Objective: To analyze the synergistic effect and existing problems of social medical institutions leading the construction of medical community. Methods: The SFIC model is used to analyze the key links and problems in the construction of a medical community led by social medical institutions in Qianjiang City, Hubei Province. Intermittent time series are used to analyze the changes in the medical treatment pattern, medical and health service capacity, and medical and health resource utilization in the medical community before and after the reform. Results: The SFIC model analysis shows that the construction of the socially-run medical community in Qianjiang mainly includes the lack of financial investment in the socially-run leading hospitals, the competition for patients still exists in the medical community, the packaged payment budget refers to the historical base, and the public health funds have not yet realized the packaged payment of the medical community. The lack of public health guidance institutions in the medical community led by the community, and the lack of supporting reforms in the compensation system. Intermittent time series results show that before and after the reform, the medical treatment pattern within the medical community and the optimization of medical and health resources utilization are insufficient, and the medical service capacity is effectively improved. Conclusion: The construction of a medical community led by socially-run hospitals has a positive effect, but the construction of a community-led medical community still needs to be optimized.