Since 2019，754 counties across 30 Provinces in China were selected to pilot the reform of compact medical communities by National Health Commission，significant changes have taken place in the county healthcare systems.A compact relationship between county hospitals and township health centers have built，in terms of responsibility，management，service and interest，forming an integrated healthcare service network within the county.The community of responsibility innovates the governance structure of county medical and health care system，the community of management improves the leading role of district and county hospitals，the community of service provides integrated health services for residents，and the community of interest reforms the operation mode of medical institutions in the county.Due to this pilot reform，the proportion of hospitalized patients in pilot areas and counties has increased，and medical insurance funds have been retained，which has improved the capacity of COVID-19 epidemic prevention and control and health services delivery at the community level，which contributs to the realization of universal health coverage.