我国各地健康城市指标体系与国家指标体系的比较研究
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摘要
目的对比分析我国各地健康城市指标体系与国家健康城市评价指标体系间的差异,为各地健康城市指标体系的完善、健康城市的建设与评价提供参考依据。方法计算机检索CNKI、WanFang Data、VIP以及WHO、各级政府和卫生计生委网站,搜集我国现有健康城市指标体系相关文献和政府文件,检索时限截至2018年3月。由2名研究者独立筛选文献、提取资料后,对相关指标体系进行定性分析。结果纳入我国26个城市的健康城市指标体系,共14个维度,1 531个指标。其中健康(人群/水平)维度选用24次,包含指标82个;健康服务维度选用22次,包含指标113个;健康环境维度选用22次,包含指标121个;健康社会选用19次,包含指标113个;健康文化维度选用4次,包含指标17个。健康环境、健康人群2个维度中的具体指标与国家指标体系一致性较高,而健康社会、健康服务及健康文化维度差异性较大。结论我国各地健康城市指标体系选用最多的4个维度是健康(人群/水平)、健康服务、健康环境、健康社会;各地维度结构与国家指标体系维度结构契合度高,而具体指标的制定和维度的归属差异较大,各城市应结合自身城市发展状况及问题,规范化现有指标体系。
Objectives To compare and analyze the differences between local and the national indicator systems,so as to provide reference for the improvement of health city indicator system in various regions and the implementation of national health city evaluation. Methods We performed electronic searches of the CNKI, WanFang Data, VIP, website of WHO, website of Commission of Health &Family Planning prior to March, 2018. We included documents of Chinese healthy city indicator system. Literature selection and data extraction were performed by two reviewers independently,and the included indicator systems were systematic reviewed. Results A total of 26 documents were included, involving14 dimensions and 1 531 indicators. Health(population/level) dimension was used by 24 healthy city indicators systems and included 82 indicators. Health services dimension had been used by 22 healthy city indicators systems and including113 indicators. Health environments dimension was used by 22 healthy city indicators systems and included 121 indicators. Health society was used by 19 systems and included 113 indicators. Health culture dimension had been used by4 systems and included 17 indicators. The specific indicators in the two dimensions of health environment and health population were relatively consistent with the national indicator system, while the dimensions of health society, health service and health culture were highly different. Conclusions Health(population/level), health services, healthy environment, and healthy society are most used in each healthy city indicator system. Compared with the national indicator system, the dimension structure is highly consistent, while the formulation of specific indicators and the ownership of dimensions are quite different. Each city should improve its existing indicator system based on its own urban development status and problems.
Objectives To compare and analyze the differences between local and the national indicator systems,so as to provide reference for the improvement of health city indicator system in various regions and the implementation of national health city evaluation. Methods We performed electronic searches of the CNKI, WanFang Data, VIP, website of WHO, website of Commission of Health &Family Planning prior to March, 2018. We included documents of Chinese healthy city indicator system. Literature selection and data extraction were performed by two reviewers independently,and the included indicator systems were systematic reviewed. Results A total of 26 documents were included, involving14 dimensions and 1 531 indicators. Health(population/level) dimension was used by 24 healthy city indicators systems and included 82 indicators. Health services dimension had been used by 22 healthy city indicators systems and including113 indicators. Health environments dimension was used by 22 healthy city indicators systems and included 121 indicators. Health society was used by 19 systems and included 113 indicators. Health culture dimension had been used by4 systems and included 17 indicators. The specific indicators in the two dimensions of health environment and health population were relatively consistent with the national indicator system, while the dimensions of health society, health service and health culture were highly different. Conclusions Health(population/level), health services, healthy environment, and healthy society are most used in each healthy city indicator system. Compared with the national indicator system, the dimension structure is highly consistent, while the formulation of specific indicators and the ownership of dimensions are quite different. Each city should improve its existing indicator system based on its own urban development status and problems.
引文
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2World Health Organization and Metropolis. Cities for health, 2014.Available at:http://www.who.int/kobe_centre/publications/citiesforhealthfinal.pdf.
3Patterson L, Heller R, Robinson J, et al. Developing a European urban health indicator system:results of EURO-URHIS. Eur J Public Health, 2015, 27(2):4-8.
4全国爱卫办.关于开展健康城市试点工作的通知. Available at:http://www.nhfpc.gov.cn/jkj/s5898/201611/f1cb9ed675274c0fab49a87410ce9e20.shtml.
5全国爱卫会.关于开展健康城市健康村镇建设的指导意见.Available at:http://www.nhfpc.gov.cn/jkj/s5898/201608/3 a61d95e1f8d49ffbb12202eb4833647.shtml.
