| 引用本文：吴绍棠,陈辰,段晨浩,等.健康城市建设如何提升人群慢病防控效果基于湖北省24市的组态研究[J].中国卫生政策研究,2026,19(1):58-65 |
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| 健康城市建设如何提升人群慢病防控效果基于湖北省24市的组态研究 |
| 投稿时间：2025-12-11 修订日期：2026-01-13 PDF全文浏览 HTML全文浏览 |
| 吴绍棠1，陈辰2，段晨浩1，段媛媛3，杜文娟4 |
| 1武汉大学公共卫生学院 湖北武汉 430071;2上海市普陀区长征镇社区卫生服务中心 上海 200333;3山西省晋城市城区疾病预防控制中心 山西晋城 048000;4武汉大学人民医院 湖北武汉 430060 |
| 摘要:目的 探讨健康城市建设提升人群慢病防控效果模式，为提升建设水平、改善人群慢病防控效果提供参考。方法 采用模糊集定性比较分析和必要性条件分析方法，以湖北24市为例，探讨健康城市健康环境、社会、文化、服务建设提升人群慢病防控效果的组态路径。结果 2条实现高慢病防控效果的组态中，Q1以高健康环境、社会、文化为核心条件，Q2以高健康社会与服务、非高健康环境为核心条件；2条非高慢病防控效果组态中，NQ1以非高健康环境和服务为核心条件，NQ2以高健康环境与服务但非高健康文化为核心条件。结论 健康环境—社会—文化协同、健康社会—服务双核互动是驱动人群高水平慢病防控效果的典型模式，健康环境与服务双重缺失以及健康文化建设滞后均会导致人群慢病防控效果达不到预期。 |
| 关键词:健康城市 慢病防控 组态研究 湖北 |
| 基金项目:湖北省卫生健康委项目（250071470） |
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| How can Healthy City construction improve the effectiveness of chronic disease prevention and control： A configuration study based on 24 cities in Hubei province |
| WU Shao-tang1, CHEN Chen2, DUAN Chen-hao1, DUAN Yuan-yuan3, DU Wen-juan4 |
| 1School of Public Health， Wuhan University， Wuhan Hubei 430071， China;2Community Health Service Center of Changzheng Town， Putuo District， Shanghai 200333， China;3Chengqu District Center for Disease Control and Prevention， Jincheng Shanxi 048000， China;4Renmin Hospital of Wuhan University， Wuhan Hubei 430060， China |
| Abstract:Objective To explore the models of health city construction in improving the effectiveness of population chronic disease prevention and control， and to provide references for enhancing the level of health city construction and optimizing the effect of population chronic disease prevention and control.Methods Taking 24 cities in Hubei Province as examples， this study adopted fsQCA and NCA methods to explore the configurational pathways through which the environment， society， culture， and services of healthy city improve the effectiveness of population chronic disease prevention and control.Results Two configurations achieving high effectiveness of chronic disease prevention and control are identified： Q1 takes high health environment， society， and culture as core conditions， while Q2 takes high health society， service， and non-high health environment as core conditions. Additionally， two configurations resulting in non-high effectiveness of chronic disease prevention and control are found： NQ1 takes non-high health environment and services as core conditions， and NQ2 takes high health environment， service， and non-high health culture as core conditions.Conclusions The synergy of health environment-society-culture and the dual-core interaction of health society-service are the typical models driving high-level effectiveness of population chronic disease prevention and control. Both the dual lack of health environment and health service， and the lag in health culture construction will lead to the failure of population chronic disease prevention and control to meet expectations. |
| Key words:Healthy City Chronic disease prevention and control Configuration study Hubei |
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