During the ‘13th Five-Year Plan’ period，the direction of China’s medical and health system reform has gradually shifted from ‘treatment’ as the center to ‘health’ as the center. The total amount of medical and health resources continues to increase，the allocation structure of medical resources continues to be optimized，the quality of medical services continues to improve，and the residents’ medical experience has been significantly improved. During this period，various reform policies have become more precise and in-depth，and the development of health services has entered a new era of improving quality and efficiency. During the ‘14th Five-Year Plan’ period，facing the international situation of the Covid-19 epidemic，the new requirements of high-quality domestic development，the profound changes in the external environment such as rural revitalization and population aging，China’s medical and health system reform and reform will comprehensively strengthen public health services in the future The construction of the system will further improve the capacity of primary medical services and promote the coordinated development of urban and rural health services.