Construction of an Innovative Model for Driving Community Bone Health Management through Family Doctor Contracted Services

With the intensification of population aging, bone health diseases (e.g., osteoporosis, osteoarthritis, scoliosis) have become a major public health challenge in China. Traditional healthcare models, centered on acute-phase diagnosis and treatment, suffer from shortcomings such as overemphasis on treatment over prevention, fragmented services, and inadequate continuity of rehabilitation, leading to low early screening rates, poor patient compliance, and high recurrence risks. This study analyzes the core characteristics and management bottlenecks of bone health diseases. Drawing on international chronic disease management frameworks and domestic practical experience, and leveraging the resource integration advantages of family doctor contracted services, we innovatively constructed a "smart hierarchical early warning-multidisciplinary collaborative intervention-integrated medical and preventive care" model for full-cycle closed-loop management of bone health, aiming to address systemic challenges in bone health management. The innovation of this study lies in enhancing management efficiency through intelligent tools, optimizing resource allocation via multidisciplinary collaboration, and strengthening the sustainability of healthcare services through policy reforms, thereby providing a systematic paradigm for grassroots bone health management.