Establishing hierachy health care system be a breakthrough in deepening medical reform. The system wa mainly faced withweakness of the first diagnosis ability, instability of dual referral link, non-smooth channel of disease classified-treated between theacute and chronic, lack of integration mechanism on up and down institutions. It was necessary to establish and improve referral stan-dards and procedures, establish a community doctor system and put great efforts on training the general practitioner, to implement thepolicies of Multiple-site physician practice and medicare different payment. ...