中文摘要：

目的确定社区基本公共卫生服务标准和工作强度。方法通过文献研究和专题讨论建立备选指标库;通过两轮德尔菲法专家咨询,确定＂基本公共卫生服务标准＂;采取分层随机抽样方法抽取60家社区健康服务中心（社康中心）进行现场调查,测定各具体服务内容的工作时间及体力劳动、脑力劳动、精神压力3项工作强度,计算工作强度调整系数,对工作时间进行调整。结果社区基本公共卫生服务标准包括10项服务项目、28项服务类别、112项服务内容和365条工作步骤。工作强度最大的为终止妊娠（23.1分）,其次是精神疾病患者上门访视（21.9分）、疫苗接种异常反应处理（21.8分）,较轻的为空气紫外线消毒（12.1分）、冷链登记管理（13.3分）、出版宣传栏（13.5分）。调整后技术性较强、压力或风险较大的项目工作时间增多。结论基本公共卫生服务标准可作为制定社区基本公共卫生服务规范的基础和依据,对不同部门均有较好的实用价值。

英文摘要：

Objective To establish standards of basic public health service in community,and determine work strength. Methods An index database was set up by literature review and panel discussion,and ＂ standards of basic public health service＂ were then established by a two- round Delphi method. Field investigation was conducted on 60 community health centers from stratified random sampling to determine work time and three items of work strength,which were manual labor,mental labor and mental stress. Adjustment coefficient of work strength was also calculated to adjust work time. Results The standards of basic public health service concerns 10 basic public health services,28 service categories,112 items of service and365 work steps. Services with higher work strength in the 60 community health centers were termination of pregnancy（ 23. 1）,home visits to psychopaths（ 21. 9） and treatment of abnormal response to vaccination（ 21. 8）. Services with lower work strength included ultraviolet air disinfection（ 12. 1）,registration and management of cold chain（ 13. 3） and bulletin board（ 13. 5）.After adjustment,the work time of services which are more technical or face more stress and risk increased. Conclusion The standards of basic public health service may provide reference for basic public health service specification and hold applicable value for various departments.