本文是对陕西省黄陵县农村社区卫生服务的调研报告。该报告提出,在资源紧约束条件下的农民健康保障与农村卫生服务体系改革应以乡卫生院体系改革为突破口,建立以健康为中心、社区为范围、社区卫生服务站为载体,融预防、保健、康复、医疗、健康教育和计划生育为一体的社区卫生服务体系。报告还以数据和事实证明农民健康保障需要公共支持,这是形成可持续发展的农村卫生服务机制的制度化基础。 This article is a survey report on rural community health services in Huangling County, Shaanxi Province. The report proposes that the protection of farmers’ health and the reform of the rural health service system under the tight constraints of resources should be based on the reform of the township health center system as a breakthrough, and the establishment of a community centered on health, community coverage, and community health service stations should be adopted as a vehicle for prevention and prevention. Health care, rehabilitation, medical care, health education and family planning as one of the community health service system. The report also uses data and facts to prove that public health support for farmers needs public support. This is the institutional basis for the formation of a sustainable rural health service system.