There are more than 10,000 county-level hospitals across the country, serving county residents (including rural residents and small town residents) who account for 70% of the country's total population. According to the survey, the aging of county-level cities is faster than that of first- and second-tier cities. At the same time, the problem of non-equalization of the allocation of medical and health resources in China is still outstanding, and the gap in the allocation of medical and health resources between regions and between urban and rural areas is still large. Under the background of the continuous consolidation and deepening of the new medical reform policy in China, the county-level comprehensive public hospital, which is the main body of the “County and Village Level 3 Preventive Health Care Network”, is at the key link of the primary medical institution to the city hospital. Sustained development is directly related to the patient's subsidence and the realization of the policy objectives of “difficult to see a doctor and expensive to see a doctor”. It can be considered that the success of the reform of a county-level comprehensive public hospital is an important guarantee for the success of the reform of a large city hospital.

1. County health demand is in a period of rapid growth

China's medical system is a dual structure composed of hospital networks and primary medical networks. The hospital system responsible for major medical treatment is divided into subordinates, provincial, municipal, county, and county genus from top to bottom. The county and city genus and county hospitals are collectively referred to as “county hospitals”, and county hospitals are national hospitals. At the bottom of the network, at the same time, county hospitals are the top level of the national primary medical network. In 2011, the General Office of the State Council on the “Working Arrangement for the Pilot Reform of Public Hospitals” pointed out that the pioneers of public hospital reform were mainly county-level public hospitals, and in the following year, “Opinions on the pilot reform of county-level public hospitals” were issued, public health resources and Relevant policies are tilted towards the grassroots level, and the health and health of county residents is expected to achieve unprecedented improvement.

(1) The number of county medical institutions' investment and visits is at a record high

The state has always attached importance to the construction of county-level hospitals. In recent years, the government's financial investment in the medical and health sector has continued to increase, especially in the medical and health resources of the county-level medical system, aimed at ensuring equalization of the allocation of medical and health resources between regions. Recently, the National Development and Reform Commission issued the "National Health Security Project Construction Plan", which requires that the central government will no longer arrange investment in supporting the construction of township hospitals and village clinics from 2017, and clearly proposes that support for county-level hospital construction will become the next The focus of a round of development: to ensure that each county (city, district) has established 1 to 2 county-level public hospitals (including Chinese medicine hospitals); it is allowed to build county-level hospital branches in the new district, or there is a shortage of medical resources and a large population The districts farther away from the main urban area rely on the central township hospitals to build county-level hospital branches. This means that a large number of township hospitals will be upgraded to the level of county hospitals.

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