随着医院改革的不断深化发展,作为负责提供社区医疗服务的基层单位——一级医院,其门诊量却不断下降。这一趋势与医院改革的初衷背道而驰,引起了人们的关注。面对物质基础、技术力量相对雄厚的二、三级医院,如何遏制门诊量不断下降的趋势,是一级医院面临的重要课题。本文试图通过对烟台市城区一级医院的调查分析,来探讨门诊量下降 With the continuous deepening of hospital reform, the number of outpatients at the primary level hospital, which is responsible for providing community medical services, has been declining. This trend runs counter to the original intention of hospital reform and has aroused people’s concern. With regard to the second- and third-tier hospitals with a relatively solid material base and relatively strong technical strength, how to curb the trend of ever-declining outpatient services is an important issue faced by Class I hospitals. This article attempts to investigate the decline in the number of outpatients by investigating and analyzing the first-level hospitals in Yantai City.