Objective: By analysing the financial data and conducting a questionnaire survey in Jilin province county-level public hospital, understand the status of the difficulty and high cost of getting medical services after the medical reform of county-level public hospital in order to provide the basis for the medical reform policy. Methods: According to hospital HIS system, collect the health cost data of county-level public hospitals in Jilin province. And conduct a questionnaire survey on 789 patients who visit clinic. Results: In 2014-2016, hospital outpatient and emergency medical expenses, average hospitalization expenses, hospital total revenue, hospital medical income, hospital financial subsidy income and hospital medical insurance income are all increasing year by year. Hospital drugs income accounted for proportion of hospital total revenue, hospital drugs income accounted for proportion of hospital medical income, individual out-of-pocket expenses of hospital patients accounted for proportion of hospital total revenue, the individual out-of-pocket expenses of hospital patients accounted for proportion of hospital medical income all decrease year by year. 8.4% of the patients surveyed said "it is difficult to get medical services ", 26.2% said " it is expensive to get medical services ", the medical insurance coverage reached 96.7%, and 14.7% of the patients were dissatisfied with the proportion of medical insurance reimbursement. Conclusion: After the medical reform of county-level public hospitals, the income has undergone structural changes. The problem of the difficulty of getting medical services has improved significantly, but the problem of the high cost of getting medical services still needs to be solved.