Objectives: To understand the grade-based follow-up work on patients with hypertensive in rural areas, patients cognition and evaluation to follow-up work, and the factors influencing satisfaction evaluation in rural areas among Inner Mongolia and Xinjiang Uygur Autonomous Region. Methods: On the principle of stratified random sampling, 546 valid questionnaire responses received and data was analyzed using Pearson ?2 and Logistic Regression. Results: 82.7% of the rural hypertensive in Xinjiang took visiting clinics as the most common way of follow-up, the rate of Inner Mongolia was 86.5%. The overall satisfaction of follow-up work was 86.2%, individual satisfaction ratio of medical equipment is the lowest (66.7%). Province, occupation and the distance of patients and medical unit were statistically significant factors influencing their appraisal on follow-up work according to logistic analysis results. Though the comparison between two provinces, we could preliminarily think that the effects of follow-up in Xinjiang are better than that in Inner Mongolia. Suggestions: Promoting the construction of village clinic service ability; Strengthening the propaganda of follow-up; Riching the ways and improving the effects of follow-up.