖244362
数字健康1224104
初级卫生保健012200
非传染性疾病306160
全球公共产品225513
监管协同106300
全生命期健康247314
精神健康107313
女性健康105513
气候变化200200
医疗技术000300
), ArticleFig(id=1320438113583874626, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=EN, label=Tab.2, caption=

Mandates, visions, missions, and objectives of the Health Working Group′s strategic plans

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项目2010—2015年战略计划2016—2020年战略计划2021—2025年战略计划
职责—1.携手合作，提升民众的健康与福祉。
2.推动APEC地区的贸易、安全、包容性增长与发展。
愿景—1.建设有弹性和可持续的卫生系统，减少与健康有关的威胁，促进相应地区的人民安全、贸易安全和经济安全。
2.在整个生命过程中促进群体健康。
使命—卫生工作组旨在减少与健康有关的威胁，维护相应地区的人民安全、贸易安全和经济安全。加强卫生系统，提高其效率、反应能力和复原力，实现和维持全民健康覆盖。
目标1.加强对新发和再发传染病、媒介传播疾病、艾滋病毒/艾滋病和大流行病的防范和有效管理。
2.加强预防包括伤害在内的非传染性疾病的能力。
3.加强经济体的卫生系统，包括卫生筹资、卫生人力资源和卫生信息技术等，助力实现包容性和安全的经济增长。		1.加强对突发公共卫生事件和灾害的准备和应对，包括预防和控制新发和再发传染病；
2.加强卫生系统，提高医疗保健的可及性、可持续性和质量；
3.在整个生命过程中促进群体健康，包括预防和控制非传染性疾病，改善孕产妇、新生儿和儿童健康；
4.鼓励和促进卫生和其他部门与其他APEC论坛和国际卫生机构之间的合作；
5.鼓励研究和支持创新，为卫生系统和成果增加价值，并满足所有APEC成员经济体当前和未来的需求。		1.加强突发公共卫生事件和灾害的准备、应对和恢复系统，包括预防和控制新发和再发传染病；
2.加强卫生系统以支持全民健康覆盖，为全体人口提供安全、有效、优质、负担得起和可持续的初级卫生保健；
3.在整个生命过程中促进群体健康，包括预防和控制非传染性疾病、心理健康等，并促进健康老龄化。
), ArticleFig(id=1320438113646789187, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=CN, label=表2, caption=

卫生工作组战略计划的职责、愿景、使命与目标

, figureFileSmall=null, figureFileBig=null, tableContent=
项目2010—2015年战略计划2016—2020年战略计划2021—2025年战略计划
职责—1.携手合作，提升民众的健康与福祉。
2.推动APEC地区的贸易、安全、包容性增长与发展。
愿景—1.建设有弹性和可持续的卫生系统，减少与健康有关的威胁，促进相应地区的人民安全、贸易安全和经济安全。
2.在整个生命过程中促进群体健康。
使命—卫生工作组旨在减少与健康有关的威胁，维护相应地区的人民安全、贸易安全和经济安全。加强卫生系统，提高其效率、反应能力和复原力，实现和维持全民健康覆盖。
目标1.加强对新发和再发传染病、媒介传播疾病、艾滋病毒/艾滋病和大流行病的防范和有效管理。
2.加强预防包括伤害在内的非传染性疾病的能力。
3.加强经济体的卫生系统，包括卫生筹资、卫生人力资源和卫生信息技术等，助力实现包容性和安全的经济增长。		1.加强对突发公共卫生事件和灾害的准备和应对，包括预防和控制新发和再发传染病；
2.加强卫生系统，提高医疗保健的可及性、可持续性和质量；
3.在整个生命过程中促进群体健康，包括预防和控制非传染性疾病，改善孕产妇、新生儿和儿童健康；
4.鼓励和促进卫生和其他部门与其他APEC论坛和国际卫生机构之间的合作；
5.鼓励研究和支持创新，为卫生系统和成果增加价值，并满足所有APEC成员经济体当前和未来的需求。		1.加强突发公共卫生事件和灾害的准备、应对和恢复系统，包括预防和控制新发和再发传染病；
2.加强卫生系统以支持全民健康覆盖，为全体人口提供安全、有效、优质、负担得起和可持续的初级卫生保健；
3.在整个生命过程中促进群体健康，包括预防和控制非传染性疾病、心理健康等，并促进健康老龄化。
), ArticleFig(id=1320438113944584772, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=EN, label=Tab.3, caption=

