Objective: To explore the health service utilization and the preference of first visited facilities of the chronic patients in rural areas of Jiangsu province and analyze the changes before and after the New Health Care Reform. Methods: Ratio of diagnosis within two weeks, before two weeks, self-medication, and untreated were adopted to study the chronic patients’ health service utilization. Preference of first visited facilities was analyzed by in various groups of age and amount of chronic disease. Changes in two surveys were compared. Results: The chronic patients in rural areas are almost 60-year-old or above, with low education level. The health service utilization is significantly improved in year 2013. Comparing to year 2008, less patients choose township-level medical institutions as their first visited facilities. The number of patients differentiated by age and amount of chronic diseases appear to have the same tendency of changes of rates in choosing the first visited facilities. But the scale of changes tends to be decreasing with age increasing and increasing with the number of chronic diseases increasing. Conclusion: Health education in rural should be suited to local conditions and in accordance with patient’ aptitude. Village-level medical institutions should have more proportion in patients’ first visited facilities.