Abstract:

Objective To construct a theoretical framework for rehabilitation fitness and sports services for people with disabilities, analyze the practical challenges facing their development, and propose targeted optimization pathways to improve service quality.
Methods Using literature review, policy analysis and logical reasoning, this study integrated the six building blocks of the World Health Organization health service system into a theoretical framework for rehabilitation fitness and sports services. From macro system architecture, meso-level element coordination and micro-level implementation, it elucidated the internal operational logic of each component, combined with a systematic analysis grounded in China's national context.
Results The theoretical framework of rehabilitation fitness and sports services for people with disabilities comprised six key elements: policy and regulation, financial support, human resources, service content, technological support and information monitoring. These elements formed a progressively deepening operational pathway from macro to micro levels, creating a continuous structure of top-level design, institutional coordination and practical implementation. The current services in China still faced structural constraints, including insufficient institutional coordination, a single-source funding structure, imbalanced resource allocation, weak professional support, lagging accessibility environments and inadequate digital governance, requiring systematic optimization through targeted interventions.
Conclusion Rehabilitation fitness and sports services for people with disabilities should strengthen top-level design and establish a diversified and coordinated policy system, expand funding channels to build a sustainable multi-source financing mechanism, enhance human resource development to improve long-term competency, clarify service processes to increase integration and alignment, advance the development of accessible technologies and expand the application of assistive devices, and build an intelligent regulatory system to leverage digital technologies.

Key words: people with disabilities, rehabilitation fitness and sports, theoretical framework