Abstract: Objective To estimate the cost of community health care management for the elderly,the disabled and psychiatric patients in Shenzhen city and to provide references for improvement in governmental financial support to community health management service.Methods An index database was established with the literature review and panel discussions and the content of standardized community basic public health service was determined with a two-round Delphi method.Then 60 community health centers were selected with stratified random sampling for a field survey on time and items of community health care service in 2013.Results For the community health centers surveyed,the adjusted mean cumulative working hours of health care service in 2013 were 82519.6,17945.8,and 9293.7 for the elderly,psychiatric patients,and the disabled;the average community population- and service client-based health management service cost per person-year ranged 6.7-8.6 Yuan (RMB) and 248.4-320.2 Yuan for the elderly,1.4-1.8 Yuan and 1567.1-2034.2 Yuan for psychiatric patients,and 0.7-0.9 Yuan and 754.4-978.8 Yuan for rehabilitation of the disabled,respectively,according to different income standards for the 60 community health centers surveyed and for all the community health centers and grass-roots public health institutions in Shenzhen city and the human cost price recommended by the experts.Averagely,the fund allocation for old people health management service,psychiatric patients health management service,and community-based rehabilitation service accounted for 9.6%,2.1%,and 1.1% of the total fund for basic community health service of the community health centers.Conclusion The government should make full compensation for the cost of old people and psychiatric patients health management and community-based rehabilitation service