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健康城市绩效奖是否能促进全政策健康?以台湾为例。

Do Healthy City Performance Awards Lead to Health in All Policies? A Case of Taiwan.

机构信息

Healthy Cities Research Center, Research and Services Headquarters, National Cheng Kung University, No.1, University Road, Tainan City 701, Taiwan.

Institute of Environmental and Occupational Health Sciences, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei 112, Taiwan.

出版信息

Int J Environ Res Public Health. 2019 Mar 24;16(6):1061. doi: 10.3390/ijerph16061061.

DOI:10.3390/ijerph16061061
PMID:30909635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6466376/
Abstract

The Healthy Cities (HC) Project, which was introduced by the World Health Organization (WHO) in 1986, has been recognized as the best setting approach for health promotion. However, very few studies have addressed how to use HC approaches to establish public policies in non-health departments in cities. This paper describes the strategies for the HC Performance Awards used in Taiwan to draw attention from different departments and to sustain intersectoral collaboration for the purpose of establishing Health in All Policies (HiAP). The methods include: (1) setting up the Taiwan Healthy City Alliance; (2) establishing HC Innovation Performance Awards; (3) reviewing the award applications according to seven criteria; and (4) analyzing the topic content of the award applications. We collected 961 HC award applications during 2013⁻2016 to analyze their content. The results showed that the number of applications increased nearly every year while significantly more non-health departments applied for the awards compared to health departments (73.3% vs. 26.7%). The award rates of non-health departments have also increased twice from 13.9% in 2013 to 25.8% in 2016. By examining the topics of the award winners, we concluded that "HC Innovation Performance Awards" indeed provide a role and opportunity for political involvement, intersectoral collaboration, co-opetition and capacity building that is necessary for establishing health in all policies.

摘要

世界卫生组织(WHO)于 1986 年推出的“健康城市(HC)项目”被公认为促进健康的最佳环境方法。然而,很少有研究探讨如何利用 HC 方法在城市非卫生部门制定公共政策。本文描述了台湾使用 HC 绩效奖的策略,以引起不同部门的关注,并维持部门间合作,以建立“所有政策中的健康(HiAP)”。这些方法包括:(1)建立台湾健康城市联盟;(2)设立 HC 创新绩效奖;(3)根据七个标准审查获奖申请;(4)分析奖申请的主题内容。我们在 2013 年至 2016 年间收集了 961 项 HC 奖项申请,以分析其内容。结果表明,申请数量逐年增加,而非卫生部门的申请数量明显多于卫生部门(73.3%比 26.7%)。非卫生部门的获奖率也从 2013 年的 13.9%增加到 2016 年的 25.8%。通过检查获奖得主的主题,我们得出结论,“HC 创新绩效奖”确实为建立所有政策中的健康提供了必要的政治参与、部门间合作、合作竞争和能力建设的角色和机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/aa73ae13975f/ijerph-16-01061-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/1af362fb501e/ijerph-16-01061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/346091223a55/ijerph-16-01061-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/aa73ae13975f/ijerph-16-01061-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/1af362fb501e/ijerph-16-01061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/346091223a55/ijerph-16-01061-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a61/6466376/aa73ae13975f/ijerph-16-01061-g003.jpg

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Health Promot Int. 2017 Feb 1;32(1):7-8. doi: 10.1093/heapro/daw103.
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