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基层慢病管理与运动康复服务协同发展的困境与路径——基于江西省弋阳县的调研

Challenges and Pathways for Synergistic Development of Chronic Disease Management and Sports Rehabilitation Services at the Grassroots Level: A Survey Study Based on Yiyang County

胡振鑫, 黄思雨, 贾成凯, 朱倩, 吴盛祥

Progress in Social Sciences / 2026,8(4): 308-313 / 2026-04-30 11 7

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• Information:

  江西中医药大学体育健康学院，南昌

• Keywords:
  Primary healthcare; Chronic disease management; Sports rehabilitation; Medical-sports collaboration; Underdeveloped counties
  基层医疗卫生; 慢病管理; 运动康复; 医体协同; 欠发达县域
• Abstract: To explore synergistic development pathways for chronic disease management and sports rehabilitation services in underdeveloped counties in central China, and to support high-quality development of chronic disease prevention and rehabilitation services under the Healthy China strategy, this study conducted a survey in Yiyang County, Jiangxi Province, using questionnaire surveys, field visits, and literature review methods to investigate 470 residents and identify core issues. The survey results indicate that Yiyang County has preliminarily established a grassroots chronic disease management system and piloted medical-sports collaboration initiatives. However, the synergistic development remains at a superficial and fragmented stage, with prominent resource shortages such as a lack of professional rehabilitation personnel and rehabilitation equipment. Other challenges include service gaps, weak rehabilitation awareness among residents, and mismatches between service supply and demand. The study concludes that the synergistic development of chronic disease management and sports rehabilitation services in Yiyang County is constrained by multiple factors, including the absence of collaborative mechanisms, imbalanced resource allocation, disconnected service processes, and cognitive and demand deviations. Based on these findings, optimization pathways are proposed from four dimensions: establishing a“medical-health-sports”collaborative mechanism, improving resource supply systems, integrating service chains, and enhancing publicity guidance and demand alignment, providing practical references for underdeveloped counties in central China. 为探究中部欠发达县域基层慢病管理与运动康复服务的协同发展路径，助力健康中国战略下基层慢病防控与康复服务高质量发展，本研究以江西省弋阳县为调研样本，采用问卷调查法、实地访查法与文献研究法，对县域内470名居民开展调研，挖掘核心问题。调研结果显示，弋阳县已初步搭建基层慢病管理工作体系，开展了医体协同试点探索，但二者协同发展仍处于浅层次、碎片化阶段，且县域内专业康复人员短缺、康复设备匮乏等资源短板突出，还存在服务衔接断层、居民康复意识薄弱与服务供需不匹配等问题。研究结论表明，弋阳县基层慢病管理与运动康复服务协同发展受协同机制缺失、资源配置失衡、服务流程脱节、认知与需求偏差等多重因素制约；基于此，从构建“医卫体”协同机制、完善资源供给体系、打通一体化服务链条、强化宣传引导与需求适配四个维度提出优化路径，为中部欠发达县域提供实践参考。
• DOI: 10.35534/pss.0804055 (registering DOI)
• Cite: 胡振鑫，黄思雨，贾成凯，等．基层慢病管理与运动康复服务协同发展的困境与路径——基于江西省弋阳县的调研［J］．社会科学进展，2026，8（3）：308-313.