Objective:To analyze the budget execution of infrastructure projects in public hospitals, and to analyze the problems existing in the construction process of infrastructure projects.Methods:The budget execution of infrastructure projects in 13 large-scale public hospitals in a province from 2016 to 2019 was investigated, and the problems in budget execution and the reasons for low budget execution rate were analyzed.Results:Seventeen hospital infrastructure projects in 13 hospitals were generally beyond the planned construction period, and the budget execution rate was generally low. The reasons included the problems of project owner units, project construction units and other external problems.Conclusions:Public hospitals should actively improve the management ability of infrastructure construction, strengthen the whole process management of infrastructure projects, so as to ensure the smooth construction of infrastructure projects and improve the efficiency of capital utilization.