Action plans and roadmaps of the APEC Health Working Group

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领域名称提出年份
精神健康2021—2030 年健康亚太地区促进精神健康路线图2024
2013—2020 年精神健康行动计划2018
全球公共产品APEC 血液供应链路线图2015
APEC 全生命周期疫苗接种行动计划2022
公共卫生安全APEC 预防和应对禽流感大流行行动计划2006
严重急性呼吸系统综合征（SARS）行动计划2004
非传染性疾病APEC经济体共同努力有效管理非传染性疾病行动计划2020
APEC非传染性疾病行动计划2012
其他健康亚太 2020 倡议2014
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APEC卫生工作组行动计划和路线图

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领域名称提出年份
精神健康2021—2030 年健康亚太地区促进精神健康路线图2024
2013—2020 年精神健康行动计划2018
全球公共产品APEC 血液供应链路线图2015
APEC 全生命周期疫苗接种行动计划2022
公共卫生安全APEC 预防和应对禽流感大流行行动计划2006
严重急性呼吸系统综合征（SARS）行动计划2004
非传染性疾病APEC经济体共同努力有效管理非传染性疾病行动计划2020
APEC非传染性疾病行动计划2012
其他健康亚太 2020 倡议2014
), ArticleFig(id=1320438114091385414, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=EN, label=Tab.4, caption=

Action plans and roadmaps of the APEC Life Sciences Innovation Forum

, figureFileSmall=null, figureFileBig=null, tableContent=
领域名称提出年份
精神健康APEC促进健康亚太区域精神健康路线图（2014—2020）2015
亚太经合组织经济体和世界卫生组织 2013—2020年精神健康综合行动计划2013
卫生筹资APEC医疗保健筹资行动计划2022
APEC医疗保健筹资路线图2021
全球公共产品LSIF药品质量论坛—建议和行动计划2018
全球医疗产品质量和供应链安全路线图2016
全球医疗产品完整性和供应链安全路线图2014
LSIF反假冒行动计划2013
LSIF打假医疗产品行动计划2012
LSIF反假冒药品行动计划2011
罕见病APEC罕见病行动计划2022
), ArticleFig(id=1320438114171077191, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=CN, label=表4, caption=

APEC生命科学创新论坛行动计划和路线图

, figureFileSmall=null, figureFileBig=null, tableContent=
领域名称提出年份
精神健康APEC促进健康亚太区域精神健康路线图（2014—2020）2015
亚太经合组织经济体和世界卫生组织 2013—2020年精神健康综合行动计划2013
卫生筹资APEC医疗保健筹资行动计划2022
APEC医疗保健筹资路线图2021
全球公共产品LSIF药品质量论坛—建议和行动计划2018
全球医疗产品质量和供应链安全路线图2016
全球医疗产品完整性和供应链安全路线图2014
LSIF反假冒行动计划2013
LSIF打假医疗产品行动计划2012
LSIF反假冒药品行动计划2011
罕见病APEC罕见病行动计划2022
), ArticleFig(id=1320438114254963272, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438105241403921, language=EN, label=Tab.5, caption=

Priority topics at the APEC Life Sciences Innovation Forum and China′s participation in APEC tiered mechanisms and projects

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议题和项目中国参与APEC各层级运行机制议题情况中国参与APEC项目情况
2005—2019年2020—2024年2006—2019年2020—2023年
传染性疾病10231
公共卫生安全11442
卫生体系2521
卫生筹资3000
全民健康覆盖5110
数字健康5110
非传染性疾病4211
全球公共产品5100
监管协同5101
精神健康0100
女性健康0100
气候变化0000
罕见病0000
卫生人力资源5010
传统医药4110
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中国参与APEC各层级运行机制议题次数和参与APEC项目数量

