CAJ | 학술논문

在梳理中国公立医院医生薪酬制度历史演进及现状，总结国际公立医院医生薪酬制度经验的基础上，分析中国公立医院医生薪酬来源保障性差、阳光薪酬水平低、薪酬结构和分配要素不科学等问题及深层次的制度原因。借鉴国内外公立医院薪酬制度改革实践，提出中国公立医院医生薪酬制度改革应符合的基本原则及发展方向，给出改革的4条可选路径：一是在现行薪酬制度下建立稳定较高薪酬的投入保障制度；二是将现行的薪酬制度关进档案，实行较高水平的倒扣型年薪制；三是创新公立医院医生评价体系，建立相应的薪酬体系；四是与国家事业单位改革联动，推进薪酬制度改革。
재소리중국공립의원의생신수제도역사연진급현상，총결국제공립의원의생신수제도경험적기출상，분석중국공립의원의생신수래원보장성차、양광신수수평저、신수결구화분배요소불과학등문제급심층차적제도원인。차감국내외공립의원신수제도개혁실천，제출중국공립의원의생신수제도개혁응부합적기본원칙급발전방향，급출개혁적4조가선로경：일시재현행신수제도하건립은정교고신수적투입보장제도；이시장현행적신수제도관진당안，실행교고수평적도구형년신제；삼시창신공립의원의생평개체계，건립상응적신수체계；사시여국가사업단위개혁련동，추진신수제도개혁。
Based on summarizing the international experiences and reviewing the historical evolution and current situation of the physicians'compensation system of public hospitals in China,this paper clarified the existing problems of the current compensation system.Such problems namely included lack of security on the source of the physicians'compensation,low level of sunshine salary which caused the"compensatory mechanism",lack of scientific design of the salary structure and allocation,as well as other underlying causes.Drawing lessons from reform practices at home and abroad,the basic principles and reform directions were put forward,as well as 4 route selections,namely establishing an security investment system to guarantee a stable and higher level salary under the current compensation system, implementing a high level of flip-type annual compensation with locking the current salary into files, establishing an appropriate compensation system referring to an innovated evaluation system of physicians in public hospitals,and coordinating closely with public institution reforms to promote physicians' compensation system reform.