For the purpose of survival and maintaining excellent performance, the hospitals are seeking to adopt suitable strategies to fulfill organization development. By the uprising speed of economic development in China with the increasing demand of medical care, it is eager for us to understand what proper strategies the hospitals should take in order to fit the external environment and internal environment. Moreover, linking human resource development strategies such as training and career development with hospital business strategies to examine if there is any relationships. The result of research is pointed out: According to different inside and outside environment, the medical organization can develop a suitable operation style by itself. For example, the large-scale comprehensive tertiary hospital can choose the tactics trends of the difference or grouping strategies, and the medium and small-scale clinic or the section hospital can choose to refine the tactics specially. In human resource development, with the difference of the domestic and foreign environment, the medical organization also different methods. Especially on the employing mechanism, the public hospital has sounder system, bigger development space and brand benefit, but comparatively speaking, the private hospital has more flexible wages and promotion system. However, this research was conducted in qualitative method which case details were collected from two different government owned hospitals in Shanghais area in regard to investigate the linkage between hospital business strategies and human resource development strategies they apply. Since they are both owned by the government, this research found specific phenomenon for business practices and future research implications.