我国现在的卫生服务供给大部分集中在成本较高的大医院,形成了城市居民卫生服务需要和需求呈正三角形,而卫生服务供给呈倒三角形的矛盾。发展城市社区卫生服务(community health service,CHS)是中国卫生体制改革的重要内容。城市卫生服务体系将分为综合医院(包括专科医院)和社区卫生服务机构2个层次,社区卫生服务机构将承担大量的医疗卫生服务工作。我们通过对6所城市社区卫生服务机构提供的服务项目和社区卫生技术人 Most of the current health service supply in China is concentrated in large hospitals with higher costs, and the health service needs and demands of urban residents are in a positive triangle, while the supply of health services is in an inverted triangle. The development of community health service (CHS) is an important part of China’s health system reform. The urban health service system will be divided into two levels: a general hospital (including specialized hospitals) and a community health service agency. Community health service agencies will undertake a large number of medical and health services. We have provided services and community health technicians for community health service agencies in 6 cities.