An Exploration On The Reform Of Salary System In Sanming City Under The Background Of Public Hospital Reform

This paper offers a discussion of designing an effective pay for performance salary system for public hospitals.Improving public medical service is vital for creating and maintaining a harmonious community.In recent years,the phenomenon that getting medical service becomes difficult and expensive has attracted much public attention.The reason for this phenomenon is manifold.However,the most important reason is that the current pay system contributes to excessive medical treatment.Based on present condition,this paper takes the annual salary system for Sanming's director and doctor of the public hospitals for example,explores how to make a breakthrough and give advices on how to facilitate pay system integrity.In addition,it also shows the upcoming challenges for Sanming's public hospital to implement a new salary system.Main conclusions:(1)In the past time,government financial investment for public medical care is insufficient.In order to survive,hospitals and doctors tend to charge their patients for more services,which leaded to overtreatment.Reforming salary system for medical staffs will effectively reduce overtreatment,that is to reduce patients' spending.(2)Annual salary system for hospital directors will help them change their roles in community medical care and make better public hospitals.(3)Reforms in salary system requires other reforms simultaneously.Such as reforms in government's role,drug procurement mechanism and the cost of medical care.(4)A pay for performance salary system basing on medical quality should be built in order to prevent reduction in medical quality as doctors' income rises.Above all,Saming's method in reforming doctors' salary system can be use for reference both in undeveloped and developed districts.For it is able to reduce the cost for patients,insure the income of medical staffs and promote sustainable and healthy development of public medical care.