In recent years，the regions explored Hierarchical Medical System，announced policy measures and launched pilot work. Some provinces and cities formed some preliminary experiences and modes. According to the reform spirit，Xiamen city explored reform pathway for Hierarchical Medical System，which included the contents of “acute and chronic disease treatment separately，chronic disease treatment priority；the overall management for different grades facilities；three-type physicians co-management；flexible management，multi-win-win”. Xia Men city used Hierarchical Medical System to integrate health reform and combine with the value “to strengthen grassroots，to construct mechanism，and to improve health”. This practice effects were remarkable，and especially welcomed by the chronic disease patients and community staff. Xia Men city explored an appropriate template of Hierarchical Medical System，which reassured doubts and was worth promoting.