自20世纪60年代社区卫生服务在西方发达国家建立以来,社区医疗的服务和模式已得到了充分肯定〔1〕。目前,我国95%的地级以上城市、86%市辖区和一批县级市开展了城市社区卫生服务,全国已设置社区卫生服务中心3400多个,社区卫生服务站近12000个〔2〕。笔者调查了武汉市江岸区的社 Since the establishment of community health services in the western developed countries in the 1960s, community health services and models have been fully affirmed [1]. At present, 95% of cities above prefecture level in China, 86% of municipal districts and a number of county-level cities carry out urban community health services. There are more than 3,400 community health service centers and 12,000 community health service stations in the country. I investigated the city of Wuhan Jiang’an community