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健康城市评价体系的回顾与展望
李 栋1, 韩 颂2, 李丰婧3
1.( 通讯作者):清华大学城市治理与可持 续发展研究院,副研究员,lidong80@ tsinghua.edu.cn;2.清华大学建筑学院,本科生;3.清华大学城市治理与可持续发展研究 院,助理研究员
摘要:
新冠肺炎疫情暴露出现代城市发展中 积累的一系列健康问题,如何科学评估城市健 康状况和趋势、更好辅助制定城市健康政策和 规划,是当前中国乃至各国城市普遍面临的重要 挑战。为指引和支撑健康城市发展,探寻健康城 市评价体系的演变脉络与主要趋势,本文通过 回顾健康城市评价体系基本概念,梳理和对比 近年来国内外健康城市评价工作的变化,重点 识别了健康城市评价体系在主题内容、方法技 术、应用受众、实施模式等方面的进展,总结了 健康城市评价体系发展趋势中呈现的主题整合 化、方法精细化、应用价值化和模式开放化四 方面关健转向,并对进一步优化健康城市评价 体系的实施提出了对策建议。
关键词:  健康城市  评价体系  城市健康指数  循证管理  数据驱动
DOI:10.13791/j.cnki.hsfwest.20230203
分类号:
基金项目:清华大学城市治理与可持续发展研究院首都高端智 库课题(20211160001);清华大学大学生研究训练计 划(SRT)项目(2221T0689)
Reviews and Prospects of Healthy City Evaluation Systems
LI Dong,HAN Song,LI Fengjing
Abstract:
The COVID-19 epidemic has exposed a series of health problems accumulated in the development of modern cities. How to scientifically assess urban health conditions and trends and better assist in formulating urban health policies and plans is an important challenge faced by cities in China and even in other countries in general. In order to better respond and intervene, it is necessary to accurately grasp urban health trends, evaluate urban health conditions, identify urban health problems and shortcomings, design targeted implementation measures, and monitor and provide feedback on the effectiveness of implementation, which constitute an important policy tool in the evaluation work with the theme of healthy cities. From the previous studies, the existing healthy city evaluation systems are diverse and rapidly developing, and a more unified paradigm has not yet been formed in terms of topics, methods, applications, and models. The urban health system in the post-epidemic era is becoming increasingly complex, making it increasingly difficult to conduct health evaluation, and more reasonable evaluation system tools are urgently needed. In order to answer the question on how to carry out healthy city evaluation in the post-epidemic era, we need to systematically review and summarize the existing healthy city evaluation systems, identify their main progress and development trends, and propose countermeasures at the implementation level. The healthy city evaluation system assumes an indispensable and critical function in responding to the realistic and urgent need for continuous improvement of the situation, as well as in promoting high-quality urban development in the new era. This article identifies the basic concepts of healthy city evaluation systems, compares and contrasts the progress of healthy city evaluation works at home and abroad in recent years, focuses on identifying the main progress of healthy city evaluation systems in terms of thematic contents, methods and technologies, application audiences and implementation modes. Strictly speaking, a “healthy city” is a process rather than a result, and the object of the study of the process of building a healthy city is not the unrealized healthy city itself, but the realistic projection of this theoretical concept, i.e., the state of “health of the city”, which characterizes the integrated system of all health-related elements in the city. For the evaluation process, it is through the measurement of the urban health status that people can understand its evolution and development level, in order to clarify the gap with the ultimate goal of a “healthy city”. This article summarizes four trends of developing healthy city evaluation system, namely, comprehensive theme, refinement of method, value of application and openness of model. For the comprehensive theme, with the support of data and analysis technology, indicator systems from different perspectives can be integrated with each other to establish a more comprehensive and holistic healthy city evaluation systems. This article argues that the primary feature of the next phase of the healthy city evaluation systems is the synthesis of evaluation themes and contents, further highlighting the cross-disciplinary attributes of healthy city research, guiding practical feedbacks and exploring possible countermeasures. For the refinement of method, the application of new data also makes it possible to increase the feasibility of messo-and micro-level measurement analysis and refine the smallest analysis units that can be supported by evaluation indicators, so that the temporal and spatial differences in the construction process of healthy cities can be grasped in more detail, and the results can help relevant departments to comprehensively understand the geographical distribution of local health problems and provide reliable support for the optimization of public health policies. For the value of application, the new data can effectively break through administrative boundaries, hence different regions and different spatial units can use the same datasource and indicator design to carry out research, and the progress or problems of urban health can be identified more objectively by comparing indicators among similar cities, highlighting the core concept of “improvement over achievement” for healthy cities. For the openness of model, there is also a trend of diversification in the subjects conducting the evaluation of healthy cities. The trend can be observed from the traditional single government-led evaluation to the second-party evaluation authorized or commissioned by the government, and then even to the third-party evaluation conducted independently. At the end, this article synthesizes the above analysis and puts forward the implementation suggestions to further improve the healthy city evaluation systems.
Key words:  Healthy Cities  Evaluation System  Urban Health Index  Evidence-Based Management  Data Driven