Intervention Strategies for Optimizing Chronic Disease Management in Primary Healthcare Services in China：a Perspective Based on Antifragility Development Theory postprint

Abstract: The high prevalence and persistent growth of chronic diseases pose significant health challenges in China. This study，grounded in the antifragility development theory，explores intervention strategies for primary healthcare services to enhance chronic disease prevention and management. It systematically reviews the vulnerabilities of the primary healthcare system in addressing chronic disease management，including imbalances in medical resource allocation，challenges in policy implementation，underdeveloped information systems，and shortages of professional personnel. By innovatively introducing the concept of antifragility，the study emphasizes that the primary healthcare system can strengthen its capabilities by adapting to and improving under conditions of uncertainty and pressure. A series of intervention measures based on the antifragility framework are proposed，such as integrating interdisciplinary teams and information technology to deliver personalized health services， enhancing risk identification and health education，and implementing multi-level interventions to comprehensively reduce chronic disease risks. Other recommendations include increasing the flexibility and adaptability of family doctor contracting services，optimizing policy support and resource allocation，and establishing scientific evaluation and improvement mechanisms. This study aims to build a resilient，adaptive，and continuously optimized primary healthcare system，ultimately improving the quality of chronic disease management，residents' health outcomes，and overall quality of life.