1986年世界衛生組織渥太華憲章闡述健康促進定義,建議健康促進五大策略。本研究採歷史研究法,記述過去臺北市健康促進組織、經費及發展過程,並展望未來。臺北市政府衛生局自1999年起開始推動社區健康促進計畫,2001年起推動職場健康促進計畫,主要發展議題為無菸職場、健康體適能及健康減重。2002年推動健康醫院評鑑,成為國內「健康促進醫院」先驅計畫。健康促進學校計畫的推動,2002年起進行健康學園評鑑,2003年起衛生局與教育局合作推動無菸校園、健康飲食。健康促進事業獲得臺北市政府衛生局的高度重視。展望未來,臺北下各區健康服務中心宜繼續推動並落實社區、職場、學校之健康促進業務;職場健康促進工作,宜建立獎勵機制並設計合宜誘因,使企業主願意主動投入;健康促進學校發展,衛生局與教育局可繼續合作;在健康城市發展上,宜強化社區民眾彼此互動,使市民健康生活態度均有一定共識,並付諸行動,以達市民健康的目的。
In 1986, the World health Organization's Ottawa Chapter created a new definition of Health Promotion using five major strategies. The current study employs historical methodology to evaluate the strategic development of Taipei City's Health Promotion activities, fiscal & organizational structures, as well as past, current and future directions. Recognizing the importance of community empowerment, the Department of Health. Taipei City Government initiated the development of such programs in 1999. To improve worksite health, anti-smoking, physical exercise and weight-reduction programs were promoted in 2001 to ensure the health of all who worked within Taipei City. In 2002, the Department of Health performed a survey of hospitals to improve overall service quality, which led to the creation of ”Health Promoting Hospitals.” Quality surveys ere conducted in kindergartens and nurseries in 2002. One year later, the Department of Health developed Health Promoting School Anti-Smoking and Healthy Diet programs. This collaborative effort between Taipei City Government's Departments of Health and Education received a high level of public approval. The successful deployment of the abovementioned health promotion campaigns has allowed the citizens of Taipei to live healthier, happier lives. In the future, health centers is suggested to develop a wider range of health promotion programs services, to make an impact on a greater number of city residents. To improve the effectiveness of such campaigns, a large number of private sector partners have been offered incentives to participate in health promotion activities. Improving and increasing the frequency of interdepartmental cooperation, such as that between the Departments of Health and Education, is currently underway, making it easier to disseminate health promoting school activities. On the development of Healthy City, it is recommended to strengthen the interaction among the community residents. The cumulative effect of these programs will help the Department of Health, reach out and improve the health of all 2.6 million residents of Taipei City.