关键词: 社区卫生服务, 卫生政策, 风险防控, 国家补充责任, 责任分担, 责任保险

Abstract: The mechanism of apportionment of liability and malpractice risk prevention and control is an important guarantee for the effective operation of community healthcare system. In terms of addressing malpractice，medical institutions are the major liable party and malpractice insurance agencies are the secondary liable party for punitive damage compensation according to according to the legislation of private law in China. And community health organizations are facing many difficulties in malpractice risk control and prevention. We summarized the problems of apportionment of liability，and malpractice risk control and prevention faced by community health organizations on the basis of analyzing 481 judicial cases during 2007 to 2019，and concluded that the operation of community healthcare system is confronted with various malpractice risks and lacks of malpractice risk-sharing mechanism at the government level as well as special considerations for malpractice risk sharing in policy making，and punitive damage compensation paid by the medical liability insurance program is difficult to address all risks. To solve the problems，we put forward the following recommendations：adding government liability for malpractice in community health organizations，developing a precise malpractice risk prevention and control system and using multidisciplinary care.

Key words: Community health services, Health policy, Risk prevention and control, State supplementary responsibility, Responsibility sharing, Liability insurance