The implementation of the Healthy China strategy requires optimizing the distribution of medical resources and enhancing the capacity of primary healthcare services. The construction of closely-knit medical communities at the county level is a crucial step to achieve this goal. However, In pratice, various factors have constrained the effective construction and function of medical communities, leading to difficulties in meeting the requirements for equalized services. Research has found that informationization construction and the innovation of management mechanisms are two core factors influencing the effectiveness of medical community construction, while financial investment and talent allocation serve as essential conditions. Policy and regulatory supports provide the necessary external environment for the construction of medical communities. Based on these backgrounds, this paper proposed targeted countermeasures and suggestions, including increasing financial input, optimizing talent incentive mechanisms, accelerating the construction of information platforms, and promoting innovation in management systems and operational mechanisms.