Abstract:OBJECTIVE To understand the situation, achievements and difficulties of the health care service provided by different supporting units, to provide suggestions for the construction of medical and nursing combined health care service. METHODS We investigated and analyzed the situation of health care services provided by 24 institutions in Jiangsu Province, the difficulties encountered in carrying out health care combined services, the lack of medical service personnel, and the extent of each subject's role in the service process in January 2019. RESULTS 83.33% of the medical and nursing institutions provide health care services for the semi self-care and disabled elders, 80% of the institutions provide personalized health management services (83.33%) and referral services for major diseases (79.17%), and only 50% of the institutions consider helping the elders realize wishes; 70.83% of the institutions think that insufficient policy security and institutional barriers are the biggest difficulties in the development of integrated medical and nursing services. 83.33% of the institutions think that the resources of doctors and nurses are the scarcest. CONCLUSION Some medical and nursing institutions lack of health care services, lack of policy guarantee, lack of medical insurance payment, lack of motivation for medical and nursing integration, lack of medical staff, lack of role of each subject in medical and nursing integration services; Pay attention to the spiritual demand of the elderly and professional cultivation, establish a policy system of combination of medical care and nursing, and improve the supply of medicine resources. Improve the long-term medical care insurance system, and promote the cooperation of medical and nursing combination.