Conceptual Framework and Connotation of the Doctors Annual Salary System in Public Hospitals : An Analysis Based on Domestic and International Practices

Corresponding author: Li Di, 2668312882@qq.com

DOI: 10.12201/bmr.202606.00019

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  Abstract: The reform of the annual salary system for doctors has become an important direction for the reform of the remuneration system in public hospitals in China. Although the annual salary system for doctors is frequently discussed, its conceptual connotation remains unclear. This paper constructs an analytical framework from four dimensions: salary determination methods, salary structure, the degree of association with service volume, and the performance guidance mechanism, in order to analyze the practical characteristics of the annual salary system for doctors in public hospitals in the UK, Germany, Australia, and Sanming City, Fujian Province, China. Based on this, four core elements of the concept of the doctors annual salary system are extracted: predetermined salary, a salary dominated by the base salary, weak association with service volume, and multi-dimensional value assessment. These elements collectively indicate that the doctor’s annual salary system is not a single fixed salary model, but rather a composite remuneration system that balances income stability, incentives, constraints, and value orientation. Accordingly, advancing the reform of physician compensation in public hospitals requires a clear understanding of its conceptual connotation, optimization of compensation structures and performance system around these core elements, and coordinated implementation within the framework of the “Three-Medicine Linkage” reform, with context-specific approaches tailored to local conditions.

  Key words: Public Hospitals; Compensation System; Doctor Annual Salary System; Conceptual Connotation

  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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  1	2026-04-13	10.12201/bmr.202606.00019V1	Download

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