| The International Health Regulations （2005）(IHR（2005）) is the most authoritative legalframework of the global health collective action in the world. However in the beginning of theIHR（2005）implementation, it appeared mechanism failure. Indonesia refused to transfer WHOthe influenza virus sample. Indonesia’s action almost collapse the cooperation mechanismestablished by the IHR（2005）. Why did the IHR（2005）happen to mechanism failure during itsimplementation? After study in the legislation, implementation and improvement process of theIHR（2005）by game theory, this dissertation has tested and verified the hypotheses that nationalinterest is a significant impact factor not only in the emergence and development process but alsothe implement process of global health governance mechanism.From testing the legislation process of IHR（2005）, the dissertation found that: if there arecommon interest, even opposing faction, the country will hold the same legislative advice.Developing and developed countries proposed the same opinion in the sovereign issue provedthe thesis; if national interest are conflict each other, even if the countries come from the samefaction will also have different legislative opinion. Different opinion about the range issues ofIHR（2005）between the United States and other developed countries proved this thesis.Therefore national interest is an important motivation factor in global health governancemechanism legislation process.From testing the implementation process of IHR（2005), the dissertation found that: virusstrains is one kind of global public good, its utilization corelate with the global community.However it can not be denied that plenty of private profits can been derived from virus strainssimple by research and development, meanwhile those interest distribution is unbalance in thewhole world. Under this circumstance, the main reason of mechanism failure happened toIHR(2005) is laid in that legislation defection of IHR(2005) can not govern this global unbalanceinterest structure. Therefore national interest is an important motivation factor which can causemechanism failure when global health mechanism running.From testing the improvement process of IHR（2005）, the dissertation found that:information asymmetry provides ideal external circumstance in which country can assert its virus sovereignty and refuse to transfer virus strains sample. This external circumstance causes moralhazard problem. The solution of moral hazard problem is to design the incentive mechanism toconstruct virus sovereign rights and related interest. The incentive mechanism can distribute theinterest fairly enough to restore global equilibrium in global health problem domain. Incentivemechanism design must meet with two constraint: individual rationality constraint and incentivecompatibility constraint. Compressing and relaxing the two necessary conditions directly involvethe interest of developing countries and developed countries. Given dispute between opposingfaction, the purpose of improvement process is to set parameters of individual rationalityconstraint and incentive compatibility constraint good enough to reconstruct the global interestequilibrium and make the global interest structure in health issue more stable. Therefore nationalinterest is an important motivation factor which can make compensation for the defection ofglobal health mechanism.In conclusion, the dispute in legislation process of IHR (2005) confirm that national interestis an indispensable factor. The dispute in implement process of IHR (2005) confirm that nationalinterest is an important variable. The dispute in improvement process of IHR (2005) confirm thatnational interest is a significant determinant.Therefore, the general hypothesis that nationalinterest is a significant impact factor in global health governance mechanism domain has beenconfirmed in the end. |
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