Abstract:In order to analyze medical insurance package payment in county medical community on flows direction of patient, this study selected a national pilot county medical community in Fujian and descriptive analysis and interrupted time series analysis were used to study the change in the flows direction of patient before and after the implement of medical insurance package payment. The results show that, after implement of medical insurance package payment, the outpatients treatment volume and visit rate of county were increasing, and the decreasing trend of inpatient visit rate of county slowed down; the outpatients visit rate of basic-level medical institutions decreased,and the inpatients treatment volume and visit rate of basic-level medical institutions. The implement of medical insurance package payment in county medical community helps to to guide patients to go back to the county, but has not yet promoted the flow of patients to basic-level medical institutions. In the future, it is necessary to further improve the mechanism of medical insurance package payment, improve the overall service capacity of the medical community and basic-level medical institutions, implement the construction of supporting systems, and guide patients to seek medical treatment in an orderly manner.