Objective:To evaluate the present development and service offering of community health service(CHS) institutions in Chongqing City

to find the main problems at present

and provide the solving proposal.Methods:All the CHS institutions in 35 counties of Chongqing were surveyed;the CHS institutions of main city zone were investigated by stratified random sampling

and their principals were interviewed.Results:The new health service system of two levels have been established

but there are still several problems.The total number of CHS institutions is inadequate.Foundational construction of CHS station is not good.It’s widespread that CHS institutions support their medicine sevice with drugs-income and their public heath sevice with medicine-income.The public health sevice is weakened.For the dual referral system

it’s easy to refer up and hard to refer down.Conclusion:At present government should increse finance aid

improve management and monitor mechanism

strengthen the foundation construction

and further consummate the training system of personnel

and a GIS System should be built to help improve the Dual Referral System.