Objective: Primary medical and health service is an important starting point of primary medical and health service reform in Liaoning Province under the national strategy of "Healthy China 2030". To deeply explore the current situation and challenges of the development of Liaoning' s primary medical and health services，and to contribute to the solution of the deep aging of Liaoning's population，the construction of a high-quality development of Liaoning's medical and health service system，and the realization of Liaoning's comprehensive revitalization and all-round revitalization during the 14th Five Year Plan period. Methods: Literature analysis and investigation and interview are used to explore the strategies for improving the health services of Liaoning's primary medical and health institutions under the vision of healthy China. Conclusion: It is suggested to actively implement the "long prescription" medical service policy for patients with chronic diseases; establish and improve the "digital" service system of primary medical and health care of "Internet + medical and health" ; strengthen the emergency management and handling capacity of public health emergencies in primary medical and health institutions; improve the incentive mechanism for service talents in primary medical and health institutions; establish a diversified financing mechanism to encourage social capital to participate in primary medical care; enhance the capacity of characteristic diagnosis and treatment services in primary traditional Chinese medicine.