Abstract: Objective to explore the current status and problems in the establishment management of Beijing municipal hospitals. Methods The interview method was used among the experts in the human resource management department of the municipal Grade III tertiary general hospitals. Results 6 major themes and 6 sub-themes were revealed through the analysis of interview content, including the preparation scale, management policy, knowledge of establishment management,existing problems and causes, etc. Conclusion Exploring the two government-led management models of intensive and open-type management can provide foundation for comprehensive reform goals of public hospitals in Beijing and the innovative preparation of management methods.