【摘要】 目的：分析农村地区慢病连续性服务供需偏好分布与差异特征，识别要素属性和优先级，从均衡发展视角为连续性服务提出优化策略。方法：基于KANO模型，设计包含3个核心维度、21项功能要素的连续性服务调查问卷，于2024年6—12月在中部地区6个县域进行供需双方问卷调查；采用Mann-Whitney U检验分析供需偏好差异和差异度，构建波士顿矩阵识别分布特征与共性，计算Better-Worse系数与敏感度系数分析功能要素的属性及优先级。结果：供需存在显著的失衡问题，需求属性匹配率不足50%，双方对连续性服务的认知均存在局限性，需方表现更为显著，高维属性占比仅为23.34%，且未意识到信息连续与供方协作的价值。结论：供需差异在服务理念滞后、体制机制改革传导不充分、基层功能未充分发挥综合影响下产生，应从内化供方行为、增强需方意向、激发基层功能三方面予以优化。更多还原

【Abstract】 Objective: To analyze the distribution and differential characteristics of supply and demand preferences for chronic disease continuity services in rural areas, and propose optimization strategies for such continuity services from the perspective of balanced development. Methods: Based on the KANO model, a questionnaire on continuity services was designed, covering 21 functional elements across 3 core dimensions. The survey was conducted in 6 counties in central China from June to December 2024. The Mann-Whitney U test was used to analyze the differences and degrees of discrepancy in supply and demand preferences; a Boston Matrix was constructed to identify distribution characteristics and commonalities; and the Better-Worse coefficient and sensitivity coefficient were calculated to analyze the attributes and priority of the functional elements. Results: There was a significant imbalance between supply and demand, with the matching rate of demand attributes being less than 50%. Both parties had limitations in their understanding of continuity services, which were more pronounced on the demand side. The proportion of high-dimensional attributes was only 23. 34%, and the demand side was unaware of the value of information continuity and collaboration with the supply side. Conclusions: The supply-demand differences stem from the combined effects of backward service concepts, insufficient transmission of institutional and mechanism reforms, and underutilization of primary-level functions. Optimization should be implemented in three aspects: internalizing the behaviors of the supply side, enhancing the intention of the demand side, and activating primary-level functions.更多还原