从"十四五"到"十五五":体育健康促进融入国家卫生健康事业的成效、挑战及路径研究OA

Objective To systematically summarize the phased achievements of integrating physical activity-based health pro-motion into China's national health system during the 14th Five-Year Plan period,examine the current structural challenges,and prospectively propose implementation pathways for the 15th Five-Year Plan period.Methods Literature review and system a-nalysis were used to develop an analytical framework from a system-based health promotion perspective.Logical analysis was conducted across four dimensions of institutions,governance,service delivery,and evaluation.Results During the 14th Five-Year Plan period,physical activity-based health promotion achieved notable progress in improving population health,facilitating a shift in health governance from treatment-oriented to prevention-oriented approaches,strengthening the supporting role of public health service systems,and embedding health promotion across diverse settings.However,prominent challenges still re-main,including unclear institutional positioning,insufficient intersectoral coordination,mismatches between service supply capac-ity and demand,and underdeveloped mechanisms for outcome evaluation and policy feedback.Conclusion During the 15th Five-Year Plan period,high-quality integration of physical activity-based health promotion into the national health system should be advanced by strengthening institutional foundations,improving intersectoral governance mechanisms,enhancing the systemic ca-pacity of service delivery,and establishing robust evaluation and policy feedback mechanisms.