The sustainability of regional rural development depends on the integrated status and the coordination between rural resources-environment conditions and rural socioeconomic development. In this paper a diagnostic indicator system is proposed to appraise four representative rural development models such as Mentougou model, Taicang model, Yueqing model and Qionghai model in the eastern coastal region of China from the integrated perspective of population, resources, environment, and development. In conclusion, the formation and evolution of these diverse rural development models are the direct response to the very different characteristics in the environment, market demand, and regional culture. These models are common in that their sustainability depends on the scientific guidance of the regional development functional positioning, strong intra-regional interactions, and self-adaptability to the external conditions.