中文摘要：

目的了解南通市城市社区卫生资源配置和服务开展情况，为进一步完善城市社区卫生服务体系提供科学证据。方法随机抽取南通市崇川区、港闸区和开发区的15家城市社区卫生服务中心和30家城市社区卫生服务站为调查对象。采用问卷调查方法，对社区卫生服务机构的举办主体、性质、业务用房和病床数、设备配置以及卫生政策执行情况等进行调查。结果15／15的社区卫生服务中心和93．3％（28／30）的社区卫生服务站既是城镇职工医疗保险定点机构，也是城镇居民医疗保险定点机构。社区卫生服务中心的业务用房面积均大于1000m2，社区卫生服务站的业务用房面积均大于150m2。40．0％（18／45）的社区卫生服务机构实施绩效工资制度。15／15的社区卫生服务中心和20．0％（6／30）的社区卫生服务站实施国家基本药物制度和药品零差率销售制度。结论南通市社区卫生服务工作已取得一定成效，但仍存在上转容易下转难、基本药物制度实施存在阻力等问题。需要积极深化社区卫生服务机构综合改革，充分发挥其作用。

英文摘要：

Objective To investigate the conditions of health resource allocation and health service in urban communi- ties in Nantong, so as to provide an evidence for improving urban community health service system. Methods Totally 15 centers and 30 stations of urban community health services （CHS） from 3 districts of Nantong city were randomly chosen as the investiga- tion subjects. And questionnaire survey was conducted to investigate the conditions of health resource allocation and implementa- tion of health policies. Results All the 15 centers and 93.3% （28/30） stations of CHS provided access to basic medical insur- ance of both urban employees and residents. The house area was more than 1 000 m2 of CHS centers and more than 150 m2 of CHS stations. Some 40. 0% （ 18/45 ） of the CHS organization implemented performance salary system. All of the 15 centers and 20. 0% （6/30） of the stations practiced national essential drugs system and ＂ zero - profit drug sale＂ policy. Conclusion Although cer- tain achievements of CHS had been made in Nantong city, there are still some problems such as easier referral upward but more difficult referral downward, and impediment in implementation of essential drugs system. It is necessary to actively deepen com- prehensive reform of CHS organizations so as to give full play to their roles.