With development of aging in China，carrying forward the combination of medical treatment and nursing care is an important strategic deployment to improve old-age services in China，and it is also a new growth point of economic development，which reflects the inevitability of population structure changes and economic and social transformation. In China，main organizations of combination of medical treatment with nursing care are private institutions and non-public institutions for elderly nursing care，and they are grass-roots medical institutions rather than public hospitals. However，in the process of carrying out the policy，there are situations such as “the more emphasis is made，the more possibility of execution by local governments” and “the little the difficulty of execution，the more possibility of execution”. of Multi-departments participation and cooperative mechanism and doing itself responsibility only have limited policy execution in a certain degree are main reasons. For example，administrative separation under the management of each one department may lead to the difficult for combination of medical treatment and nursing care，and department cooperation caused by the monopoly of medical resources，and all above reasons aggravate seriousness of this problem. Therefore，long-term care insurance should be developed actively，local governments should be encouraged to restructure public hospitals and institutions for elderly nursing care that are in debt，and “separation of medical treatment and nursing care” should be advocated in the context of reform for medical and health system to realize combination of medical treatment and nursing care.