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议题和项目中国参与APEC各层级运行机制议题情况中国参与APEC项目情况
2005—2019年2020—2024年2006—2019年2020—2023年
传染性疾病10231
公共卫生安全11442
卫生体系2521
卫生筹资3000
全民健康覆盖5110
数字健康5110
非传染性疾病4211
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精神健康0100
女性健康0100
气候变化0000
罕见病0000
卫生人力资源5010
传统医药4110
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亚太经合组织框架下卫生合作机制与中国参与现况及思考
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李想 1, 2 , 黄玉洁 2 , 洪晨璐 2 , 刘广文 2 , 刘娅婷 2 , 罗雅楠 2, *, *
中国公共卫生 | 调查报告与分析 2026,42(4): 447-452
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中国公共卫生 |调查报告与分析 2026 , 42 (4) : 447 -452
亚太经合组织框架下卫生合作机制与中国参与现况及思考
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李想1, 2, 黄玉洁2, 洪晨璐2, 刘广文2, 刘娅婷2, 罗雅楠2, *, *
作者信息
  • 1北京大学护理学院，北京 100191
  • 2北京大学公共卫生学院全球卫生学系，北京 100191
通讯作者:
罗雅楠，E-mail：
作者简介:

李想（2002—），本科，研究方向：全球健康、老年护理

Health cooperation mechanism under the APEC framework and China′s participation, current status, and reflections
Xiang LI1, 2, Yujie HUANG2, Chenlu HONG2, Guangwen LIU2, Yating LIU2, Yanan LUO2
Affiliations
  • 1School of Nursing, Peking University, Beijing 100191, China
  • 2Department of Global Health, School of Public Health, Peking University, Beijing 100191, China
    • Corresponding Author:
    LUO Yanan, E-mail:
出版时间: 2026-04-10 doi: 10.11847/zgggws1148371
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摘要
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亚太经合组织（APEC）是亚太地区最具影响力的政府间多边合作组织，近年来逐渐重视卫生领域合作，建立起卫生工作组等运行机制。2026年中国将作为APEC会议东道主，如何抓住此次重要契机深化APEC机制下的卫生合作、提升我国话语权是亟待探索的议题。本研究基于1997—2024年官网公开文件与项目资料共239份，系统梳理APEC 机制框架下卫生领域的治理现状、优先议题和工作重点现况的变化趋势，同时总结和梳理中国参与 APEC 卫生合作当前进展、面临挑战及相关思考建议，为中国未来在该框架下深化卫生合作提供科学参考。

亚太经合组织  /  全球卫生治理  /  卫生合作机制

The Asia-Pacific Economic Cooperation (APEC) is one of the influential intergovernmental multilateral cooperation organizations in the Asia-Pacific region. In recent years, it has increasingly prioritized health cooperation, establishing operational mechanisms such as the Health Working Group. In 2026, China will host the APEC meetings, presenting a critical opportunity to deepen health cooperation under the APEC framework and enhance China′s influence, which warrants thorough exploration. This study systematically reviews 239 official publicly available documents and project materials published from 1997 to 2024 to analyze the current state, priority topics, and trends in health governance within the APEC framework. Furthermore, it examines China’s progress, challenges, and reflections and recommendations regarding its participation in APEC health cooperation, aiming to provide a scientific reference for China to deepen health collaboration under this framework in the future.

