自 WHO 提出2000年人人享有卫生保健的全球性目标以来,在相当一段时间内,PHC 工作并未引起城市大、中型医院的足够重视。随着 PHC 工作的深入开展,尤其是医院内外环境的巨大变化,促使他们中间越来越多的人开始关注 PHC 工作,并已经把开展社区医疗工作列入了议事日程。笔者仅就城市大、中型医院开展社区医疗工作的必要性、有效途径及需要注意的 Since WHO proposed the global goal of health care for all in 2000, PHC work has not caused enough attention in large and medium-sized urban hospitals for quite some time. With the in-depth development of PHC’s work, especially the tremendous changes in the internal and external environment of the hospital, more and more people among them have started to pay attention to the work of PHC and have already included the implementation of community medical work on the agenda. The author only needs to pay attention to the necessity and effective way of carrying out community medical work in large and medium-sized urban hospitals.