本文采用抽样调查的方法对湖北省46所县级综合医院进行了院长负责制的现状调查。分析并比较了采用院长负责制及党委领导下的院长负责制这两种领导体制的运行情况及影响因素。提出了完善基层医院院长负责制的若干措施,为县级医院寻求一种完善的、行之有效的管理方法提供了依据。 This paper adopts the method of sample survey to investigate the status of dean’s responsibility system in 46 county-level general hospitals in Hubei Province. The analysis and comparison of the operation conditions and influencing factors of the two leadership systems using the Dean’s Responsibility System and the Dean’s Leadership System under the leadership of the Party Committee. A number of measures have been proposed to improve the accountability system for the chief of hospitals at the basic level, providing a basis for the county hospitals to seek a sound and effective management method.