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

Corresponding author: wang hufeng, wanghufeng616@ruc.edu.cn

DOI: 10.12201/bmr.202606.00081

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  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

  Submit time: 30 June 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2026-04-15	10.12201/bmr.202606.00081V1	Download

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