At present china medical service system structural problems are prominent, supply the resource misallocation lead to low efficiency, difficult to meet the demand of the health of the residents. hierarchical medical is to through the reasonable configuration and use of health resources orderly guide residents, it will require further adjust the allocation of resources from the supply structure, clear development orientation of medical institutions at all levels, by improving the efficiency of public hospital, Strengthen grass-roots medical institutions supply ability and explore the reform of payment to promote the implementation of hierarchical medical