【Abstract】 Objective To provide possible evidences for the medical reform by analyzing the survey data of medical insurance and key cardiovascular diseases among rural residents in Tongnan

Chongqing City. Methods To examine the survey data collected in Tongnan

Chongqing from Chinese important cardiovascular disease prevalence survey and key technology research

to discover the status of medical insurance

cardiovascular diseases and medical care among local residents

and to review the related literature. Results Among 1035 residents

male 534

female 501

average age 61.25 years old

the coverage rate of new rural cooperative medical insurance was 93.91% and commercial medical insurance was 0.39%; the total morbidity?rate of hypertension or diabetes and both was 26.67%. Within 1 year

94.57% of the patients were not hospitalized but were covered by the medical care and followed up in the primary health institutions

and only the rest 5.43% were under hospitalization. The average hospitalization cost was 4362.00 yuan each time after insurance reimbursement. Conclusion It is recommended to continue to implement the new rural cooperative medical insurance in rural areas

to promote the commercial medical insurance appropriately

to set up and carry out the hierarchical medical system and the first medical care in community

to adjust medical insurance reimbursement proportions and patterns

to strengthen the cultivation of general practitioners

to establish hospital supports and dual referral system.