County level hospital is the leading hospital in county healthcare system and has many characters. Based on the investigation of 53 county level general hospitals in Jiangsu province in 2013 to 2015, the status quo and development strategy of county level hospital were discussed in aspects of proper capacity, proper discipline development, proper innovation and proper development security. It is considered that county level hospital needs to build proper skill, proper capacity, encourage innovation, human resources training system and other support system to improve its capacity. It also needs to promote county level healthcare system and full play county level hospital role, complete modern hospital management system to get friendly development environment.%县级医院是县域医疗卫生服务体系的龙头和中心,其发展能力具有许多特点和个性.笔者以2013-2015年江苏省53所县级综合医院的调研为基础,从适宜技术能力、学科建设能力、拓展创新能力和发展保障能力4个方面分析其现状,提出县级医院发展能力应以适宜技术能力、学科发展能力、拓展创新能力、发展保障能力为主要内容,坚持走以适宜技术为基础,以学科发展为平台,以拓展创新为动力,以保障体系为支撑的发展道路,逐步建立起适宜技术精湛、学科功能科学、拓展创新活跃、支撑保障有力的发展新模式.同时,建议县级医院应加强技术人才建设,提升医院核心竞争力;改革县级医疗卫生服务体系,发挥县级医院的中心和龙头作用;健全现代医院管理制度,为医院发展创造良好环境.
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