Abstract: Background　The development of enterprise standards for community health services is an important part of comprehensive standardization，which plays an important role in guiding the development of characteristic work in community health service institutions.In the absence of corresponding and applicable standards，how to develop enterprise standards in a standardized and efficient manner is a key issue for the work of comprehensive standardization.Objective　To develop enterprise standards for community health services based on PDCA cycle，and elaborate standardization requirements and methods in each stage of PDCA cycle in order to provide a reference for peers.Methods　From April to October in 2015，the PDCA cycle method was used to identify the object，goal and plan of enterprise standards for community health services through the group discussion，expert discussion and brain storming.From November 2015 to February 2016，enterprise standards were prepared through the literature review，expert consultation and expert review.From March to December in 2016，enterprise standards were improved through self-evaluation，social evaluation，and self-rectification.From January 2017 to July 2018，enterprise standards were continuously improved through continuous operation and evaluation.Results　A total of 420 enterprise standards for community health services were constructed.Taking the Regulations for Community Colorectal Cancer Screening as an example，the enterprise standards included screening methods，inclusion requirements，screening procedures，health education，referral requirements，data management and quality control of community screening for colorectal cancer in Shanghai.Conclusion　The enterprise standards for community health services based on PDCA cycle provide a clear basis and reference for various tasks of primary medical institutions and are of great significance for improving the scientific management.
Community health services；Comprehensive standardization；Enterprise standard；PDCA cycle

摘要： 背景　社区卫生服务企业标准研制是综合标准化的重要内容，对社区卫生服务机构特色工作的开展可起到重要指导意义。在缺乏相应或适用的现行标准下，如何规范、高效地研制企业标准是综合标准化工作重点要解决的问题。目的　基于PDCA循环研制社区卫生服务标准综合体的企业标准，并阐述在PDCA循环各个阶段的标准化要求或方法，以供同行参考。方法　采用PDCA循环方法，于2015年4—10月，通过小组研讨、专家研讨及头脑风暴，确定社区卫生服务的企业标准对象、目标和规划；于2015年11月—2016年2月，通过文献回顾、专家咨询、专家评审，编制社区卫生服务的企业标准；于2016年3—12月，通过自我评价、社会评价、自我整改完善社区卫生服务的企业标准；于2017年1月—2018年7月，通过持续运行和评价，对社区卫生服务企业标准进行持续改进。结果　制定社区卫生服务的企业标准420个；以“居民大肠癌社区筛查规范”为例，企业标准的编制结果包括上海市居民大肠癌社区筛查的筛查方法、纳入要求、筛查流程、健康教育、转诊要求、数据管理和质量控制等。结论　基于PDCA循环研制的社区卫生服务企业标准为基层医疗卫生机构各项工作提供了明确的依据和参考标准，对提高机构科学管理水平具有重要意义。

关键词: 社区卫生服务, 综合标准化, 企业标准, PDCA循环