Asia-Pacific Economic Cooperation  /  global health governance  /  health cooperation mechanism
李想, 黄玉洁, 洪晨璐, 刘广文, 刘娅婷, 罗雅楠. 亚太经合组织框架下卫生合作机制与中国参与现况及思考. 中国公共卫生, 2026 , 42 (4) : 447 -452 . DOI: 10.11847/zgggws1148371
Xiang LI, Yujie HUANG, Chenlu HONG, Guangwen LIU, Yating LIU, Yanan LUO. Health cooperation mechanism under the APEC framework and China′s participation, current status, and reflections[J]. Chinese Journal of Public Health, 2026 , 42 (4) : 447 -452 . DOI: 10.11847/zgggws1148371
正文
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亚太地区是全球社会经济发展最活跃的地区，人口规模占全球总量的1/3，经济总量占全球60%以上[1]。作为该区域最具影响力的政府间多边合作机制[2]，亚太经济合作组织（Asia-Pacific Economic Cooperation, APEC）在推动亚太地区社会经济发展中扮演了关键角色。自2003年卫生任务组（Health Task Force, HTF）成立以来，随着疾病的跨境传播日益频繁，卫生问题对 APEC 地区贸易合作的制约作用愈发凸显，也因此在 APEC机制框架内逐步得到重视。为应对这一挑战，APEC 已建立卫生领域相关运行机制，旨在通过提升民众健康水平与福祉，致力于推动APEC区域内贸易发展、安全保障及包容性增长与进步。2026年中国将成为自2014年以来又一次APEC会议的东道主[3]。随着我国不断融入全球卫生治理，如何深化卫生领域合作，提升中国在APEC机制框架下卫生领域的话语权，是亟需探索的议题[4]。系统梳理APEC卫生领域的组织结构、运行机制和工作重点变化趋势，对于推动中国更好抓住发展机遇，在APEC机制下开展卫生合作具有重要意义。为此，本研究系统梳理1997—2024 年APEC机制框架下卫生领域的治理现状、优先议题和工作重点变化情况，同时梳理中国参与APEC卫生合作当前进展、面临挑战与未来思考，以期为我国更深度参与亚太卫生合作提供参考依据。
1　资料与方法
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1.1　资料来源
资料来源于APEC官方网站文档资料库（APEC Meeting Documents. https://mddb.apec.org/Pages/default.aspx）、项目资料库（Project Database, https://pdb.apec.org）关于领导人非正式会议领导人宣言（1997—2024年，共25份）、部长级会议卫生与经济高级别会议联合声明（2012—2024年，共13份）、高官会卫生工作组秘书处总结报告（2004—2024年，共21份）、生命科学创新论坛秘书处总结报告（2003—2022年，共20份）、卫生工作组秘书处总结报告涉及中国发言议题文件、涉及中国参与的项目文件（2005—2024年，共115份）、战略计划/行动计划/路线图（2004—2024年，共25份）的所有公开资料，以及中国外交部、国家卫生健康委员会、商务部官方网站关于APEC报道中关于我国参与情况的公开资料（2014—2023年，共20份）。
1.2　资料分析
叙述性整合是一种系统性整合多源证据的研究方法，可以通过非统计手段生成叙述框架，而后得出解释性结论[5]。本研究对APEC多层级文件资料共239份进行关键词（按照公共卫生安全、全球公共产品、传染性疾病、非传染性疾病、气候变化、全民健康覆盖、卫生体系、卫生筹资、卫生人力资源、全生命期健康、女性健康、传统医学、数字健康、健康与经济、精神健康、老龄化）提取，利用关键词识别各层级机制在不同年度的卫生合作议题的变化趋势，结合文献资料得出解释性结果，并提出中国参与APEC卫生合作的策略与思考；此方法已被用于卫生政策研究等多个社会学或医学领域多源政策文本归纳与演绎[6]。
2　APEC卫生领域组织结构和运行机制
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APEC由21个成员经济体（澳大利亚、文莱、加拿大、智利、中国、中国香港、印度尼西亚、日本、韩国、墨西哥、马来西亚、新西兰、巴布亚新几内亚、秘鲁、菲律宾、俄罗斯、新加坡、中国台北、泰国、美国和越南）和3个观察员（东盟秘书处、太平洋经济合作理事会、太平洋岛国论坛秘书处）构成，共有5个层次运行机制（领导人非正式会议、部长级会议、高官会、委员会/工作组、秘书处）[7]。其中，领导人非正式会议是APEC最高级别的运行机制，会议形成的领导人宣言是指导APEC各成员经济体本年度工作的核心纲领[8]；秘书处为APEC运行协调机制，设立于新加坡，为APEC各层次的活动提供支持与服务[2,9–10]。
