| The community health service is firstly proposed and developed by the Western developed countries in the 1940s and 1950s. It not only represents advanced medicine idea, but also already be thought as the best medical service pattern for community inhabitant in the world. It is a service system which takes human's health as the center, one family as a unit, the community as a scope, the inhabitant's demand as the guidance, and takes the woman, the child, the senior citizen, the chronic patient and the disabled person as the key point. Its goal is to solve the main health problem in community and meet the basic hygienic service need. Melting the prevention, the medical service, the health care, the recovery, the health education and the birth control technical guidance service in a body (i.e. "a six-aim body"), it is an effective, economical, convenient, comprehensive and continual health service for basic unit. City community health service, which is the social welfare enterprise under the government's lead, is a strategic action in our country's health reform and the developing process; it is also an important link and part of our country's health organizational reform.Although the community health service starts late in our country, the development step is quick. In the last few years, the party and the country pay highly attention on the construction of city community health service and enlarge support dynamics, this makes it fast develop and has obtained the tangible effect. The development of city community health service has great significance. The city community health service development is the request of "humanist science development view objective", the effective way to solve our country's currently problem that to see a doctor is difficult and to see a doctor is expensive, the carrier to realizes the goal that everybody can enjoy the primary medical care, also is the important content in advancing harmonious community construction.At present our country has already marched into crucial phase in the community health service development process, but generally speaking, there is a series of bottleneck problem to hinder the sustainable development of city community health service. This article believes that, there are four big barriers hindering the city community health service development: One is that some local government's understanding of city community health service causes its function vacancy insufficient; Two is the fund raising and the compensation mechanism of the city community health service is imperfect; Three, lacks the massive qualified talented general medical doctor; Four is the city community health service development lacks the good community foundation. These four major problems have affected the sustainable development of city community health service, which urgently waits to be solved.In view of these questions, this article proposed correspondingly countermeasures to promotion the sustainable development of community health serves from the government angle, city community health service organization angle and the community inhabitant angle. First, the government must transform the thought idea and support the city community health service through the formulation of perfect laws and policy and the reasonable regulative health resources; Second, establishes stable government investment mechanism, simultaneously opens up the fund raising channel of community health service organization, and integrates the city community health service into the scope of society medical insurance; Third, raises the massive qualified medicine staff to satisfy the demand of city community health service; Fourth, conform community resources and strengthen the sustainable development stamina through community construction and the inhabitant. Through the endeavor of these four aspects, the key problems like policy, the fund, the manpower which the sustainable development faces can be solved and the development step can be speed up.In the 21st century, China's economy and society's development will bring challenge to the sustainable development of the city community health service, also will bring the opportunity, but the opportunity is bigger than the challenge. Dares facing the challenge explores and innovates unceasingly, the sustainable development ability of city community health serves can certainly be able to strengthen unceasingly, the city community health service can certainly have a light future. |