Abstract: Background　Carrying out the pilot work of Community hospital construction is a powerful process to improve the capacity of primary health care services，also a major measure to promote the construction of the hierarchical medical system. In 2019，the National Health Commission started pilot work of community hospital construction in 20 provinces. Objective　To monitor the progress and effectiveness of the pilot work to provide data support and policy recommendation for promoting the Community hospital construction. Methods　The data were obtained from the questionnaire survey of 608 community hospitals in 20 pilot provinces in December 2019. The work progress was reflected by quantitative analysis of the indicators，such as the business room area of community hospitals，the actual number of open beds，The bed utilization ratio department settings，service quality，etc. Results　By October 2019，community hospitals with a business building area of more than 3 000 square meters accounted for 97.4%（592/608） of the total. Community hospitals with more than 30 open beds accounted for 98.2%（597/608），and the utilization ratio of beds reached 79.1%，the community hospitals with clinical departments more than 5 accounted for 91.0%（553/608）. Compared to the same period in 2018，The average building area of each community hospital business building（6 275 square meters） increased by 368 square meters，the actual number of open beds（91） increased by 5 beds，the utilization ratio of bed held the line. The clinical business department of new increased by 0.64. The number of outpatients and emergency visits（92 500 person-times），the number of hospital admissions（2 616 persons），and the number of outpatient and emergency visits of pediatric（10 800 person-times） increased by 8.2%，5.6% and 15.2% year-on-year respectively. Conclusion　The pilot work of community hospital construction has achieved significant results，but there are still some problems such as unbalanced construction in different pilot provinces，a few community construction has not yet up to standard，service quality needing to be improved and incomplete supporting policies. We should continue to strengthen the infrastructure construction，improve the service capabilities and relevant policies of the community hospital construction.

Key words: Community hospital, Health facilities, Service capacity, Capacity building, Health policy, Health care reform, Community health services

摘要： 背景　开展社区医院建设试点工作是提升基层医疗卫生服务能力的有力抓手，是推进分级诊疗制度建设的重大举措。2019年，国家卫生健康委员会在全国20个省份启动社区医院建设试点工作。目的　监测社区医院建设试点工作的进展情况，为进一步推动社区医院建设提供数据支撑和政策建议。方法　数据来源于2019年12月开展的全国20个试点省份608家社区医院的调查问卷。通过定量分析社区医院业务用房建筑面积、实际开放床位数、病床使用率、科室设置、服务量等指标，反映工作进展情况。结果　截至2019年10月，业务用房建筑面积≥3 000 m2的社区医院占比达97.4%（592/608），实际开放床位数≥30张的社区医院占比达98.2%（597/608），病床使用率达79.1%，临床专业科室≥5个的社区医院占比达91.0%（553/608）。相比2018年同期，平均每家社区医院业务用房建筑面积（6 275 m2）增加了368 m2，实际开放床位数（91张）增加了5张，病床使用率持平，临床专业科室新增0.64个，门急诊人次数（9.25万人次）、入院人数（2 616人）、特色科室儿科门急诊人次数（1.08万人次）分别同比增长8.2%、5.6%、15.2%。结论　社区医院建设试点工作取得明显成效，但仍存在试点省份建设不平衡、少数社区医院建设尚未达标、服务能力尚待提高、配套政策尚不完善等问题，应继续加强社区医院基础设施建设、提升服务能力、完善相关政策。

关键词: 社区医院, 卫生设施, 服务能力, 能力建设, 卫生政策, 卫生保健改革, 社区卫生服务