DOI: 10.66106/jlhaa9.20250201 ISSN: 3105-6970

主动健康视角下的基层卫生服务利用及健康促进路径（Primary Health Service Utilization and Health Promotion Pathways from an Active Health Perspective）

郭利军 Lijun Guo, 阮伊宁 Yining Ruan, 殷佳绮 Jiaqi Yin, 冯彬 Bin Feng, 唐雨皓 Yuhao Tang
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Abstract：Objective To examine primary health service utilization, health awareness, health behaviors, and chronic disease management from an active health perspective, identify gaps among service accessibility, service capacity, and self-management, and propose actionable health promotion pathways. Methods A cross-sectional survey was conducted from July to September 2024 in 10 administrative villages in Lujiang County, Hefei, Anhui Province. Stratifi ed quota sampling was applied according to village population size. Of 1,500 questionnaires distributed, 1,423 were valid, yielding a response rate of 94.9%. Semi-structured interviews were used to support interpretation of service experiences and management barriers. The questionnaire covered demographic characteristics, health status, service utilization, health-management awareness, and medical insurance and health needs. Frequencies and percentages were used for descriptive analysis. Results Participants aged 60 years or older, those with a junior-secondary education or below, and those with a monthly household income below RMB 3,000 accounted for 53.5%, 78.3%, and 62.5%, respectively. Medical insurance coverage reached 96.3%, whereas active health-management awareness, regular exercise, and standardized chronic disease management were reported by 48.0%, 32.5%, and 45.2%, respectively. Satisfaction was 81.3% for staff attitude, 65.8% for diagnostic capacity, and 58.7% for medicine availability. Conclusion Geographic and fi nancial access to primary health services was relatively good among the surveyed residents, but eff ective service capacity, translation of knowledge into action, and continuity of chronic disease management remained insuffi cient. Primary health governance should begin with risk and need stratifi cation and connect preventive and clinical services, skills training, digital collaboration, and outcome-oriented evaluation to support sustained self-management.

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