This study states that In many countries around the world, the health services system hardly meets the rising demand of health services because of the increasing cost of health care, unbalanced distribution of health resources and low efficiency of health services. The reform of health care system is inevitable and imminent (1). With the development of Chinese society and economy, a series of new health care problems began to emerge, for instance, the population were growing and ageing, the disease spectrum shifted from acute infectious diseases to chronic non-communicable diseases (2,3). Furthermore, the proportion of China national health expenditure in the gross national product keeps increasing (4,5). To solve these problems, it is urgent for the Chinese government to take effective measures to improve the health services.

In developed countries, Community Health Institutions are usually the first point of contact for patients, and there is a two-way patient transferring system. However, the two-way patient transferring system in China is still in the initial stage (6). People covered by social medical insurance scheme that combined individual medical savings accounts and hospitalization insurance could freely choose any medical institution for medical care without restrictions (7). An operational ‘gatekeeper’ system by primary care providers has not yet been well established in China’s health care system. In addition, many residents believe that the quality of services provided by the community health centres (CHCs) is low.

Reference link-