The integration of physical activity and primary health care is an important measure to implement the healthy China strategy and the service model of physical-medical integration is the way for the integration of sports and medicine to be implemented into individuals, which is related to the specific results of the integration implementation of the physical activity and primary health care. It summarizes the main types, operation status, basic characteristics and the successful experience of the service model of the in- tegration of physical activity and primary health care in the United States, Germany and Japan. On this basis, it finds the development dilemma of the service model of the integration of physical activity and primary health care in China, and proposes the solution strate- gies. It is found that the concept of physical-medical integration in China needs to be improved and the barriers are dependent; there are gaps in the policy and the top-level design needs to be improved; personnel training system needs to be strengthened, and there are shortcomings in the training system. It is suggested that the top-level design should be optimized as a foothold to ensure policy im- plementation; the concept of integration should be strengthened as an entry point to stimulate the initiative of the masses; and the training of talents should be strengthened as a basic point to provide a source of service.