Analysis of factors influencing contact in the 686 Program for patients with a first-time diagnosis of severe mental disorders in Hainan Province from 2018 to 2022

We found that older patients, longer disease duration, total number of hospitalizations (from initial diagnosis onward) > 1 time, local resident status, and smokers are more inclined to register for the 686 Program. Ethnic minorities, individuals with a junior high school education or above, and those diagnosed with bipolar affective disorder are more hesitant to register for the 686 Program, additionally, patients who are local residents and married are more likely to receive community health management, older patients are more reluctant to accept community health management. In the future, relevant departments should take targeted measures, especially focusing on promotional efforts for ethnic minorities, individuals with a junior high school education or above, and those diagnosed with bipolar affective disorder to enhance the accessibility and popularity of the 686 Program. Furthermore, it is essential to investigate the reasons behind the reluctance of older patients to accept community health management services, in order to improve the effectiveness of the 686 Program for this demographic.