The Development of Chinese Close-Type County Medical Service Communities: Challenges, Dilemmas, and Considerations
Download PDF


Close-type county medical service communities
Graded medical system
Counterpart assistance
Primary medical institutions



Submitted : 2022-11-29
Accepted : 2022-12-14
Published : 2022-12-29


There are many problems in the process of building close-type county medical service communities (CMSC) in China. These problems include that most of the CMSC have no obvious characteristics of closeness, the CMSC lack long-term strategic planning; the graded medical system has not been truly implemented; the counterpart assistance has not fundamentally solved the long-standing problems in the primary medical institutions; and it is difficult to change the traditional health concept in a short term. As an expert in counterpart assistance county medical service community, the author has some experience in practice. Through reviewing, reconsidering, and parsing these problems, this paper provides with several suggestions on the sustainable development of CMSC and the promotion of the graded medical system from the aspects of optimizing the top-level design, changing government functions, standardizations in the graded medical system, improving the medical insurance system, and promoting modern health concepts.


Guo B, Wang H, 2019, Motivation of Model Choosing of Medical Alliance Establishment Based on Resource Dependent Theory. Chinese Hospital Management, 39 (8): 1–4.

Nie C, Chen K, Chen W, 2020, Accelerating the Construction of a Compact CMSC to Meet the Health Needs of the Public. Chinese Hospital, 24(11): 1–2.

Gu J, Zhang X, Zhang Z, et al., 2020, Research on Issues and Development Strategies of CMSC Alliance from the Perspective of New and Old Kinetic Energy Conversion. Chinese Hospital Management, 40(1): 34–37.

Hu X, Tang X, Wang Y, 2022, Practice and Effect of Carrying Out Compact County-Level Medical Community in Moyu County, Xinjiang. Chinese Rural Health Service Administration, 42(10): 686–689.

Meng Y, Qin J, Zhang Y, et al., 2021, Efficiency Evaluation of Township Hospitals Under the Background of the Construction of Close-Kit CMSC: Case of Baicheng and Fuyun in Xinjiang. Chinese Fundamental Health Care, 35(12): 1–4.

Fang P, Zhou Y, 2017, Problem Analysis and Choice of Reform Path of Medical Alliances in China. Chinese Journal of Hospital Administration, 33(12): 881–884.

Meng X, Shao X, Li K, et al., 2022, Discussion on the Construction of County-Level Medical Consumption Linkage in Sichuan Province Based on Social Network Analysis. Chinese Hospitals. 26(11): 53–56.

Fan M, Li P, Wen M, et al., Evaluation of Medical Community Operation Effect from the Perspective of Township Medical and Health Institutions. Chinese Fundamental Health Care, 36(9): 9–11.

Guan W, Liang Di, Huang X, 2021, Efficiency of Township Health Centers Under the Background of CMSC Construction. Chinese Health Resources, 24(3): 258–261.