Abstract: Objective To understand the emergency response capability of health institutions and analyse the influencing factors in Heilongjiang province,north2east of China.Methods A stratified and cluster sampling survey was conducted among 119 officers in 13 differenthealth institutions at 5 cities and 8 counties with the interviewing of key related persons.Results The emergency information monitoring and reporting system was established.Over 85% of the respondents believed the emergency management system was basic completeness,and more than 90% of respondents thought they had built emergency response command system.Influencing factor analysis pointed out 5 factors.Conclusion The emergency response system was established primarily and the main influencing factors were the policy and regulation,financing,emergency response office,and training.