According to the requirements of “two permits”，the western region has actively promoted the reform of remuneration system in public hospitals.Actively explore aspects such as reasonably determining compensation levels，carrying out autonomy on salary distribution，improving the salary encouragement and restraint mechanism of responsible persons，improving evaluation mechanism and broaden the sources of funds，to establish a distribution incentive mechanism that closely linked to responsibility and work performance.The financial compensation and other related supporting systems have been constantly improved.The salary of medical staff has been improved to a certain extend.At the same time，the reform also faces some outstanding problems，such as the source of salary funds are not enough，the extraction and use of reward funds are unreas-onable，supporting social security are impefect，which need further innovated and improved.