6于海宁,成刚,徐进,等.我国健康城市建设指标体系比较分析.中国卫生政策研究, 2012, 5(12):30-33.
7 黄文杰,白瑞雪,胡萍,等.关于健康城市指标体系的描述性系统评价.医学与哲学, 2017, 38(566):56-59.
8全国爱卫会.关于印发全国健康城市评价指标体系(2018版)的通知. Available at:http://www.nhfpc.gov.cn/jkj/s5899/201804/fd8c6a7ef3bd41aa9c24e978f5c12db4.shtml.
9陈耀龙,李幼平,杜亮,等.医学研究中证据分级和推荐强度的演进.中国循证医学杂志, 2008, 8(2):127-133.
10北京市人民政府.关于印发健康北京“十二五”发展建设规划的通知. Available at:http://www.gov.cn/jrzg/2011-08/24/content_1931203.htm.
11上海市人民政府办公厅.关于印发《上海市建设健康城市2015-2017年行动计划》的通知. Available at:http://www.shanghai.gov.cn/nw2/nw2314/nw2319/nw10800/nw11408/nw31831/u26aw40887.html.
12杭州市建设健康城市工作领导小组.关于印发《杭州市建设健康城市“十三五”规划》的通知. Available at:http://www.hangzhou.gov.cn/art/2017/1/10/art_1256297_5011736.html.
13谢剑峰.苏州市健康城市指标体系研究.苏州:苏州大学, 2005.
14济南市人民政府.关于印发济南市健康城市健康村镇建设实施方案的通知. Available at:http://www.jinan.gov.cn/art/2016/12/22/art_163_611082.html.
15金昌市人民政府办公室.关于印发金昌市2014年建设健康城市实施方案的通知. Available at:http://www.jc.gansu.gov.cn/art/2014/6/3/art_7264_129577.html.
16中共威海市委,威海市人民政府.关于建设健康城市的意见.Available at:http://www.whws.gov.cn/art/2016/2/18/art_29484_865041.html.
17银川市人民政府.关于印发《银川市建设健康城市工作方案》的通知. Available at:http://www.yinchuan.gov.cn/xxgk/qtbmgkml/swbgt/swbwj_8747/201608/t20160803_166738.htm.
18南宁市人民政府.关于印发南宁市建设健康城市五年行动计划的通知. Available at:http://govinfo.nlc.gov.cn/lssj/xxgb/nnzb/200920/201104/t20110414_712477.html?classid=416.
19无锡市人民政府.关于印发无锡市建设健康城市行动计划(2011-2015年)的通知. Available at:http://www.wuxi.gov.cn/web101/wxqk/gazette/gov_file/5266136.shtml.
20政协厦门市委员会.建设健康城市树立城市品牌.厦门:市政协课题组, 2009.
21黄文杰.重庆市健康城市建设评价指标体系研究.重庆:重庆医科大学, 2016.
22泸州市人民政府.关于印发泸州市健康城市建设工作方案(2016-2017年)的通知. Available at:http://www.luzhou.gov.cn/Gov Public Info/Detailed.aspx?Id=20160615102127-438622-00-000.
23珠海市人民政府.关于印发珠海市健康城市规划纲要(2010-2015年)的通知. Available at:http://zwgk.gd.gov.cn/006988427/201405/t20140507_492643.html.
24镇江市人民政府办公室.关于印发健康镇江三年(2013-2015)行动方案的通知. Available at:http://zjsghj.gov.cn/swsj/awyd/jkzj/201406/t20140623_1262919.htm.
25广州市人民政府办公厅.关于印发广州市建设健康城市规划(2011-2020年)的通知. Available at:http://zwgk.gd.gov.cn/007482532/201302/t20130206_366143.html.
26义乌市人民政府.关于印发《义乌市旅游发展三年行动计划(2015-2017年)》的通知. Available at:http://www.yw.gov.cn/zfmhwzxxgk/001 /02/03/201412/t20141216_649872.shtml.
27张家口市人民政府.关于印发《张家口市创建健康城市活动实施方案》的通知. Available at:http://www.zjk.gov.cn/govaffair/content.jsp?code=000471961/2011-06792.
28 舟山市人民政府.关于征求《实施健康舟山战略建设海洋健康城市的决定(讨论稿)》和《舟山群岛新区健康舟山建设行动计划(讨论稿)》修改意见的函. Available at:http://www.zswsj.gov.cn/cb13dda5-4acc-4211-9d66-77213e284816.html.
29于海宁.《株洲市创建“健康城市”行动纲要(2012-2020年)》制定研究.济南:山东大学, 2013.
30南京市人民政府办公厅.关于印发《建设健康南京行动计划(2015-2017)》的通知. Available at:http://www.nanjing.gov.cn/xxgk/szf/201412/t20141205_3081196.html.
