The Dynamics of Public Hospital Salary System Changes from the Perspective of Multiple Streams Theo-ry
- VernacularTitle:多源流理论视角下公立医院薪酬制度改革变迁动力分析
- Author:
Fan LI
1
;
Ye WU
;
Dian ZHOU
Author Information
1. 安徽医科大学卫生管理学院 安徽 合肥 230032
- Publication Type:Journal Article
- Keywords:
multiple streams theory;
public hospitals;
salary system;
bibliometric analysis;
policy texts analysis
- From:
Chinese Hospital Management
2025;45(6):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the driving forces behind the changes in the salary system of public hospitals in China and provide scientific evidence and policy recommendations for further improving the salary system.Methods Using the multiple streams theoretical framework,combined with bibliometric analysis and policy texts analysis,to deeply understand the factors influencing the salary system reform of public hospitals.Results The problem stream highlights issues such as low salary levels,structural imbalances,and insufficient incentives:the average wage of health and social work employees is only 1.19 times the national average,with a disproportionately low share of ba-sic salary and allowances.The policy stream is grounded in the accumulation of long-term academic research and lo-cal pilot experiences:from 2002 to 2025,attention to hospital remuneration has steadily increased;the pilot reform in Sanming City led to an average annual salary growth rate of 11.87％for medical staff.The political stream is driven by the government's"Healthy China"strategy and public opinion orientation:the reform of the public hospital sala-ry system from 1993 till now can be divided into three stages,with reform objectives gradually shifting towards the establishment of a scientifically sound and rational salary distribution system.The synergy of these three streams has facilitated the opening of a"policy window"for salary system reform in public hospitals.Conclusion It is essential to establish a dynamic salary adjustment mechanism,encourage the participation of experts and stakeholders in the policymaking process,and better align with national reform orientations.
