Li Tingting, Fang Yong, Zeng Dewei, Shi Zumin, Sharma Manoj, Zeng Huan, Zhao Yong
School of Public Health and Management, Chongqing Medical University, Chongqing 400016, People's Republic of China.
Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, People's Republic of China.
Risk Manag Healthc Policy. 2020 Feb 4;13:83-92. doi: 10.2147/RMHP.S233483. eCollection 2020.
The Healthy Cities Project is an important strategy for global health. This study aimed to develop a scientific and appropriate indicator system for the evaluation of a Healthy City in Chongqing, China.
Data were collected via a review of government documents, focus group discussions, and in-depth interviews. A total of 34 government documents were reviewed to build the indicator database based on our previous studies. The first round of focus group discussions, which involved eight health-related experts, was conducted to form the indicator system framework. In-depth interviews with 15 experts from government departments were conducted to design the improved indicator system. The second round of focus group discussions, which featured four experts, was conducted to obtain the final recommended list of indicators. A thematic framework was used to analyze the detailed interview notes.
The indicator system for the Healthy City consisted of 5 first-level indicators, 21 second-level indicators (e.g., health literacy), 73 third-level indicators (e.g., incidence of myopia), and three characteristic indicators. This indicator system spanned the scope of the environment, society, health services, healthy people, and health behaviors.
This indicator system was based on the current status of the construction of the Healthy City in the pilot district. The indicator system could be dynamically adjusted according to the development of the Healthy City in the pilot district. Government departments play an important decision-making role in the development process of this indicator system.
健康城市项目是全球健康的一项重要战略。本研究旨在建立一套科学、适宜的指标体系，用于评估中国重庆的健康城市。
通过查阅政府文件、焦点小组讨论和深入访谈收集数据。基于之前的研究，共查阅34份政府文件以建立指标数据库。进行了第一轮焦点小组讨论，8名健康相关专家参与其中，以形成指标体系框架。对15名政府部门专家进行深入访谈，以设计改进后的指标体系。进行了第二轮焦点小组讨论，4名专家参与，以获得最终推荐的指标清单。采用主题框架分析详细的访谈笔记。
健康城市指标体系包括5个一级指标、21个二级指标（如健康素养）、73个三级指标（如近视发病率）和3个特色指标。该指标体系涵盖了环境、社会、卫生服务、健康人群和健康行为等范畴。
该指标体系基于试点区健康城市建设的现状。指标体系可根据试点区健康城市的发展动态调整。政府部门在该指标体系的制定过程中发挥着重要的决策作用。
