超六成县医院达到三级水平，为何仍难留病人？

Core Viewpoint - County-level hospitals play a crucial role in the integration of urban and rural healthcare, with over 60% of evaluated county hospitals reaching the level of tertiary hospitals, but there are still gaps in achieving the goal of "major illnesses not leaving the county" [1][4]. Group 1: Current Status of County Hospitals - In the past year, the average number of surgical services performed by each county hospital has decreased, despite an increase in the number of patients referred [1][4]. - The evaluation by the National Health Commission indicates that while the specialized departments and equipment in county hospitals are improving, there are still significant weaknesses, particularly in mental health and other specialized services [1][4][14]. - Approximately 42.40% of county hospitals have not performed basic standard-required surgeries, such as tracheal foreign body removal, and 71.15% cannot manage severe mental disorders [13][14]. Group 2: Evaluation Results - In 2024, 2059 county hospitals were evaluated, with a coverage rate of 98.93%. About 93.35% met the basic standards, and 63.57% met the recommended standards, showing an increase from 2023 [4][5]. - The average number of clinical pathways per county hospital increased to 152, indicating a strengthening of treatment capabilities for common diseases [6]. - The average annual revenue for each county hospital was approximately 354 million yuan, with medical service income rising to 33.59% of total medical income [9]. Group 3: Challenges and Recommendations - There is a phenomenon of "virtual obesity" in some county hospitals, where the service capacity does not match the number of beds, leading to a need for focused investment in specialized departments [2][11]. - The National Health Commission emphasizes the need to strengthen weak specialty construction and improve the treatment capabilities for common and local diseases [14]. - The issue of urban hospitals attracting patients from county hospitals remains a challenge, with a decrease in the proportion of surgical cases in county hospitals [11][13].