This paper analyzes the top 30 county hospitals in the 14 specialty in from three aspects：the relationship between specialty rankings and hospital rankings，the specialist distribution in provinces，and the competitiveness of specialty. According to the correlation analysis，the competitiveness of the top 30 specialty in the county hospitals is closely related to the comprehensive competitiveness of the hospitals，among which the correlation coefficient of the critical medicine department is the highest；in terms of the distribution of the provinces，the top 30 county hospitals in the 14 specialty are distributed in Jiangsu，Shandong，Zhejiang，and Guangdong；in terms of specialty competitiveness factors，the top 30 county hospitals in the 14 specialty have good performances in medical technology and services，resource allocation and operation，such as the proportion of senior professional doctors and high-educated physicians，etc.，but at the same time，there are problems such as high bed usage rate，low guard bed ratio，excessive workload of some specialists，and weak research level.