目的:分析我国中小城市社区卫生服务(community health service,CHS)体系建设的现状和问题,提出相应的发展对策。方法:通过现场考察、问卷调查等方法收集资料,采用主题框架分析和SWOT分析方法探讨中小城市CHS建设的现状、问题和对策。结果:我国中小城市CHS建设尚处于起步阶段,经费和人才问题是当前面临的主要困难。该类城市CHS建设特点为:(1)易于推行与管理;(2)公共卫生职能更加突出;(3)社区卫生服务站优势明显;(4)二级医院具有方便、快捷、可及等社区服务特点;(5)多数城市政府财力较为薄弱;(6)卫生资源总量并不缺乏。结论:建议在中小城市CHS建设中注重加强领导层开发,根据城市特点调整功能定位,合理利用资金,并积极与大城市开展技术合作,同时加强服务质量管理。 Objective: To analyze the current situation and problems of community health service (CHS) system construction in small and medium-sized cities in our country and put forward corresponding development countermeasures. Methods: Data were collected through on-the-spot investigation and questionnaire survey. The current situation, problems and countermeasures of CHS construction in small and medium-sized cities were explored by thematic framework analysis and SWOT analysis. Results: The construction of CHS in small and medium-sized cities in our country is still in its infancy, and funding and talent problems are the main difficulties currently facing. The characteristics of CHS construction in these cities are as follows: (1) easy to implement and manage; (2) public health function is more prominent; (3) community health service station has obvious advantages; (4) secondary hospital has convenient, quick and accessible communities Service characteristics; (5) most city governments are weak financial resources; (6) the total amount of health resources is not lacking. Conclusion: It is suggested that the CHS construction in small and medium-sized cities should pay attention to strengthening leadership development, adjusting functional orientation according to the characteristics of cities, making rational use of funds, and actively carrying out technical cooperation with major cities while strengthening service quality management.