Abstract:Objective：To provide the basis for the salary system of public hospital adapt to the situation of reform and development. Methods: This paper discussed the factors that affect the salary management in hospitals from two aspects of external and internal factors.Pointed out the present situation and problems of hospital salary management ，and made the suggestion of strengthening that.Conclusion:From the view of improve efficiency and mechanism，the paper put forward the suggestion to increase the allocative efficiency of Chinese government health expenditure，increase the base salary of medical staff properly， set up dynamic adjustment mechanism；promote multi-sited license，innovate personnel salary management mechanism；encourage to use the balanced scorecard for salary assessment，explore multiple payment methods.