为应对区域性卫生问题对经济贸易和安全的威胁，APEC于2003年10月成立了卫生任务组（Health Task Force, HTF），2007年该任务组正式升级为卫生工作组（Health Working Group, HWG），作为 APEC 框架下卫生领域的核心运行机制，HWG 在推动各成员经济体开展卫生合作、凝聚区域卫生治理合力方面发挥着至关重要的作用。HWG分属于经济技术合作高官指导委员会，职责是与合作伙伴协同合作，提升民众健康水平与福祉，以推动APEC区域内的贸易发展、安全保障及包容性增长与进步。其总体目标是助力减轻健康相关威胁对各成员经济体经济、贸易及安全领域的影响，强化卫生体系建设，提升其效率、响应能力与抗风险能力，以实现并维持全民健康覆盖。具体关注公共卫生应急事件与灾害的应对准备及处置能力提升、卫生体系建设强化、全生命期人群健康提供支持、推动卫生领域与其他领域、APEC跨论坛及国际卫生机构间合作[11]。HWG于每年第2、3次高官会举行工作组会议以审议活动、筹备部长级会议及协调实施会议后续行动等事宜。卫生领域部长级会议称为卫生与经济高级别会议，通常安排在第3次高官会后。此外，HWG下设3个亚工作组（精神健康亚工作组、数字健康亚工作组和疫苗亚工作组）和1个附属中心（亚太经合组织健康科学研究院）与秘书处、各成员经济体共同开展APEC机制下卫生领域合作[12]
3　APEC卫生领域优先议题及战略与行动重点
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APEC逐渐重视卫生领域在亚太共同体建立中的重要性，在2020年领导人非正式会议期间通过了《2040年布特拉加亚愿景（Putrajaya Vision）》，提出“提升高质量增长所需所有人健康水平与福祉带来切实益处”作为亚太共同体强劲、均衡、安全、可持续且具包容性增长以及建成开放、活力、强韧、和平的亚太共同体目标的重要一环[13]。2021年领导人非正式会议期间所通过的《奥特奥罗亚行动计划（Aotearoa Plan of Action）》，指出“促进带来明显益处和更大健康福祉的优质增长”以及“预防、检测、响应和从大流行中恢复”作为布特拉加亚愿景实施计划的主要目标之一[14]。现分别从APEC各层级运行机制卫生领域的优先议题分布及战略行动重点进行分析。
3.1　APEC各层级运行机制卫生领域的优先议题分布（表1）
3.1.1　领导人非正式会议
从 32 次领导人宣言中的卫生领域议题看,优先议题由最初集中在传染性疾病和公共卫生安全、卫生体系等领域；2020年以来，优先议题主要集中在全生命期健康、全民健康覆盖、数字健康、初级卫生保健等相关议题。
3.1.2　卫生与经济高级别会议（专业部长会议）
从13次卫生与经济高级别会议议题看，优先议题由最初集中在传染性疾病、卫生体系、全生命期健康、精神健康、非传染性疾病等领域，自2020年以来增加了公共卫生安全、医疗技术、卫生筹资、气候变化等相关议题。
3.1.3　高官会卫生工作组会议优先议题分布
从21次高官会卫生工作组会议议题看，优先议题由最初集中在传染性疾病、公共卫生安全、数字健康等领域，2020年以来增加了全生命期健康、精神健康、女性健康、全球公共产品等相关议题。
3.2　卫生工作组战略计划（表2）
自2010年起，HWG制定了3个为期5年的战略计划[15–17]。从各期战略计划职责、愿景、使命与目标看，HWG战略计划的工作重点从2010—2015年的传染性疾病、非传染性疾病的有效管理和加强卫生系统建设，转移到2016—2025年的应对突发公共卫生事件、加强卫生系统建设和全生命期健康。
3.3　卫生工作组行动计划和路线图（表3）
在2010年以前，HWG行动计划和路线图主要关注公共卫生安全方面，2010年之后，领域拓展至精神健康、全球公共产品、非传染性疾病和罕见病、疫苗等领域，此外，在2014年通过了“2020年健康亚太”倡议（"Healthy Asia-Pacific 2020" initiative），旨在契合以可持续经济发展为核心目标的“2020年茂物目标”，通过“政府统筹、社会协同、区域联动”的全维度合作模式，保障亚太地区民众全生命期健康与福祉，进而推动该区域的健康安全、经济增长与可持续发展。
3.4　卫生领域其他工作组
3.4.1　APEC高官会生命科学创新论坛
APEC生命科学创新论坛（Life Sciences Innovation Forum, LSIF）与HWG一道曾作为APEC下承担卫生领域的姊妹工作组，但之后与其他工作组/委员会进行了重组合并。LSIF以全球公共产品创新和监管为工作领域的重点，主要聚焦于各成员经济体在生命科学创新领域的政、产、学合作[18]。从LSIF高官会优先议题分布看，其工作重点聚焦于全球公共产品、监管协同和卫生筹资领域。
3.4.2　APEC生命科学创新论坛行动计划和路线图（表4）
LSIF推动了精神健康、卫生筹资、全球公共产品和罕见病等领域多项APEC行动计划与路线图，其中，全球公共产品是LSIF行动计划与路线图的重点领域，有6个行动计划与路线图涉及此领域，包括药品质量、全球产品质量和供应链、反假冒产品等方面。
4　中国参与APEC卫生合作的现况（表5）
