中国全科医学2026，Vol.29Issue(28)：4125-4131,7.DOI:10.12114/j.issn.1007-9572.2026.0093
健康体检诊后分色管理与主动召回在基层医疗卫生机构的应用效果评价
Effect Evaluation of Color-coded Management and Active Recall in Post-examination Services for Health Checkups in Primary Healthcare Institutions
摘要
Abstract
Background Primary healthcare institutions commonly experience a"post-examination gap"in health checkup services,where high-risk populations lack unified risk stratification and proactive management pathways,thereby undermining the full value of health checkups.As potential strategies to enhance the continuity of post-examination care,color-coded management and active recall have not yet been systematically evaluated.Objective To evaluate the effectiveness of a post-examination service model centered on color-coded management and active recall in primary healthcare institutions.Methods Using the implementation of a post-examination service process reengineering at Jingshan Town Community Health Service Center,Yuhang District,Hangzhou as a natural boundary,862 residents who underwent health checkups before the reengineering were assigned to the control group,and 712 residents who underwent checkups after the reengineering were assigned to the intervention group.The intervention group received color-coded management and active recall services.A self-designed questionnaire(Cronbach's α=0.89,KMO=0.87,Bartlett's test P<0.001)was used to assess service quality,process satisfaction,and post-examination management experience in both groups.Multivariate linear regression was used to analyze the independent effect of the intervention.Results The intervention group scored significantly higher than the control group in all dimensions of service quality and process satisfaction(P<0.001).Multivariate linear regression showed that,after adjusting for confounders,the overall satisfaction score in the intervention group was 0.319 points higher than that in the control group(95%CI=0.278-0.360,P<0.001).In the intervention group,98.0%(698/712)of respondents expressed overall satisfaction or had no specific suggestions,which was significantly higher than the 85.0%(733/862)in the control group(P<0.001).The coverage rate of color-coded management advice was 88.8%(632/712),that of active recall was 62.8%(447/712),and that of health intervention services was 74.3%(529/712);the median satisfaction scores for these services were all 4.00(out of 4.00).Conclusion The post-examination service model centered on color-coded management and active recall significantly improved satisfaction and service experience among residents undergoing health examinations in primary healthcare institutions,effectively bridging the continuity gap in post-examination care.This model is worthy of promotion in primary care settings.关键词
分色管理/主动召回/健康体检/诊后服务/基层医疗卫生机构Key words
Color-coded management/Active recall/Health examination/Post-examination service/Primary healthcare institution分类
医药卫生引用本文复制引用
马烽,周良,金建锋,鲁雅儿..健康体检诊后分色管理与主动召回在基层医疗卫生机构的应用效果评价[J].中国全科医学,2026,29(28):4125-4131,7.基金项目
2024年浙江省基层卫生科技创新计划重点项目(2024ZJWX-A005) （2024ZJWX-A005）
