Objective Analysis of roadblocks found in the reform of performance-based salary mechanism in public hospitals, along with recommendations for the implementation strategies. Methods Both the historical document method and qualitative method are called into play to identify the characteristics and measures for performance-based salary mechanism in public hospitals. Results Such roadblocks are mostly found in value measurement of the hospital services of welfare nature, criteria of appraisal and establishment of the indicator system, job evaluation and the extent of incentives to use. The authors hold that such reforms should go in parallel with the reform, development, management level upgrading, and cultural building of the hospitals, and should call into play roles of intermediacies. Conclusion Reform for performance-based salary mechanism will be inevitable in public hospitals, as it has a direct bearing on the mission and functionality of public hospitals. In spite of the difficulties met, appropriate strategies may powerfully push forward reforms and development of such hospitals.%目的 对公立医院绩效工资改革难点进行解析,并提出实施策略.方法 采用文献法和定性分析方法,探讨公立医院绩效工资特征和实施对策.结果 公立医院绩效工资难点在于公益性服务价值的衡量,考核的纬度和指标体系的确立,岗位评价以及激励的程度把握;公立医院绩效工资改革应同医院的改革、发展和提升管理水平以及文化建设结合起来,并注重发挥中立机构的作用.结论 公立医院绩效工资改革是大势所趋,关系到公立医院使命作用的发挥,虽然有一定的难度,但策略得当就能有力地促进医院改革和发展.
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