通讯作者: 王虎峰, wanghufeng616@ruc.edu.cn

DOI：10.12201/bmr.202606.00081

Research on the Connotation, Mechanism of Action, and Cultivation Paths of Individual Health Responsibility: An Empirical Examination Based on Patients with Chronic Diseases

• 摘要：目的:面向传统被动诊疗模式难以适配慢性病全周期防控需求的现实困境,填补个体健康责任内涵阐释、作用机制及培育路径的缺口。方法:基于范围界定综述方法提炼概念内涵,运用结构方程模型和Bootstrap法实证检验其影响慢性病患者健康状况的作用机制。结果:个体健康责任包括“认知—行为—协同”三个层面,并通过主动健康管理行为改善了慢性病患者健康状况(非标准化效应值分别为0.663、0.017,P＜0.05)。结论:个体健康责任培育需从认知内化、行为转化、协同支持三方面着手,未来应积极开展教育嵌入、互动塑造与话语转型,提升个体健康责任的行动力,构建政府、社会、个体联动的健康责任体系。

  关键词： 个体健康责任、慢性病、作用机制、培育路径; ; ; 

   

  Abstract: Objective This study aims to address the research gaps in the connotation interpretation, functional mechanism, and cultivation pathways of individual health responsibility, against the realistic dilemma that the traditional passive diagnosis and treatment model is difficult to adapt to the needs of full-cycle prevention and control of chronic diseases under the Healthy China strategy.Methods The connotation of the concept was refined using a scoping review method. Structural equation modeling (SEM) and the Bootstrap method were employed to empirically test the mechanism through which individual health responsibility influences the health status of patients with chronic diseases.Results Individual health responsibility encompasses three dimensions: cognition, behavior, and improves the health status of patients with chronic diseases via active health management behaviors (non-standardized effect sizes = 0.663 and 0.017; P < 0.05).Conclusion The cultivation of individual health responsibility should focus on three aspects: cognitive internalization, behavioral transformation, and collaborative support. In the future, efforts should be made to actively promote education embedding, interactive shaping, and discourse transformation, enhance the actionable capacity of individual health responsibility, and construct a health responsibility system featuring linkage among the government, society, and individuals.

  Key words: Individual health responsibility; Chronic diseases; Mechanism of action; Cultivation paths

  提交时间：2026-06-30

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 何艳平, 张晓丹, 姚强. 家庭医生签约服务的健康效应及作用机制研究——来自6省12县1 191位农村慢性病患者的证据. 2024. doi: 10.12201/bmr.202409.00051

  冯凤翔, 任慧玲, 王军辉, 蔡妙芝, 赵嘉玮, 王巍洁. 慢性病患者健康信息规避行为影响因素及规避策略的定性系统评价. 2022. doi: 10.12201/bmr.202207.00017

  耿铭慧, 孙嘉颖, 牟艺帆, 罗金萍, 张宝轩, 尹文强, 陈钟鸣, 马东平. 基于离散选择实验的慢性病共病患者家庭医生签约服务选择偏好研究. 2024. doi: 10.12201/bmr.202412.00002

  王虎峰, 赵阳. 健康中国战略实施前后6年我国慢性病研究趋势：由治疗向治理转型. 2023. doi: 10.12201/bmr.202306.00003

  常宇琼, 杨慧锋▲, 王文珍, 张颖, 吴迪. 慢性病患者互联网医院就医行为意向及影响因素研究. 2025. doi: 10.12201/bmr.202506.00047

  殷方, 吴志强, 马敬东. 参与互联网医疗对慢性病患者价值共创意愿的影响研究. 2024. doi: 10.12201/bmr.202407.00025

  张冬云, 刘晓琦, 文庭孝, 吴旭生, 姚克勤. 基于人体特征信息标签的个体健康画像研究. 2022. doi: 10.12201/bmr.202212.00008

  向聪, 高小莲, 熊钱芬, 王鹤情, 罗燕玲, 祝鑫红, 陶军秀. 基于内容分析法的慢性病健康管理信息化特征研究. 2024. doi: 10.12201/bmr.202408.00058

  吴炫桢, 牛姬飞, 何娣琼, 袁芹, 武卯富, 黄舜艳▲. “新质生产力”视域下慢性病防治的SWOT分析. 2024. doi: 10.12201/bmr.202411.00069

  胡融淼, 邓世康, 于辰, 王培刚. 健康中国行动成功推进的结构要素及组合路径研究 —基于全国50个典型案例的清晰集定性比较分析（csQCA）. 2023. doi: 10.12201/bmr.202302.00015

• 序号	提交日期	编号	操作
  1	2026-04-15	10.12201/bmr.202606.00081V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论