Abstract: The present disclosure discloses a medical ETL task dispatching method, system and apparatus based on multiple centers. The method includes following steps: step S1: testing and verifying ETL tasks; step S2: deploying the ETL tasks to a hospital center, and dispatching the ETL tasks to a plurality of executors for execution; step S3: screening an executor set meeting resource demands of ETL tasks to be dispatched; step S4: calculating a current task load of each executor in the executor set; step S5: selecting the executor with a minimum current task load to execute the ETL tasks; and step S6: selecting, by the dispatching machine, the ETL tasks from executor active queues according to a priority for execution. The present disclosure selects the most suitable executor by analyzing a serving index as a task to be dispatched on a current dispatching machine.