Objective To explore the major barriers and facilitators experienced by patients with hypertension when receiving care and ma-nagement in community health service centers, so as to provide references for optimizing primary care-based hypertension management. Methods A descriptive qualitative study was designed.Sixteen hypertensive patients were recruited by using purposive sampling method from six community health service centers in Shenzhen, to participate in one-to-one semi-structured interviews.Among them, six participants were additionally observed through non-participant observation prior to the interviews.Data were analyzed using content analysis. Results Key barriers included insufficient patient knowledge of hypertension and its management, lack of trust in primary healthcare institutions, and personal constraints that hindered adherence to hypertension management.Facilitators included family support, support from family physicians, and the accessibility and convenience of primary care services. Conclusion Hypertension management in primary care in Shenzhen is influenced by a combination of barriers and facilitators.Future efforts should address key barriers such as patient knowledge gaps and patient-provider trust, while strengthening facilitating factors including family physician services and policy, to establish a multi-stakeholder collaborative model for chronic disease management.