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　A non-randomized concurrent controlled design was adopted. 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% of respondents expressed overall satisfaction or had no specific suggestions, which was significantly higher than the 85.0% in the control group (P<0.001). The coverage rate of color-coded management advice was 88.8%, that of active recall was 62.8%, and that of health intervention services was 74.3%; the median satisfaction scores for these services were all 4 (out of 4). 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.

Key words: Color-coded management, Active recall, Health examination, Post-examination service, Primary healthcare institution

摘要： 背景　基层医疗卫生机构健康体检后普遍存在服务“断层”问题，高危人群缺乏统一的风险分级与主动管理路径，导致体检价值难以充分实现。分色管理与主动召回作为提升诊后管理连续性的潜在策略，其系统效果评价尚不充分。目的　评价以分色管理为核心、主动召回为抓手的健康体检诊后服务模式在基层医疗机构中的应用效果。方法　采用非随机同期对照设计，以杭州市余杭区径山镇社区卫生服务中心实施诊后服务流程再造为自然分界点，将流程再造前接受体检的862名居民设为对照组，流程再造后接受体检的712名居民设为试验组。试验组接受分色管理及主动召回服务。采用自行设计的问卷总问卷Cronbach's α=0.89，KMO=0.87，Bartlett球形检验P<0.001）调查2组居民的服务质量、流程满意度及诊后管理体验，运用多因素线性回归分析干预措施的独立效应。结果　试验组在服务质量维度及流程满意度维度的评分均显著高于对照组（P<0.001）。多因素线性回归分析结果显示，调整混杂因素后，试验组总体满意度评分较对照组平均高出0.319分（95%CI=0.278~0.360，P<0.001）。试验组中98.0%的意见为整体满意或无意见，显著高于对照组的85.0%（P<0.001）。分色管理建议覆盖率达88.8%，主动召回覆盖率达62.8%，健康干预服务覆盖率达74.3%，相关满意度中位数均为4分（满分4分）。结论　以分色管理与主动召回为核心的体检诊后服务模式显著提升了基层医疗机构体检人群的满意度和服务体验，有效弥补了检后服务连续性缺口，值得在基层推广。

关键词: 分色管理, 主动召回, 健康体检, 诊后服务, 基层医疗机构