由於COVID-19疫情的出現,現有的健康城市指標已無法完全呈現城市的健康程度。因此,本研究將從健康城市治理的角度出發,企圖完善現有健康城市指標框架,在現有框架下建立一個應用於應對新型傳染性疾病之子體系,使城市能更好地應對未來的健康風險挑戰。本研究提取原有與疫情相關且會影響健康的健康城市指標,並考慮臺灣因應疫情制定的一系列防疫政策和社會現象,將這些指標歸納為社會經濟、環境設施、城市治理和醫療健康等四大層面。透過模糊德爾菲法初步篩選可用指標,並重新評估現有指標的重要性與新指標的必要性,並使用決策實驗室結合分析網路分析法(DANP)說明指標的相互關聯性和權重值。
研究結果篩選出15項指標,並得出人行道空間比率、人均居住面積和人均開放空間,為健康城市應對新型傳染性疾病時主要優先關注的因素,藉此補足現有指標對傳染性疾病或大流行的缺漏,並可供後續研擬提高健康城市韌性或未來發展之策略。
Due to the emergence of the COVID-19 pandemic, existing indicators for healthy cities no longer fully reflect the health status of a city. Therefore, this study aims to enhance the existing framework of indicators for healthy cities from the perspective of health city governance. Under the current framework, a sub-system will be established to address novel infectious diseases, enabling cities to better respond to future health risk challenges. This study extracts health city indicators that are relevant to and impacted by the pandemic while considering a series of epidemic prevention policies and social phenomena implemented in Taiwan. These indicators are categorized into four major dimensions: socioeconomics, environmental infrastructure, urban governance, and medical health. Through the fuzzy Delphi method, the study initially screens for usable indicators, reassesses the importance of existing indicators, and determines the necessity of new indicators. The DEMATEL-based Analytic Network Process(DANP)is then employed to illustrate the interrelationships and weights of the indicators.
The research results identify 15 indicators, with pedestrian space ratio, per capita residential area, and per capita open space emerging as the primary factors that healthy cities should prioritize when dealing with novel infectious diseases. By addressing the gaps in existing indicators regarding infectious diseases or pandemics, these findings can supplement the current indicators and serve as a basis for formulating strategies to enhance the resilience and future development of healthy cities.