社区医疗是为个人及家庭提供的最基层的医疗保建服务,承担着社区居民的全部健康问题。在社区医疗单位,前来就诊者,有的是患有躯体疾病,而有的则是属于心理、社会方面的问题。这一点充分体现了“生物-心理-社会”的医学模式。若仍单纯以疾病为中心进行诊疗,而忽略心理-社会因素,已远不能满足社区就诊者的需求。笔者在对189例社区医疗对象的保健服务中有如下体会:1.建立良好的医患关系首先,医生要为病人创造一个良好的就诊环境,使病人产 Community health care is the lowest-level health care insurance service for individuals and families and carries the full health of community residents. In community health care units, people come to see a doctor, some have physical problems, while others are psychologically and socially concerned. This fully reflects the “bio-psycho-social” medical model. If we still focus on the disease as the center for diagnosis and treatment, neglecting the psycho-social factors is far from meeting the needs of community clinicians. The author of 189 cases of community health care services in the following health services: 1. To establish a good doctor-patient relationship First of all, doctors should create a good patient environment for the patient, so that patients