超六成县医院达到三级水平，为何仍难留病人？

Core Insights - The overall surgical procedures and average number of surgeries per county hospital have decreased in 2024 compared to the previous year, indicating challenges in achieving the goal of "major illnesses not leaving the county" [1][12] - Despite improvements in the medical service capabilities of county hospitals, significant gaps remain, particularly in specialized departments and the ability to manage severe mental health cases [1][14] Summary by Sections Medical Service Capability - Over 60% of county hospitals have reached the level of tertiary hospitals, with an increase in the number of hospitals meeting basic and recommended standards [3] - The average number of clinical pathways per county hospital has increased to 152, up by 6 from 2023 [7] Surgical Procedures - The proportion of discharged patients undergoing surgery in county hospitals has decreased to 22.27%, a drop of 1.54 percentage points from 2023, with an average of 5,758 surgeries per hospital, down by 56 [12][11] Financial Performance - The average annual revenue for county hospitals is approximately 354 million yuan, reflecting a growth of 1.13% from the previous year, with medical service income increasing to 33.59% of total medical income [11] Staffing and Equipment - Each county hospital has an average of 660 health technicians, with over 30% being licensed physicians, and a significant portion holding senior titles [4] - The configuration rate for essential specialized equipment has improved, with the number of hospitals lacking certain equipment decreasing [3] Challenges and Areas for Improvement - There is a notable "virtual obesity" phenomenon in some county hospitals, where service capacity does not match the number of beds, indicating a need for focused resource allocation [2] - The lack of specialized services in areas such as mental health and infectious diseases remains a critical issue, with many hospitals unable to meet basic standards [14][13]