Public hospitals in China have entered a period of high-quality development, and the reform of the salary system of medical staff is a core content of the high-quality development of public hospitals. Compared with the salary system of medical staff in developed countries such as the United States and Britain, there are great differences in the salary level, salary composition, salary regulation and salary influencing factors of medical staff in public hospitals in China. Improving the salary management system of medical staff, dynamically adjusting the salary level, standardizing the performance evaluation mechanism, and optimizing the education and training of medical staff are the key points of the salary system reform of public hospitals in China.