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4.1　中国参与APEC各层级运行机制情况
从中国参与APEC各层级运行机制看，公共卫生安全、传染性疾病是长期以来重点关注的议题，在卫生人力资源、数字健康、全民健康覆盖、监管协同、全球公共产品、卫生体系、传统医药、非传染性疾病方面也多有涉及。此外，2014年中国主导推动通过的“健康亚太2020”倡议得到APEC各成员经济体的积极响应与支持，明确了2014—2020年中国和APEC地区在APEC卫生工作中的战略方针、合作重点和工作方向，为推动亚太地区包容性发展贡献了重要力量。倡议指出，中国在亚太地区的卫生工作中坚持践行“全政府”与“全社会”的方针，向政府、社区和个人赋能以增进人口健康、构建社会健康；中国在卫生合作的过程中注重公私合作与区域合作，鼓励政府与非政府机构、成员经济体之间形成促进区域健康发展的共同合力，以增强卫生治理能力；中国重视卫生研究创新及其成果转化，注重创新成果在区域内的便利性与可及性，以增强欠发达成员经济体的创新成果应用能力[19–20]。
4.2　中国参与APEC项目情况
中国参与 APEC 运行机制的优先领域主要聚焦公共卫生安全、传染性疾病防控，虽在卫生人力资源建设、数字健康发展、全民健康覆盖推进、卫生体系完善、传统医药推广、非传染性疾病防治等领域近年来也有突破，但在女性健康、精神健康、气候变化与健康关联等议题上的参与深度仍有提升空间。
5　中国参与APEC机制下卫生合作挑战及相关思考
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5.1　中国参与APEC机制下卫生合作挑战
卫生领域作为APEC机制下低政治性务实议题，是我国提升该机制下话语权的重要突破口。虽然中国长期以来参与了APEC机制下卫生合作，在APEC区域卫生水平和人民健康福祉提升方面发挥了关键作用，但当前面临复杂的国际环境挑战和资金支持不足等制约，阻碍了中国进一步深度参与：从国际环境挑战看，APEC经合组织及其构成的特殊性、五层次运行机制的复杂性，与当前国际形势对我国的不利影响相互交织，导致我国在该机制下开展卫生合作、主导相关议题时受到掣肘，合作效率低下；从合作资金支持看，中国参与APEC秘书处项目获批率较低，缺乏稳定的资助来源，使我国在该机制下开展卫生合作的可持续性面临挑战[21]。
5.2　中国参与APEC机制卫生领域工作相关思考
根据上述分析，本研究就中国参与APEC机制下卫生领域工作提出如下思考：（1）在精准研判 APEC 卫生合作发展需求与优先重点的基础上，提升我国参与该机制合作的针对性与有效性。可通过加大 APEC 机制下优先领域合作项目的发起与执行力度，深度参与各层次运行机制的磋商与研讨，主动输出中国方案，充分发挥APEC卫生工作组下亚工作组及附属机构作用，夯实议题推动的组织基础。此外，抓住 2026 年中国作为APEC 东道主契机，结合我国在人口老龄化与健康、传统医药等领域的核心优势，牵头制定具有区域影响力的战略性文件。（2）借助 APEC 作为经合组织的开放性与包容性特征，积极推动公私合作模式融入我国参与该机制下卫生合作的框架，构建长期稳定的资金资助机制。可联合医药企业、健康科技公司等社会力量，精准对接 APEC卫生合作议题，补充政府主导的资金投入，以此破解我国参与 APEC 秘书处项目获批率低、资助来源单一的困境，以及依托私营部门的技术与资源优势提升合作项目的落地效率，为我国深度参与 APEC 卫生合作提供可持续的资金与资源支撑。

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2026年第42卷第4期
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doi: 10.11847/zgggws1148371
  • 接收时间：2025-07-07
  • 首发时间：2026-10-23
  • 出版时间：2026-04-10
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  • 收稿日期：2025-07-07
  • 修回日期：2025-12-03
  • 录用日期：2026-01-17
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    1北京大学护理学院，北京 100191
    2北京大学公共卫生学院全球卫生学系，北京 100191

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2种不同金属材料的力学参数
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Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
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Genus		 种数
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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