摘要我国骨质疏松症的基层防治建设起步较晚，基层规范化防控的效果有待进一步提高。针对社区居住绝经后女性骨质疏松性椎体骨折的观察性、横断面研究结果显示，在社区层面存在筛查率低、知晓率低、诊断率低、治疗率低等问题，提示骨质疏松症的防治应从社区层面就给予重视。对如何加强原发性骨质疏松症的基础管理并推动多级联动，来自全国各地的15名专家展开了热烈讨论。现将讨论内容汇总成文。

abstractsThe development of primary-level prevention and control of osteoporosis in China has started relatively late, and the effectiveness of standardized prevention and control at the grassroots level requires further improvement. Observational and cross-sectional studies focused on postmenopausal women with osteoporosis vertebral fracture in community settings reveal issues such as low screening rates, low awareness, low diagnosis rates, and low treatment rates. These findings highlight the importance of addressing osteoporosis prevention and treatment at the community level. In response, 15 experts from across the country engaged in an intensive discussion on how to enhance the basic management of primary osteoporosis and promote multilevel referral. This article summarizes the discussion.