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ORIGINAL RESEARCH article

Front. Public Health

Sec. Health Economics

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1665320

Study on the Influencing Factors of Forest-based health and wellness Services from the Supply and Demand Perspective

Provisionally accepted
Kunjing  WeiKunjing WeiGeyao  ZhouGeyao Zhou*Xianfeng  ZhouXianfeng ZhouYufang  ZhangYufang ZhangQiuyue  LiaoQiuyue Liao
  • Guizhou Medical University, Anshun, China

The final, formatted version of the article will be published soon.

Objective: This study investigates the key factors influencing the development of forest-based health and wellness (FHW) services in Guizhou Province, China, from both supply-and demand-side perspectives. Methods: A purposive sample of 242 staff members and 420 consumers from 17 FHW bases was surveyed between March and June 2024. Data were analysed using binary logistic regression for supply-side factors and ordered logistic regression for demand-side determinants, following reliability and validity testing of the questionnaires. Findings: On the supply side, the effectiveness of health management programs, adequacy of health facilities, and implementation of health education activities significantly affected service delivery. On the demand side, consumer satisfaction was shaped by instructor professionalism, perceived health benefits, the layout of leisure facilities, staff courtesy, and access to health product purchase channels. Conclusion: To advance the sustainable development of FHW, we propose a coordinated agenda across stakeholders. On the supply side, providers should strengthen the scientific rigor and implementation fidelity of health-management programs, upgrade and complete wellness infrastructure, and institutionalize routine health-education activities. On the demand side, priorities include enhancing the professional competence of wellness interpreters/guides and therapists; increasing consumers' perceived health gains; optimizing the siting and accessibility of rest pavilions and related amenities; and improving courteous, patient-centered service as well as the availability and accessibility of health-product purchasing channels. For policymakers, stronger interdepartmental coordination is needed to support and enable the effective implementation of these measures. Novelty: This study provides one of the first comprehensive analyses combining supply and demand perspectives in FHW services, offering evidence-based recommendations for policy, practice, and industry development in emerging health economies.

Keywords: Supply and Demand Side Perspective, forest-based health and wellness, Service, Influencing factors, Guizhou Province

Received: 14 Jul 2025; Accepted: 09 Sep 2025.

Copyright: © 2025 Wei, Zhou, Zhou, Zhang and Liao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Geyao Zhou, Guizhou Medical University, Anshun, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.