The limitations of water quality management and assessment methods in China can be ascertained by comparison with other countries. However, it is unreasonable to use a uniform standard to evaluate water quality throughout China because one standard cannot fully account for the regional differences in background water quality. This study aimed to provide a basis for environmental water management decision-making. Areas seriously affected by background pollutants were identified by comparing several factors across 31 provinces in China. By coupling an improved export coefficient model (ECM) with a mechanistic model, a suitable pollutant yield coefficient was determined and its rationality was analysed. The export coefficient model was applied to estimate the pollutant (chemical oxygen demand and ammonia nitrogen) output of the basin in 2015. The spatial distribution characteristics of the pollutants were determined by simulating the pollutant outputs of 22 sub-basins and nine water function zones. For the year 2020, the simulation results of pollutant outputs far exceed the sewage discharge limit in water function zones and the pollutant concentration was much higher than the standard. Considering background pollutant outputs, more reasonable sewage discharge limit and water quality evaluation method are proposed.