Abstract: Objective： To understand the basic situation of integrating pension service with medical service in Lanzhou， Qingyang， Baiyin and Jinchang pilot cities of Gansu province， and analyze the existing problems， so as to provide reference for relevant government departments to further promote intergrating pension service with medical service. Methods： Data were extracted from the statistical yearbook of Gansu province in 2017 and the statistical reports of the health commission of the four cities， and descriptive statistical analysis was adopted. Through in-depth interviews， the effect， influence， problems and demands of integrating pension service with medical service are carried out. Results： As of 2017， the total number of pension institutions in the four cities were 997 in Qingyang，794 in Lanzhou， 718 in Baiyin， 155 in Jinchang. The number of integrating pension service with medical service institutions is 9 in Lanzhou， 6 in Qingyang， 1 in Baiyin and 1 in Jinchang respectively. The elderly are aged 65 or above of 62.64%， 61.91% and 71.25% in Lanzhou， Qingyang and Baiyin respectively. The lack of geriatric hospitals， rehabilitation hospitals and hospice care centers has limited the development of integrating pension service with medical service institutions to some extent. Conclusion： According to their own actual situation， the four cities have carried out the integrating pension service with medical service and maintenance to different degrees and achieved certain results. However， there are still problems such as the large gap between supply and demand of pension institutions， unreasonable type allocation， function positioning and market demand imbalance of the medical-nursing combination institutional and other issues.