摘要目的 分析地级市卫生服务供需特点,提出该类城市社区卫生服务体系建设的对策和思路.方法 对<第四次国家卫生服务总调查>结果按按照直辖市、副省级和省会城市、非省会地级市进行归纳整理和统计分析.结果 非省会地级市卫生服务地理可及性高,但经济、技术可及性低.两周患病率略低,但儿童患病率高.居民自评健康状况相对较高,但同时健康危险因素水平高.结论 建议在非省会地级市进一步加强体系布局建设,积极与大城市开展纵向合作,提高技术水平,加强传染病防治,开展健康促进和脆弱人群保健等公共卫生服务,不断满足居民需求.

abstractsObjective This article analyzed the characteristics of the health service in medium cities and the impact on community health service.Methods Summary and statistical analysis of the outcomes from the Fourth National Health Service Survey by the category of metropolitans,sub-provincial cities and provincial capital cities,and non-provincial-capital cities.Results In the medium cities,the geographical accessibility is high against low economic and technology accessibility.These cities have lower 2-week morbiditv rate but high children morbidity rate.These cities also feature high self-rated health status among residents and high health risk factors prevalence at the sarne time.Conclusion Medium cities are recommended to further build their CHS system,enhance their ties with larger cities,so as to elevate their technical competence,for meeting such public health needs of the people in infectious disease control,health promotion and vulnerable population healthcare.