Hospital directors, like school principals, have certain administrative levels. The president of a county people's hospital is usually appointed or removed by the county party committee and county government, not by the county health bureau. Therefore, the administrative level of county people's hospitals is usually the main hall level.

As the chief executive of the hospital, the president of the county people's hospital is mainly responsible for the hospital's medical treatment, administration, scientific research, teaching, logistics and other aspects, and has great decision-making power over the hospital's personnel, finance, materials and other aspects, especially the decision-making on major issues, the appointment and removal of important cadres, the decision-making on major projects, and the use of large amounts of funds. Although the hospital now implements the "dean responsibility system under the leadership of the party secretary", in many things, the party secretary usually acquiesces to the dean's opinion. Therefore, the dean's power in this hospital is considerable.