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[1]郭胜鹏靳思慧王虎峰.健康中国行动布局下慢性病患者健康教育效果研究[J].中国卫生质量管理,2025,32(09):51-56.[doi:10.13912/j.cnki.chqm.2025.32.9.10]
　GUO Shengpeng,JIN Sihui,WANG Hufeng.Research on the Effectiveness of Health Education for Patients with Chronic Diseases under the Framework of the Healthy China Initiative[J].Chinese Health Quality Management,2025,32(09):51-56.[doi:10.13912/j.cnki.chqm.2025.32.9.10]

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健康中国行动布局下慢性病患者健康教育效果研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年09期页码: 51-56 栏目: 专题研究出版日期: 2025-09-15

Title:: Research on the Effectiveness of Health Education for Patients with Chronic Diseases under the Framework of the Healthy China Initiative

作者:: 郭胜鹏靳思慧王虎峰; 中国人民大学公共管理学院

Author(s):: GUO Shengpeng; JIN Sihui; WANG Hufeng; School of Public Administration and Policy,Renmin University of China

关键词:: 慢性病; 健康教育; 健康中国行动; 倾向得分匹配法

Keywords:: Chronic Diseases; Health Education; Healthy China Initiative; Propensity Score Matching

分类号:: R197.1

DOI:: 10.13912/j.cnki.chqm.2025.32.9.10

文献标志码:: A

摘要:: 目的探究慢性病患者接受健康中国行动布局下健康教育的效果，为提升慢性病综合防控能力提供参考。方法基于健康中国居民参与调查数据，利用OLS回归和倾向得分匹配法探究健康教育对慢性病患者管理行为和控制效果的影响，采用费舍尔组合检验判断影响是否存在城乡差异。结果慢性病患者接受一般性健康教育使管理行为、控制效果分别增加0.429分、0.223分；接受针对性健康教育使管理行为、控制效果分别增加0.601分、0.309分。一般性和针对性健康教育对控制效果的影响均存在城乡差异。结论分别侧重于“防”与“医”的一般性和针对性健康教育均可有效改善慢性病健康管理，但针对性健康教育作用更强、农村患者受益更佳。建议系统整合一般性和针对性健康教育，创新完善针对性健康教育载体形式和媒介途径，组建慢性病健康管理团队，持续扩大农村健康教育覆盖面，多轨并驱优化慢性病医防融合机制。

Abstract:: ObjectiveTo explore the effectiveness of health education under the framework of the Healthy China Initiative for patients with chronic diseases, and to provide references for enhancing comprehensive chronic disease prevention and control capabilities.MethodsBased on survey data regarding Health China Residents Participation Survey, OLS regression and propensity score matching were utilized to investigate the impact of health education on the management behaviors and control outcomes of patients with chronic diseases. The Fisher’s combined probability test was employed to determine whether there were urban-rural differences in these impacts. ResultsGeneral health education for patients with chronic diseases increased management behaviors and control outcomes by 0.429 points and 0.223 points, respectively. Targeted health education led to increases of 0.601 points and 0.309 points in management behaviors and control outcomes, respectively. Both general and targeted health education demonstrated urban-rural differences in their impact on control outcomes.Conclusion Both general health education, focusing on "prevention", and targeted health education, focusing on "treatment", can effectively improve chronic disease health management, with targeted health education exhibiting a stronger effect and providing greater benefits to rural patients. It is recommended to systematically integrate general and targeted health education, innovate and improve the forms and media channels of targeted health education, establish chronic disease health management teams to continuously expand the coverage of rural health education, and adopt a multi-pronged approach to optimize the integration mechanism of medical treatment and prevention for chronic diseases.

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更新日期/Last Update: 2025-09-15