1. Shortage of resources: Village health offices are usually in remote areas at the grass-roots level, and their medical resources are even more in short supply than those of medical institutions in cities. There may be a lack of necessary medicines, equipment, technicians, etc., which makes it impossible to carry out outpatient co-ordination.
2. Difficulty in financing: Due to the small scale of village health centers, it is difficult to meet the needs of outpatient coordination work in terms of income and funding. In addition, the relevant policies and regulations are not sufficiently supportive, resulting in the outpatient coordination work not being able to get financial support from the government and society.
3. Difficulty in management: The management of primary health care organizations is difficult, including personnel management, medical quality and safety management, and the probability of errors is relatively high, and all these factors limit the development of outpatient coordination work.