基于指数法评价中部某城市健康城市建设状况  

Evaluation of the construction status of a healthy city in central China based on the health index method

作　　者：刘继恒[1] 徐勇[1] 刘晓俊[1] 方敏[1] 王琪薇 王早霞[1] 杨夕缘 LIU Jiheng;XYU Yong;LIU Xiaojun;FANG Min;WANG Qiwei;WANG Zaoxia;YANG Xiyuan(Yichang Center for Disease Control and Prevention,Yichang,Hubei 443000,China)

机构地区：[1]湖北省宜昌市疾病预防控制中心,湖北宜昌443000

出　　处：《公共卫生与预防医学》2020年第4期41-44,共4页Journal of Public Health and Preventive Medicine

基　　金：湖北省卫生健康委科研基金资助(WJ2019M068)。

摘　　要：目的评价中部某健康城市建设状况,理清健康城市建设中的薄弱环节和建设成效,为政府部门颁布政策提供依据。方法根据全国健康城市评价工作办公室“全国健康城市建设评价体系”(2018版),建立本市健康城市建设评价体系,统计2017—2018年全市42项健康城市建设数据,先根据《健康城市评价数据填报工作指导手册》计算单项指标,再对单项指标进行数据标准化,通过德尔菲法对三级指标进行权重咨询,最后基于健康指数法计算该市健康城市建设各维度分指数和总指数。结果该市2017—2018年的健康城市建设评价结果显示,42项指标中有35项指标参与评价,两年的总指数分别为77.71和79.95。健康服务、健康文化、健康环境、健康人群、健康社会五个维度两年的分指数分别为17.17和18.32、11.39和12.85、19.21和17.94、13.81和13.81、16.12和17.04,除健康环境维度呈现下降趋势,健康城市总指数和其余四个维度分指数呈现逐年上升趋势,两年来,五个维度分指数对应权重综合构成比依次为健康文化(95.58%)、健康服务(95.47%)、健康环境(73.99%)、健康社会(73.27%)、健康人群(69.52%)。结论经过全国卫生城市建设和全国健康城市试点建设后,中部某市在健康城市五个维度取得了一的成效,2018年该市参与评价的35项指标中,有30项指标是向好的,且26项指标优于国家/省目标值,但部分建设指标距离标准值仍有一定距离,五个维度发展不平衡,存在不同程度的薄弱环节。Objective To evaluate the construction status of a healthy city in central China,and clarify the weak links and construction results in the construction of a healthy city,and to provide a basis for the relevant government departments to issue policies.Methods Healthy city construction evaluation system in this city was established according to the"National Healthy City Construction Evaluation System"(2018)of the National Healthy City Evaluation Office Forty-two sets of health city construction index data in 2017-2018 were collected and analyzed.The single index was calculated according to the Guidance Manual for Filling in the Healthy City Evaluation Data,and the single index data was then standardized.The Delphi method was used to consult the weights of the three-level index.Finally,the sub-index and the total index of each dimension of the city′s healthy city construction were calculated based on the health index method.Results The results of the 2017-2018 healthy city construction evaluation showed that 35 of the 42 indexes participated in the evaluation,and the total-indices of the two years were 77.71 and 79.95,respectively.The two-year sub-indices of the five dimensions of health service,health culture,health environment,healthy population,and healthy society were 17.17 and 18.32,11.39 and 12.85,19.21 and 17.94,13.81 and 13.81,16.12 and 17.04,respectively.Except for the decline in the health environment dimension,the other four sub-indices and the total healthy city index showed an upward trend year by year.In the past two years,the comprehensive proportions of the corresponding weight of the five dimensions sub-indices were 95.58%in health culture,95.47%in health service,73.99%in health environment,73.27%in healthy society,and 69.52%in healthy people.Conclusion After the construction of national healthy city and the pilot construction of national healthy city,a city in central China achieved its first results in five dimensions of healthy city.In 2018,among the 35 indexes participated in the evaluation i

关 键 词：健康城市指数 评价 健康城市 

分 类 号：R12[医药卫生—环境卫生学]