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危机学习是遏制生产安全事故发生的关键环节。既有研究虽探讨了政府危机学习的行为类型、影响因素及生成过程,却无法充分回应“相似行政环境、危机情境以及资源局限下,基层政府为何产生危机学习行为差异”这一现实问题。本文聚焦事故发生后区县(市)政府危机学习行为的差异,基于2013—2023年90起生产安全事故,通过扎根理论的质性研究方法,构建出基层政府危机学习行为差异的生成模型。研究发现:事故属性压力、舆论压力与科层压力共同激发了基层政府的危机学习需求;基层政府的危机学习呈现为单环学习还是双环学习取决于“学习之窗”的开启状态;“学习之窗”的开启状态由组织风险集聚程度与行动共识达成程度共同决定;在学习过程中,上级政府施加的过程关注与事故问责共同发挥了催化作用,塑造了危机学习的特征;严厉的问责未必能改善危机学习效果,但上级支持与督导会提升基层政府的危机学习积极性。根据“学习之窗”开启状态与催化水平的匹配关系,本文归纳出四种危机学习样态:双环探索型、双环遵循型、单环执行型及单环展示型。研究表明,要推动基层政府实现双环危机学习,应增强其风险感知能力,并适当发挥上级政府纵向权力介入的作用。
Abstract:Crisis learning, as a specific form of organizational learning triggered by accidents and disasters, is a critical component in preventing production safety accidents. However, influenced by instrumental values, governments display considerable variations in how they learn from crises. This variation is most evident at the district and county levels, where crisis learning is more vulnerable to both endogenous factors, such as resource capacity and consensus building, and exogenous factors, such as bureaucratic pressures and accident accountability. Given that grassroots governments bear direct managerial responsibility for production safety accidents and possess the most intimate understanding of their root causes, their crisis learning is crucial for strengthening the capacity for grassroots emergency management. Thus, exploring the underlying logic of different crisis learning behaviors by grassroots governments is of great practical significance.Existing research has discussed behavioral types, influencing factors, and learning processes. However, it does not clearly explain why grassroots governments display differing crisis learning behaviors under similar administrative settings, crisis situations, and resource limitations. This study looks at the differences in crisis learning behavior among grassroots governments after the occurrence of accidents. Based on 90 major and particularly major production safety accidents from 2013 to 2023, it uses grounded theory to build a model to explain these variations.The study finds that accident-related pressures, public opinion pressures, and bureaucratic pressures stimulate demands for grassroots government crisis learning. Different levels of these factors lead to different learning behaviors. Second, these pressures trigger the need for crisis learning, while the choice between single-loop and double-loop learning depends on the learning window. If the window is closed, learning remains at the single-loop level, but if the window is open, grassroots governments may begin double-loop learning, but the window only opens when both the risk concentration and consensus are high. Third, the focus and accountability of higher-level governments act in concert to shape the features of crisis learning. In “high focus-high accountability” and “high focus-low accountability” situations, the catalytic level is high and learning is proactive. In “low focus-high accountability” situations, the catalytic level is high but learning involves compliance. In “low focus-low accountability” situations, the catalytic level is low and learning is merely crisis learning, but support and guidance from higher-level governments can enhance the willingness to learn. Fourth, by combining the state of learning with the catalytic level, four types of crisis learning can be identified: double-loop exploration, double-loop compliance, single-loop execution, and single-loop demonstration.This study reveals the generative logic underlying variations in crisis learning behavior among grassroots governments and reveals the dynamic shift from single-loop to double-loop learning during periods of crisis. Furthermore, this research makes several recommendations for achieving double-loop learning at the grassroots level: strengthening risk perceptions by grassroots governments and using vertical intervention by higher-level governments in an appropriate way.
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(1)2019年5月,X市C区发生重大坍塌事故,12人死亡,13人受伤,当地区政府在事故发生后迅速响应,召开紧急会议,启动安全检查,并成立了区房管局安全生产委员会。信息整理自该区内部资料及官方公众号。2020年3月,C省B市C区发生重大坍塌事故,造成29人死亡,42人受伤,当地政府学习行动主要集中在安全生产整治;信息整理自该区官方公众号。2020年8月,V省B市C县发生重大坍塌事故,造成29人死亡,28人受伤,该县政府主要开展了会议学习;信息整理自该县官方公众号。
(2)遵照相关学术规定,本文建立了分层级的地区匿名化编码体系,具体规则如下。针对省级政府,使用26个英文字母以随机排列的形式编号,鉴于我国省级政府的数量超过英文字母数目,因此对剩余省份采取两位字母组合(如AA、AB…)的形式编号;针对市级政府,从字母B开始依照顺序编码,若同属于一个省份,则案例出现的第一个地级市编号为B,第二个为C,依此类推;针对区县(市)级政府,依照同样原则从字母C起顺延编号。
(3)收录2013—2023年期间重大及特别重大生产安全事故的原因:为防止因数据衰减带来的研究结论偏差,以党的十八大召开时间(2012 年)作为起始时间节点,仅收集近十年发生的重大及特别重大生产安全事故。
(4)收集这一时间段内的资料基于两个原因:第一,问责结果通常在事故调查报告中公布,调查报告发布后,基层政府危机学习可能进一步深化;第二,部分生产安全事故发生后,官方会开展一周年的警示活动。
(5)近年来,各级政府愈发重视通过官方渠道发布学习动态,公开展示危机学习的措施和成果。特别是在发生重大及特别重大事故后,涉事省级及市级政府通常会发布文件或通知,要求各级政府吸取事故教训、开展安全整治,提供资源支持,并通过一系列监管手段(如督察暗访、事故整改“回头看”“回马枪”)督促基层政府落实学习行动。在这种背景下,基层政府不仅会在内部开展相应的学习,还会通过官方网站等渠道发布学习活动及成果,对学习过程留痕。本文收集危机学习工作动态记录的原因有二。第一,基层政府在学习过程中的留痕记录为研究提供了具体的学习活动案例,这些数据可以与上级政府学习动态进行对比,从而验证上级推动、上级支持等因素是否对基层政府的危机学习产生了实质性影响。第二,工作动态记录能够助力深入分析危机学习行为的生成过程及其动态变化。
(6)资料参考自官方公布的事故调查报告。
(7)资料参考自该起事故的新闻报道。
基本信息:
中图分类号:X928;D63
引用信息:
[1]张桂蓉,张颖,文颖.基层政府危机学习行为差异何以生成?——基于扎根理论的研究[J].公共管理评论,2025,7(04):24-48.
基金信息:
2025年度湖南省自然科学基金面上项目“城市极端暴雨灾害系统性风险的演化机理与韧性治理策略研究”(项目批准号:2025JJ50414); 2025年度国家社会科学基金后期资助项目“应急协同的数智驱动机制研究”(项目批准号:24FGLB140)的资助