Objective:To analyze the developing current situation of county public hospitals in Guangxi, and just to give some references for promoting health care reform. Methods:Descriptive statistics analysis method was employed to analysis of survey data. Results:Compared with 2010, the 2012 services quantity increased by more than 20%, the hospital and worker income increased by more than 50%, the mortality rate decreased by 20%, but a 16. 91% increase in medical disputes, medical expenses growth at around 20%, the compensation of zero profit drug loss ratio is 77. 6%. Conclusion:It suggested that rationally allocate health resources, enhance the service quality and efficiency, improve the doctor-patient relationship, reduce the medical cost and improve the compensation and supervision mechanism.%目的：分析广西壮族自治区县级公立医院发展现状，为全面推进医改提供依据。方法：运用描述统计分析方法对调查数据进行分析。结果：与2010年相比，2012年服务量提升20％以上，医院和职工收入增加50％以上，病死率降低20％，但医疗纠纷增加16．91％，医疗费用增长20％左右，药品零差率补偿损失比例为77．6％。结论：建议合理配置卫生资源，提高服务质量和效率，改善医患关系，降低医疗费用，完善补偿和监管机制。
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