The Institutional Logic and Path Differentiation of Personnel Management Reform in Public Hospitals: A Comparative Case Study of Three Public Hospitals in Shenzhen City

Corresponding author: Zhang Liang, Zhangchunliang@whu.edu.cn

DOI: 10.12201/bmr.202606.00018

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  Abstract: Abstract: The personnel management system of public hospitals is a key link in the deepening of the medical and health system reform, and its practical form is shaped by multiple institutional logics in a complex way. This study takes three public hospitals in Shenzhen as the research objects, adopts the multi-case comparative analysis method, and based on in-depth interviews with hospital managers and the analysis of archival materials, it systematically examines the reform practices of different hospitals from three core dimensions: personnel establishment, talent introduction and salary incentives, aiming to reveal the path differences in the reform of the personnel management system and the underlying mechanisms. The research findings are as follows: The key to the reform of the establishment system lies in cutting the rigid connection between the establishment and benefits; the talent introduction strategy is constrained by the matching of resource endowment and functional positioning; the effectiveness of the incentive system depends on the careful balance between fairness and efficiency. Based on these findings, the following suggestions are made: Establish a dynamic adjustment mechanism for the establishment, shift from identity guarantee to job contribution; optimize the talent introduction strategy and establish a sustainable talent introduction and cultivation system that is internally and externally coordinated.; deepen the salary system reform and build a new distribution mechanism oriented towards health performance.Keywords: Public hospitals; Personnel management reform; Staffing; Talent recruitment; Salary incentives

  Key words: Public hospitals; Personnel management reform; Staffing; Talent recruitment; Salary incentives

  Submit time: 8 June 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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