The development contexts of different historical stages vary from each other，as well as the reform targets. This paper sorts out the reform and development of China’s public hospital personnel system based on four development stages since the reform and opening up，and summarizes the reform focus in different stages. On this basis，it analyzes the trend of personnel system reform of public hospitals in the future：Strengthen the strategic role of talent in quality development；establish personnel systems in line with industrial features；effectively implement the autonomy of talent selection to bring vitality to innovation.