31沧州市人民政府.关于印发《关于开展创建“健康城市”活动的实施方案》的通知. Available at:http://www.cangzhou.gov.cn/zwbz/zwdt/cxwj/49226.shtml.
32攀枝花市人民政府.关于开展健康城市建设工作的决定.Available at:http://www.panzhihua.gov.cn/zwgk/a/20170123/60181.shtml.
33丁慧,陶诚.青岛市“健康城市”评价指标体系探讨.中国卫生质量管理, 2016, 23(6):93-96.
34邢台市人民政府.关于开展创建“健康城市”活动实施方案的通知. Available at:http://www.xingtai.gov.cn/zwgk/zfwj/zz/201108/t20110801_44401.html.
35 宝鸡市人民政府.宝鸡市健康城市建设三年规划(2015-2017年).Available at:http://www.baoji.gov.cn/site/11/html/276/293/275100.htm.
36Webste P, Sanderson DJ. Healthy cities indicators-a suitable instrument to measure health. J Urban Health, 2013, 90(Suppl 1):52-61.
37郭晓薇.用新版指标促进健康城市建设.中国卫生, 2018,(5):74.
38王中灿,程雪莲,何中臣,等.基于健康中国战略背景下的健康文化建设路径探讨.中国健康教育, 2018, 34(2):189-191.
39傅华,戴俊明,高俊岭.健康城市评价:改进重于达标.中国卫生,2017,(11):40-41.
40杨玉洁,雷海潮.国外健康城市建设的新进展与启示.医学与社会, 2016, 29(8):33-36.
41国家卫生计生委.关于印发全民健康生活方式行动方案(2017-2025年)的通知. Available at:http://www.nhfpc.gov.cn/jkj/s5878/201704/e73c1934c7f84c709e445f01bf832b17.shtml.
42 温秋月,卢东民,姜宝荣,等.我国城市健康城市指标体系的系统评价.中国循证医学杂志, 2018, 18(6):617-623.
2World Health Organization and Metropolis. Cities for health, 2014.Available at:http://www.who.int/kobe_centre/publications/citiesforhealthfinal.pdf.
3Patterson L, Heller R, Robinson J, et al. Developing a European urban health indicator system:results of EURO-URHIS. Eur J Public Health, 2015, 27(2):4-8.
4全国爱卫办.关于开展健康城市试点工作的通知. Available at:http://www.nhfpc.gov.cn/jkj/s5898/201611/f1cb9ed675274c0fab49a87410ce9e20.shtml.
5全国爱卫会.关于开展健康城市健康村镇建设的指导意见.Available at:http://www.nhfpc.gov.cn/jkj/s5898/201608/3 a61d95e1f8d49ffbb12202eb4833647.shtml.
6于海宁,成刚,徐进,等.我国健康城市建设指标体系比较分析.中国卫生政策研究, 2012, 5(12):30-33.
7 黄文杰,白瑞雪,胡萍,等.关于健康城市指标体系的描述性系统评价.医学与哲学, 2017, 38(566):56-59.
8全国爱卫会.关于印发全国健康城市评价指标体系(2018版)的通知. Available at:http://www.nhfpc.gov.cn/jkj/s5899/201804/fd8c6a7ef3bd41aa9c24e978f5c12db4.shtml.
9陈耀龙,李幼平,杜亮,等.医学研究中证据分级和推荐强度的演进.中国循证医学杂志, 2008, 8(2):127-133.
10北京市人民政府.关于印发健康北京“十二五”发展建设规划的通知. Available at:http://www.gov.cn/jrzg/2011-08/24/content_1931203.htm.
11上海市人民政府办公厅.关于印发《上海市建设健康城市2015-2017年行动计划》的通知. Available at:http://www.shanghai.gov.cn/nw2/nw2314/nw2319/nw10800/nw11408/nw31831/u26aw40887.html.
12杭州市建设健康城市工作领导小组.关于印发《杭州市建设健康城市“十三五”规划》的通知. Available at:http://www.hangzhou.gov.cn/art/2017/1/10/art_1256297_5011736.html.
13谢剑峰.苏州市健康城市指标体系研究.苏州:苏州大学, 2005.
14济南市人民政府.关于印发济南市健康城市健康村镇建设实施方案的通知. Available at:http://www.jinan.gov.cn/art/2016/12/22/art_163_611082.html.
15金昌市人民政府办公室.关于印发金昌市2014年建设健康城市实施方案的通知. Available at:http://www.jc.gansu.gov.cn/art/2014/6/3/art_7264_129577.html.
16中共威海市委,威海市人民政府.关于建设健康城市的意见.Available at:http://www.whws.gov.cn/art/2016/2/18/art_29484_865041.html.
