Abstract: Illness anxiety disorder（IAD）is a common mental disease encountered by community general practitioners （GPs），which often requires long-term treatment and follow-up. Although community health services are good applicable for treating IAD owing to its continuity and comprehensiveness，community-based management strategies for IAD are very limited，and the research on community GPs' perspectives regarding coping strategies for IAD is very rare. Based on a literature view of IAD，we performed an in-depth analysis of three essentials that community GPs should master for managing IAD：differentiating IAD from other illnesses，exploring potential factors associated with symptoms，evaluating available useful medical and information resources. Furthermore，we put forward IAD managing strategies for community GPs in accordance with features and ideas of community health services，including a thorough evaluation of symptoms and psychological states，implementing shared decision-making，and delivering continuous patient health education. Our study will help to enhance community GPs' management level of IAD.

Key words: Illness anxiety disorder, Hypochondriasis, General practitioners, Community health services, Disease management

摘要： 疾病焦虑障碍（IAD）是社区全科医生面对的常见疾病，因其治愈率低且易反复发作，往往需要长期、连续的治疗和随访。社区卫生服务综合、连续的特征与IAD治疗的特点较为契合，但目前缺乏基层医疗卫生机构管理IAD的策略，并且社区全科医生针对此方面开展的研究较少。本文在回顾IAD相关研究的基础上，深入分析社区全科医生在应对IAD时需把握的3个要点，分别为：如何排查其他疾病，寻找影响疾病发生发展的因素，评估潜在的医疗资源和信息资源。同时，本文结合社区卫生服务的特点与理念，为社区全科医生管理IAD提出应对策略，包括完善症状与心理评估、践行医患共同决策和持续健康教育，旨在为进一步提升社区全科医生IAD管理水平提供参考。

关键词: 疾病焦虑障碍, 疑病症, 全科医生, 社区卫生服务, 疾病管理