針對都市化發展所伴隨的都市人口高度集中以及交通、廢棄物與空氣汙染等環境問題，WHO於1986年開始進行健康城市計畫，提出32項可量化指標，作為各城市制定健康城市政策之基礎；爾後高雄市政府於指標中加入了反映高雄市環境與文化的「在地指標」，建構了屬於高雄市的健康城市指標。然而，臺灣各城市推行健康城市至今，仍缺少檢核城市間推動成效並整合居民需求之研究，而難以對健康城市政策進行評估。因此，本研究旨在建立一個可跨時、空間檢核健康城市推動成效以及可識別指標推動優先性的分析架構，藉此評估高雄市健康城市推動成效並提出發展策略。在研究方法上，透過政府公開資訊之統計資料庫來蒐集各項健康城市指標數值，並計算出指標之歷年成長率（2004～2021年）與跨城市標準化分數（臺灣六都）來檢核高雄市之健康城市政策表現；繼而，透過面訪問卷調查來蒐集高雄市區居民對各項指標之重視程度，並利用「重要性─績效分析法」整合民眾重視程度與前述政策表現，以提供施政改善的優先順序之建議。研究結果顯示，高雄市「自來水普及率」、「汙水下水道比率」、「警政治安」、「空氣汙染」、「飲用水的品質」指標之「跨城市政策表現」差於六都平均，但民眾重視程度高，故可視為「加強改善重點」；其中，「飲用水的品質」指標於高雄市「歷年成長率政策表現」呈現負面發展，因此可視為高雄市健康城市發展的劣勢指標，建議市府將資源優先投入。

Due to the high concentration of urban population and environmental problems such as traffic, waste, and air pollution with urbanization, WHO initiated a healthy city plan in 1986 and proposed 32 quantifiable indicators to underpin healthy city policy formulation for cities. Afterward, the Kaohsiung City Government incorporated “local indicators” reflecting the environment and culture of Kaohsiung City into the indicators and constructed healthy city indicators specific to Kaohsiung City. However, since the development of healthy cities in Taiwanese cities, there has been little research to examine promotion performance among cities and integrate residents’ needs, leading to difficulty in evaluating healthy city policies. Therefore, this study aimed to establish an analytical framework that could examine the promotion performance of healthy cities across time and space and identify the implementation priority of indicators to evaluate the promotion performance of the healthy city in Kaohsiung City and propose development strategies. Regarding research methods, the values of healthy city indicators were collected through the statistical database of open government data, and the historical growth rate of indicators (2004-2021) and cross-city standardized scores (six municipalities in Taiwan) were calculated to inspect health city policy performance. Then, through a face-to-face questionnaire survey, the perceived importance of the indicators to residents in the Kaohsiung urban area was collected; subsequently, an importance-performance analysis was used to integrate the residents’ perceived importance and the aforementioned policy performance to provide the priority of governance improvement. Research results showed that, in “cross-city policy performance,” Kaohsiung’s indicators of “popularity of tap water,” “sewage and sewerage,” “police and political security,” “air pollution,” and “quality of drinking water” were worse than the average of the six municipalities, but residents’ perceived importance levels of these indicators were high. Thus, these indicators could be regarded as “concentration improvement.” Therein, the indicators of “drinking water quality” had shown negative development in Kaohsiung City’s “historical growth rate policy performance,” and thus, they could be regarded as inferior indicators for healthy city development of Kaohsiung City and should be prioritized for the city government’s resource investment.