Study On Creating A Healthy City Urban Plan (2012-2020) In Zhuzhou

Research Objectives:This study described the basic situation and health status of Zhuzhou through the investigation, set the expected target of index system using the benchmarking method, identified key areas and projects of the construction, provided the evidence base for the design of Zhuzhou’s health action outline; Based on the research of the Zhuzhou’s action outline making process, we explored and established a healthy urban action program formulation process, which can provide experience for other cities to develop health action outline for reference.Specific purposes are as follows:1、Analysis on the basic economic and social health situation of Zhuzhou;2、 Analysis and determine the index system of the urban plan;3、 Analysis the surveyed data, to obtain the basic value of the indexes;4、 Develop guidelines of healthy city for action in Zhuzhou.Data Resources and Methods:Data of this study include three components:1. Some data of this study was from family questionnaire for Zhuzhou to create a healthy city urban plan, the contents including:socioeconomic characteristics of the population; health status, physical examination and doctors’ visiting because of illness; smoking, alcohol consumption, exercise and other health related behavior. The field survey was done in August2012in Zhuzhou’s four areas, a total of1000households using household interview method and received997valid questionnaires.2. Some other data was from institute statistics of Zhuzhou, such as department of health, the center for disease control and prevention, family planning and other departments. We extracted some data from the institutional ones, as baseline value of this index system.3. Literatures. This study searched Google scholar using healthy city, goal setting and priority setting as subject terms for English literature, searched CNKI for Chinese literature using healthy city as subject term, and acquired lots of documents and materials.In this study, we adopted the surveyed method of households and institutions, in addition, we also adopted in-depth interview method, literature research method and expert consulting method.Main Results:1) Analysis the basic economic and social situation and health status in Zhuzhou. Through analysis the basic situation of Zhuzhou, we found Zhuzhou’s economic development in forefront of Hunan province, the overall health level was higher than Hunan and national level; In recent years, through the efforts, Zhuzhou’s environment was also improved; The surveyed data shew that residents’ life behavior had large room for improvement. Zhuzhou’s health city construction will focus on improving the urban environment and advocating the good way of life behavior.2) Zhuzhou’s action outline of healthy city index system was developed. We constructed the indicator system by applying the method of literature research and expert consultation, combined with the availability and accuracy of the indexes, the feasibility of data collection, and predictability of indexes, ultimately determined index system included:11measures of economic and social environment such as "town dweller lowest life to ensure standard",4measures of policy management such as "cooperation of departments",6measures of health indicators such as "average life expectancy",9measures of health services such as "sports facilities per capita land area",6measures of public opinion such as "civil satisfaction with public security". There were a total of36indicators which fell into five categories.3) Analyzed the surveyed data and agencies" data, obtained the indexes" baseline values."Town dweller lowest life to ensure standard" in2011was15%of wage standard, the rate of urban living garbage hazard-free treatment was100%, the rate of urban sewage concentrated was85%, and other indicators" baseline values from the index system. 4) Created a healthy city’s action outline (2012-2020) in Zhuzhou. This study adopted the method of benchmarking, with reference to healthy city index standards’ requirements, combined with the actual situation of Zhuzhou, set the healthy city index targets; Compared the indicators’baseline values and the expected targets, according to the multiple criteria decision analysis method, we sorted the existing problems, finally determined3tasks including "improving health environment","popularization of healthy life style" and "the task of building a healthy society"; Then we established powerful safeguard measures, the government as leader, coordination of departments, clearing each responsibilities, increasing government investment, and etc.Conclusions:This paper studied the process of established Zhuzhou’s health city action outline, analysed the whole process. In the beginning of this study we decided to find current problems we were facing in Zhuzhou through analysis the basic situation, find the focus of health city construction; We constructed the index system of Zhuzhou healthy city using the literature research and expert consultation method, rather than Delphi method, so the scientific nature, the feasibility and reliability of index system need to be further verified; When using questionnaire and data we found that some data was missing or updated slowly, so it is necessary to set up health information management system; This study also summarized the methods of setting goals and priority setting and we set target values of indexes and key areas scientifically, also we made the powerful safeguard measures.Suggestions:1) We should understand the health status of the city through field research and baseline data collection, which can provide evidence for setting appropriate expected targets;2) Set up a management system of health information, build a healthy city index system using scientific method, assess and update it regularly;3) Set a reasonable expected targets based on country’s requirements, combined with local actual situation;4) Using scientific methods to determine the priority in the construction field, formulate and improve relevant policies and priorities in the field of action items;5) Develop powerful safeguard measures, such as establish management system, fund input, etc;6) The construction of healthy city is a process, so we need to summarize periodically, step by step.