Primary healthcare institution undertakes a significant responsibility in medical and health provision. As the medical industry has undergone continuous development, which is evident in the obvious improvement of facilities and medical treatment environment of community health service institutions, and the effectively upgraded health information systems, the public's demand for specialized medical treatment in community health service institutions is becoming increasingly prominent. This article discusses the significance of developing specialized medical technology in community, the connotation of general-specialized combination, as well as the implementation strategies and methods. The article points out that the construction and development of specialized diagnosis and treatment technology in community health service centers can enhance the ability of community general practitioners to practice, improve the level of primary medical care technology, upgrade the level of community health services and meet the public's demand for specialized diagnosis and treatment. The goal of general-specialty integration can be achieved either by developing specialized diagnostic and treatment techniques on the basis of general practice, or by collaborating with higher-level hospitals to introduce a series of specialized techniques. In terms of specific implementation strategies, it is necessary to find appropriate specialized technologies according to the local needs, develop advanced technologies, carry out scientific research around specialized diseases, and build technical resources by opening specialized outpatient clinics, allocating medical conditions, etc., and cultivate community talents along with the four construction work, so as to implement the development strategy of the all-specialized combination of community diagnosis and treatment technologies in the four-plus-one way.

基层医疗卫生机构承担着一系列卫生健康相关的重要职责。随着医疗技术的不断发展，社区卫生服务机构硬件条件明显改善、健康信息系统能力有效提升，然而群众对在社区接受专科诊疗的需求越发凸显。本文探讨了建设社区专病诊疗技术的意义、全专结合内涵、实施策略及方法。文章指出，在社区卫生服务中心建设与发展专病诊疗技术，能够增强社区全科医生的执业能力，提高基层医疗技术水平，提升社区卫生服务的能级及满足大众对专病诊治的需求。发展全专结合，既可以在全科工作基础上发展专病诊疗技术，也可以与上级医院协同合作，引入一系列专科技术来共同开展诊疗工作。在具体的实施策略上，要根据当地诊疗需求寻找合适的专科技术，发展具有先进性的专病临床诊疗技术、围绕专病开展科学研究、逐步构筑和推广自身技术品牌，并通过开设专病门诊、配置诊疗条件等构建技术资源。在以上4个建设工作中培养人才，从而实施4+1的全专结合社区诊疗技术发展综合策略。