17银川市人民政府.关于印发《银川市建设健康城市工作方案》的通知. Available at:http://www.yinchuan.gov.cn/xxgk/qtbmgkml/swbgt/swbwj_8747/201608/t20160803_166738.htm.
18南宁市人民政府.关于印发南宁市建设健康城市五年行动计划的通知. Available at:http://govinfo.nlc.gov.cn/lssj/xxgb/nnzb/200920/201104/t20110414_712477.html?classid=416.
19无锡市人民政府.关于印发无锡市建设健康城市行动计划(2011-2015年)的通知. Available at:http://www.wuxi.gov.cn/web101/wxqk/gazette/gov_file/5266136.shtml.
20政协厦门市委员会.建设健康城市树立城市品牌.厦门:市政协课题组, 2009.
21黄文杰.重庆市健康城市建设评价指标体系研究.重庆:重庆医科大学, 2016.
22泸州市人民政府.关于印发泸州市健康城市建设工作方案(2016-2017年)的通知. Available at:http://www.luzhou.gov.cn/Gov Public Info/Detailed.aspx?Id=20160615102127-438622-00-000.
23珠海市人民政府.关于印发珠海市健康城市规划纲要(2010-2015年)的通知. Available at:http://zwgk.gd.gov.cn/006988427/201405/t20140507_492643.html.
24镇江市人民政府办公室.关于印发健康镇江三年(2013-2015)行动方案的通知. Available at:http://zjsghj.gov.cn/swsj/awyd/jkzj/201406/t20140623_1262919.htm.
25广州市人民政府办公厅.关于印发广州市建设健康城市规划(2011-2020年)的通知. Available at:http://zwgk.gd.gov.cn/007482532/201302/t20130206_366143.html.
26义乌市人民政府.关于印发《义乌市旅游发展三年行动计划(2015-2017年)》的通知. Available at:http://www.yw.gov.cn/zfmhwzxxgk/001 /02/03/201412/t20141216_649872.shtml.
27张家口市人民政府.关于印发《张家口市创建健康城市活动实施方案》的通知. Available at:http://www.zjk.gov.cn/govaffair/content.jsp?code=000471961/2011-06792.
28 舟山市人民政府.关于征求《实施健康舟山战略建设海洋健康城市的决定(讨论稿)》和《舟山群岛新区健康舟山建设行动计划(讨论稿)》修改意见的函. Available at:http://www.zswsj.gov.cn/cb13dda5-4acc-4211-9d66-77213e284816.html.
29于海宁.《株洲市创建“健康城市”行动纲要(2012-2020年)》制定研究.济南:山东大学, 2013.
30南京市人民政府办公厅.关于印发《建设健康南京行动计划(2015-2017)》的通知. Available at:http://www.nanjing.gov.cn/xxgk/szf/201412/t20141205_3081196.html.
31沧州市人民政府.关于印发《关于开展创建“健康城市”活动的实施方案》的通知. Available at:http://www.cangzhou.gov.cn/zwbz/zwdt/cxwj/49226.shtml.
32攀枝花市人民政府.关于开展健康城市建设工作的决定.Available at:http://www.panzhihua.gov.cn/zwgk/a/20170123/60181.shtml.
33丁慧,陶诚.青岛市“健康城市”评价指标体系探讨.中国卫生质量管理, 2016, 23(6):93-96.
34邢台市人民政府.关于开展创建“健康城市”活动实施方案的通知. Available at:http://www.xingtai.gov.cn/zwgk/zfwj/zz/201108/t20110801_44401.html.
35 宝鸡市人民政府.宝鸡市健康城市建设三年规划(2015-2017年).Available at:http://www.baoji.gov.cn/site/11/html/276/293/275100.htm.
36Webste P, Sanderson DJ. Healthy cities indicators-a suitable instrument to measure health. J Urban Health, 2013, 90(Suppl 1):52-61.
37郭晓薇.用新版指标促进健康城市建设.中国卫生, 2018,(5):74.
38王中灿,程雪莲,何中臣,等.基于健康中国战略背景下的健康文化建设路径探讨.中国健康教育, 2018, 34(2):189-191.
39傅华,戴俊明,高俊岭.健康城市评价:改进重于达标.中国卫生,2017,(11):40-41.
40杨玉洁,雷海潮.国外健康城市建设的新进展与启示.医学与社会, 2016, 29(8):33-36.
41国家卫生计生委.关于印发全民健康生活方式行动方案(2017-2025年)的通知. Available at:http://www.nhfpc.gov.cn/jkj/s5878/201704/e73c1934c7f84c709e445f01bf832b17.shtml.
42 温秋月,卢东民,姜宝荣,等.我国城市健康城市指标体系的系统评价.中国循证医学杂志, 2018, 18(6):617-623.