目的：探索二级医院推行“实名制挂号”的方法、路径和注意事项；方法：以无锡某二级医院为例，介绍二级医院推行“实名制挂号”的政策背景、时代背景和现实需要，以及该院推行门诊“实名制挂号”的实践经验：找准支点、聚焦难点和抓住重点；结果：该院推行门诊“实名制挂号”取得了一些成效，如提高了患者的身份意识，提高了医院的信息完整度；结论：二级医院推行“实名制挂号”有一定可行性，但需重视急危重患者的救治效率、保护患者隐私和注重成本效益。

Objective：To explore the methods，process and precautions for the implementation of “real-name registration” in secondary hospitals. Methods：Taking a secondary hospital in Wuxi as an example，this paper introduced the policy background，the background of the times and the actual needs of the implementation of the “real-name system registration” in the secondary hospitals，and the practical experience of the hospital to implement the “real-name registration” of the clinic. Results：The hospital achieved some results in the implementation of “real-name system registration” in the outpatient clinic，such as improving the patients’ identity awareness and improving the hospital’s information integrity. Conclusions：It is feasible to implement “real-name system registration” in secondary hospitals，but it is necessary to pay attention to the treatment efficiency of critically ill patients，protect patients’ privacy and focus on cost-effectiveness.