From the patriotic health movement in the 1980s to the healthy China strategy in the 21st century，“putting people first” and “integrating health into all policies” have always been the philosophy of China’s urban development. China has also made remarkable historic achievements in the field of health care，taking shape a path of healthy development with Chinese characteristics. In the new era，Chinese cities still have many unfulfilled responsibilities and missions in improving the health and well-being of residents. Our evaluation results show that，in recent years the difference in the level of healthy development of Chinese cities continued to shrink. The health level of cities in central and western China has improved significantly，but the regional gap still exists. The healthy development index of the Yangtze river delta，pearl river delta and Beijing-Tianjin-Hebei urban agglomeration ranks the top three in China. However，the higher the level of healthy development of urban agglomeration，the more obvious its internal differentiation. In the 14th five-year and the coming period，promoting equality of opportunity and rights and interests in inter-city development and comprehensively promoting health equity remain the main themes of healthy urban development in China.