The grassroots level is the main battle field of chronic disease health management. This report looked back on the research evidences on classic chronic disease health management，which provided the powerful support and demonstrated the necessity and feasibility of chronic disease health management. Meanwhile，on the basis of the successful cases and modes organized at the national level under the new situation of medical reform and the research and practice related to chronic disease health management in the field of health management，the report organized and refined practical and popularized experiences for the service of chronic disease health management at the grassroots level.