Abstract: Objective To understand the role of the new rural cooperative medical service in solving the problems such as inconvenience of medical treatment for the elderly and low-income people in the mountainous area and the economic pressure and promoting and equalization of basic medical and health services, which caused by the advance of the medical expenses in the mountainous area of Beijing, and to explore the existing problems in the existing practice and make recommendations for improvement. Methods The Family doctors in the countryside carry the HIS system and charge reimbursement system, notebook computers and invoice printers and other equipment, through the 3G network or "village" network access to the District Planning Commission information platform. In the rounds of work, general practitioners, community nurses and health workers are mainly responsible for the establishment of health records, chronic disease management, diagnosis and treatment of common diseases and family physician work, pharmacists pharmaceutical services, mainly responsible for the auxiliary examination and drug charges and drug release work and achieve immediate settlement. In the inspection of the new rural cooperative medical treatment of patients and real-time reporting situation, and the relevant data were compared with those of community health service stations. Results Patrol found that the proportion of patients with newly diagnosed, not up to pay the line to pay the proportion of newcomers were significantly higher than outpatients, and the amount of new rural cooperative advances per capita lower than outpatients. Rounds of visits and outpatient service station, improve the management of patients with chronic disease, health records and other work carried out which are higher than the number of outpatients. Conclusion In the northern mountainous area of Beijing carrying out the new rural cooperative real-time knot work is conducive to solve the medical treatment inconvenience, reduce its advance medical costs of economic pressure, thereby improving the basic medical and health services accessibility and fairness.