Abstract: Objective: To investigate the development and needs of specialized nursing service for outpatients in Beijing municipal hospitals. Methods: a self-designed questionnaire was applied to investigate the specialized nursing service for outpatients in 22 municipal hospitals. Results: A total of 55 specialized nursing services were provided to outpatients. The IV care, ostomy wound care and diabetes health education accounted for 63.64%. Two forms of nursing services were identified: working with the physicians or working independently. About 72.22% of the nurses had the specialized nurse qualification, or intermediate professional titles, or at least 10 years work experiences. The number of visits was between 0.5 days to 7 days each week. The overall visits were 214 832 in 2016, and in the next year, 76 234 new vists would be added. Conclusion: The specialized nursing services are becoming very demanding for outpatients. It is expected to improve the qualification requirements of the nurses, complete the standards of services, and establish the regulations for the specialised nursing services.