Core Viewpoint - The article highlights the financial struggles faced by pediatric doctors in a public hospital in Guangxi, China, due to declining patient numbers and reduced income, leading some to take on additional jobs like food delivery to make ends meet [2][4][11]. Group 1: Financial Challenges - The monthly income of pediatrician Jiang Yun is projected to drop from approximately 7,000 yuan in 2024 to 3,000-4,000 yuan in 2025, which is lower than his income a decade ago [2][11]. - The number of pediatric patients in Jiang's department decreased by about 20% year-on-year as of May 2025, contributing to reduced income [4][19]. - The hospital's financial strain is evident, with the leadership acknowledging significant debt and the need to cut costs, including salaries and medical equipment expenditures [4][23][24]. Group 2: Impact of Policy Changes - The implementation of a new DRG (Diagnosis-Related Group) payment system in early 2025 has led to a decrease in reimbursement rates for common pediatric conditions, further squeezing hospital revenues [20]. - Under the new DRG scheme, the reimbursement for pneumonia treatment dropped from approximately 3,000 yuan to under 2,000 yuan, impacting the hospital's financial viability [20]. Group 3: Coping Mechanisms - Many doctors in Jiang's department, including those with senior titles, have resorted to delivering food to supplement their income due to salary cuts [3][4]. - Jiang Yun has managed to earn an additional 2,000-3,000 yuan per month from food delivery, which helps cover household expenses and loan repayments [13][14]. Group 4: Broader Industry Trends - A report indicated that over 57% of surveyed medical personnel experienced salary reductions in 2024, reflecting a broader trend in the healthcare industry [13]. - The declining birth rate in China, which has dropped over 30% in the past decade, is contributing to a shrinking patient base for pediatric services [17][19].

Core Insights - The article highlights the financial struggles faced by healthcare professionals, particularly pediatricians, in a public hospital in Guangxi, China, due to salary cuts and declining patient numbers [2][3][21] - The decline in income is attributed to a significant drop in the number of pediatric patients and changes in medical insurance reimbursement policies [3][17][19] Group 1: Salary and Financial Struggles - The monthly income of pediatricians like Jiang Yun has decreased from around 7,000 yuan in 2024 to 3,000-4,000 yuan in 2025, which is lower than their income a decade ago [2][11] - More than half of the doctors in Jiang Yun's department are now working part-time jobs, such as food delivery, to make ends meet [3][4] - The hospital's financial situation is dire, with a debt of nearly 100 million yuan and annual revenue of only 70-80 million yuan, leading to salary reductions across various departments [22][23] Group 2: Patient Volume and Insurance Changes - The number of pediatric patients has decreased by approximately 20% year-on-year as of May 2025, despite the local birth rate being higher than the national average [3][16] - The implementation of a new DRG (Diagnosis-Related Group) payment system has reduced the reimbursement rates for common pediatric diseases, further straining hospital finances [17][18] - For instance, the reimbursement for pneumonia treatment dropped from about 3,000 yuan to less than 2,000 yuan under the new system [18] Group 3: Operational Challenges - The hospital is cutting costs on medical equipment, with many devices in the pediatric department being outdated and still in use [3][26] - Doctors are feeling pressured to generate income through patient care, leading to a shift in treatment practices to focus on higher-margin services like traditional Chinese medicine [25][27] - The financial strain has resulted in a lack of essential medical supplies and equipment, affecting the quality of care provided [26][27] Group 4: Broader Implications - The article indicates a trend across the healthcare industry where over 57% of surveyed medical personnel reported a decrease in salary in 2024 [13] - The situation reflects a larger systemic issue within the healthcare sector, where financial pressures are forcing medical professionals to reconsider their career paths [29][30]

Group 1 - The core viewpoint of the articles indicates a significant trend of salary reductions among doctors across various regions, with some doctors' monthly incomes dropping to as low as 2,000 to 3,000 yuan, and in some underdeveloped areas, hospitals are unable to pay even basic salaries [1][2] - A report by Huayi Network reveals that 57.9% of surveyed medical personnel expect a decrease in their salaries for 2024, marking a 20 percentage point increase from the previous year's report where 37% reported salary reductions [1] - The decline in salaries is primarily attributed to three factors: the overall economic environment, medical insurance cost control, and extensive hospital renovations [2]

多位受访医生认为，降薪是经济大环境、医保控费、医院大修大建这三大因素综合影响后的 结果。 "是的，降薪了。"面对是否降薪的提问，多地多名医生这样回答经济观察报。 郭奇在重庆一家县医院做普外科主治医师，他是从今年8月感受到明显降薪的。这半年，工资每月会晚 发两三天，扣完五险一金后，到手基本工资约2000元，绩效工资则从年初的6000元左右，降到现在的 4000元左右，降幅为30%左右。 和郭奇情况类似，在西部某省级儿童医院工作的许星工资也比去年降了三分之一。她觉得这可能只是开 始，因为最近一个月，她又三次听到书记在院务会上提到降薪话题。 在华中地区一家大型三甲医院担任科主任的杜月，最近正为科室几十位医生的收入发愁。医院每月根据 门诊量、使用药品和耗材情况、住院天数、抗菌素使用比例等指标核算出各科室的绩效基数，住院医 师、主治医师、副主任医师、主任医师分别按绩效基数的1倍、1.2倍、1.3倍、2倍拿绩效。9月，杜月科 室的绩效基数从上月的1万元左右，降至7000余元。 上海一位资深医院管理者李鸣了解的情况显示，医生降薪是个大趋势，有的基层医院医生月收入降到两 三千元，还有些欠发达地区的医院连基本工资都发不出来，部 ...

Core Viewpoint - The article discusses the significant salary reductions experienced by doctors across various regions, attributing these changes to the broader economic environment, healthcare cost control measures, and the financial burdens of hospital renovations and constructions [1][4]. Group 1: Salary Reductions - Many doctors report salary cuts, with some experiencing a decrease of around 30% in performance bonuses, leading to total monthly incomes dropping to approximately 2,000 to 4,000 yuan [2][6]. - In some areas, doctors' salaries have fallen by one-third, with reports of basic salaries being delayed and reduced [3][7]. - A survey indicated that 57.9% of healthcare workers experienced salary reductions in 2024, a significant increase from 37% in the previous year [10]. Group 2: Factors Contributing to Salary Cuts - The decline in patient numbers is a primary reason for reduced salaries, with many hospitals reporting fewer patients due to lower birth rates and economic conditions [13]. - Healthcare cost control measures, particularly the implementation of the DRG payment system, have led to decreased hospital revenues, impacting doctors' performance bonuses [14][15]. - The financial strain from hospital renovations and expansions has also been identified as a contributing factor to salary reductions, as many hospitals struggle with increased operational costs [16].