The reform of public hospital salary system is an important part of China's medical and health system reform,and it is also the key and difficult point to be solved in the high-quality development of public hospitals.Through literature research and comparative analysis,it sorts out the reform process of China's public hospital salary system and the salary status of medical personnel,and compares the differences between the salary systems of public hospitals in some developed countries;Some difficult problems exist in this field,such as insufficient and unbalanced government financial investment,weak guarantee of salary system,low salary level of medical personnel and unrea-sonable internal gap,and unscientific performance appraisal distribution.Countermeasures and suggestions are put forward from five aspects:strengthening government financial input,implementing system guarantee,improving performance appraisal and distribution system,non-economic compensation,and strengthening information sup-port,so as to provide reference for further improving the reform effect.