ABSTRACT
In response to the increasing burden of chronic diseases, many countries have launched the reform of the health system. Based on the Diagnoses Treatment Combination (DTC) and Healthy Kinzig-tal Gesundes Kinzigtal (GK), this paper elaborates on the experience of chronic diseases management during different populations in Germany and the Netherlands. Based on the scientific decision-making and system integration, the DTC builds a multidisciplinary team to achieve individualized and continuous integrated disease management. The GK model focuses on health promotion, extensively integrated social resources, to achieve the goal of reducing the incidence of chronic diseases and controlling the cost. This provides a useful reference for the building of Healthy China: integrating resources from the supply side and the demand side, strengthening the integration of the health service system, promoting citizen engagement and improving individual health literacy, so as to achieve universal health.