在基层开展社区医疗卫生服务工作 ,常会出现许多误诊误治情况 ,其原因何在 ?如何避免 ?。仅就此问题谈点体会 ,与同行交流。1　基层社区医疗卫生服务易出现误诊误治原因1.1　基层缺少全科医生。社区患者首诊大多在基层医院 ,这就要求社区配备全科医生 ,专科医生缺乏全面的诊断 There are many cases of misdiagnosis and mistreatment in community health care at the grass-roots level. What are the reasons for this? How to avoid it? Only talk about this experience and talk with your peers. 1 Reasons for Misdiagnosis and Misdiagnosis in Primary Community Health Care Services 1.1 There is a shortage of general practitioners at the grassroots level. The first diagnosis of community patients is mostly in primary hospitals, which requires the community to have general practitioners and specialists lack comprehensive diagnosis.