随着新的医改政策出台及互联网信息经济的兴起，中等规模的二级医院面临新的挑战。为了适应新常态，中等规模的公立医院应根据自身情况，在市场上寻找新的定位及发展方向，以变被动为主动。充分挖掘院内外各种资源，建立合适自身实际的医联体，做强特色专科，充分利用信息网络化系统，加快人事制度改革等均可成为中等规模公立医院改革发展的方向。

Middle sized public hospitals are facing new challenges with the introduction of the new medical reform policies and the promotion of internet information economy. In order to adapt to the new social economy and policy, medium sized public hospitals should be reformed, be more active and find their own new position according to the new environment. The following work can be done to improve medium sized public hospitals’ survival and development and to better meet the needs of the society: exploring their resources, building their regional medical associations, strengthening their construction of key disciplines, utilizing the advantages of internet and information system, and reforming their personnel divisions.