Abstract: | 本文以健康城市作為研究的主軸,並且聚焦於地方自主性與協力治理兩大影響因素,探討健康城市之建構與發展情況,在此以淡水鎮為例。筆者先以檢閱過去有關健康城市研究之文獻,包括WHO對健康城市之定義、準則與期望,透過文獻分析之過程,嘗試解答下列問題:(1)原台北縣淡水鎮在實際推動健康城市過程中,擁有多少自主性可進行策略目標的規劃,進而完成健康城市的策略藍圖?(2)原台北縣淡水鎮在實際推動健康城市過程中,需要哪些內部與外部協力的活動,以達成健康城市的目標?在進行協力合作的過程中,對健康城市的建構產生哪些影響?(3)原台北縣淡水鎮健康城市的規劃與執行過程,受到哪些內在與外在因素的影響,以致形成推動健康城市的障礙?(4)原淡水鎮改制為淡水區之後,健康城市的發展是否受到影響?經分析後,獲致以下結果。首先,五都升格改制後,淡水之地方自主性下降,使淡水健康城市之運作發展呈現原地踏步之景象,此為地方自主性改變之困境。其次,淡水健康城市目前與後續之發展缺乏足夠之財政資源與支持,使財政上面臨之困難成為淡水健康城市現行之困難。第三,淡水健康城市之公民參與配合度高,但相對較缺乏主動挖掘問題之主動式參與,故淡水健康城市至今仍屬較為被動式的公民參與。第四,淡水健康城市之協力合作關係網絡囊括角色各異之參與者,擁有共同目標,但資源有限,使淡水健康城市之運作網絡形成既合作又競爭之夥伴關係。 The main theme of this research is “the study of healthy city”, and it focuses on the influential factors such as local autonomy and cooperative governance. I reviewed the data of studies in healthy cities, including the definitions, principles, and expectations of healthy city. According to the literature review, this research tries to answer these questions as follows: 1. In the process of setting into action in the former Tamsui township, Taipei County, how much autonomy can map out the strategy objectives to accomplish the strategy map of a healthy city? 2. In the process of setting into action in the former Tamsui township, Taipei County, which of the internal cooperation and external cooperation can accomplish the aim of a healthy city? In the process of cooperating, what are the influences made by the construction of a healthy city? 3. In the process of planning and executing of the former Tamsui township, Taipei County, which of the internal factors and external factors are the influence that is being the barrier of setting a healthy city into action? 4. When the former Tamsui township, Taipei County turn into the Tamsui district, New Taipei City, the development of a healthy city has any change or be affected? I got the results after I analyzed my data and they were as follows: 1. After the former Tamsui township, Taipei County turned into the Tamsui district, New Taipei City, the autonomy of Tamsui is decreasing, and the development of Tamsui healthy city seems that soldiers are making the marching movements without moving forwards. 2. The existing and future development of Tamsui healthy city is short of sufficient financial resources and supports that is the existing problem of Tamsui healthy city. 3. Tamsui has high degree of citizen participation ,but it lacks active participation. 4. The cooperative network of Tamsui healthy city has many different participant with mutual aim, but the resources are limited that make the cooperative network of Tamsui healthy city being a co-opetition relationship. |