从卫健委《医疗机构设置规划指导原则(2021-2025年)》与WHO医疗资源数据可以分析出,内地医院建设正面临从规模扩张向效能提升转型的挑战。在政策层面,通过推进国家医学中心、区域医疗中心、分级诊疗等实现医疗服务均等化。建设模式也由大规模增量建设转变为增量与存量更新结合,实现医疗质量提升与空间资源集约利用的协同。结合近些年内地医院建设案例与实践,将探讨医院与城市一体化共享,研究型医院、专科中心平台化,医疗流程智慧化,医院全生命周期低碳化等设计策略。Trends in High-Quality Hospital Development in China. Based on the Guiding Principles for the Planning of Medical Institution Setup (2021–2025) issued by the National Health Commission and healthcare resource data from the World Health Organization (WHO), it can be observed that hospital construction in mainland China is facing a shift from large-scale expansion toward efficiency improvement. At the policy level, efforts are being made to achieve equitable access to healthcare services through the promotion of national medical centers, regional medical hubs, and a tiered diagnosis and treatment system. In terms of construction models, there is a transition from large-scale new developments to a combination of incremental expansion and the renewal of existing facilities-aiming to enhance medical quality while optimizing spatial resource efficiency. Drawing on recent case studies and practical examples from hospital projects across mainland China, this talk will explore several design strategies, including the integration of hospitals with urban systems, the platform-based development of research hospitals and specialized centers, the digitalization of medical processes, and the implementation of low-carbon approaches throughout the hospital's entire life cycle.