健康城市建设与展望

  目的  综合评价辽宁省健康城市建设水平，为推进健康城市可持续发展，实现更高水平的全民健康提供科学依据。  方法  依据《“健康中国2030”规划纲要》等文件和相关研究构建了包括健康环境、健康社会、健康服务、健康人群、健康产业5个一级指标及其17个二级指标的健康城市评价指标体系，采用熵权法确定指标权重，并应用TOPSIS模型对辽宁省14个市2019年的建设水平进行评价。  结果  辽宁省14个市在健康城市建设中各具优势与短板，按综合评价值沈阳市（0.5850）处于第一梯度，本溪市（0.5167）、抚顺市（0.4852）、大连市（0.4825）、丹东市（0.4562）处于第二梯度，辽阳市（0.3704）、盘锦市（0.3191）、阜新市（0.3084）、营口市（0.3067）、鞍山市（0.2993）、铁岭市（0.2788）、朝阳市（0.2767）、葫芦岛市（0.2697）和锦州市（0.2487）处于第三梯度。  结论  辽宁省健康城市发展态势整体良好，但各市及各领域不均衡不充分的问题较为突出，应强化顶层设计与规划引领，完善非线性动态投资机制，培育相关社会组织与志愿团队，并通过高科技控制系统实现研判、监督与保障机制的一体化衔接。

Healthy city construction in Liaoning province, 2019: an entropy weight based TOPSIS evaluation

  Objective   To comprehensively evaluate the construction of healthy city in Liaoning province for providing evidences to sustainable promotion of healthy city construction.   Methods   The data for the evaluation were mainly collected from statistics yearbook 2020 of Liaoning province and its 14 municipalities and health report of Liaoning province – 2019. According to the “Healthy China 2030 Plan Outline” and related studies, we build a healthy city evaluation system which includes 5 primary metrics (healthy environment, society, people, industry and healthcare service) and 17 secondary metrics. Using Delphi method, 15 experts were engaged in multiple consultations to assess the healthy city construction of the 14 municipalities with the metrics. The entropy weight method (EWM) was adopted to determine the weights of the metrics. The technique for order preference by similarity to ideal solution (TOPSIS) model was used to evaluate health city construction in 14 municipalities of the province in 2019.   Results   The implementation of healthy city construction was imbalanced among the 14 municipalities in the year. The results of comprehensive evaluation showed that the 14 municipalities′ healthy city construction could be graded into three categories relatively: the capital city (Shenyang) was at the highest level (with an overall index value of 0.5850), followed by the four cities at a moderate level (with the overall index values of 0.51567 – 0.45626) and other 9 cities at lower level (with the overall index values of 0.3704 – 0.2487), respectively.   Conclusion   The healthy city construction in 2019 was generally well implemented in Liaoning province, but the implementation was imbalanced among the 14 municipalities and among various respects of the construction.