Core Viewpoint - The article highlights a significant trend of salary reductions among doctors across various hospitals in China, driven by economic conditions, healthcare cost control measures, and the financial strain of hospital construction and renovation projects [4][6][16]. Salary Reduction Trends - Many doctors report salary cuts, with some experiencing reductions of 30% in performance bonuses and overall income [5][9]. - A survey indicated that 57.9% of healthcare workers experienced salary decreases in 2024, a notable increase from 37% in the previous year [11]. - Performance bonuses, which constitute a major part of doctors' income, have been significantly reduced, leading to financial distress among medical professionals [8][12]. Factors Contributing to Salary Cuts - The decline in patient volume due to lower birth rates and economic conditions has led to reduced hospital revenues, impacting doctors' salaries [15][16]. - The implementation of DRG (Diagnosis-Related Group) payment reforms has further constrained hospital budgets, affecting doctors' performance-related pay [16][17]. - Hospitals are facing increased operational costs due to extensive renovations and expansions, which have not been matched by revenue growth [17][18]. Impact on Healthcare Professionals - Many doctors are struggling to make ends meet, with some reporting monthly incomes insufficient to support their families [7][9]. - The article notes a trend of doctors taking on additional jobs outside of their medical practice to supplement their income [5][6]. - The overall morale among healthcare workers is declining as they face ongoing financial challenges and uncertainty about the future [18].

Core Viewpoint - The article discusses the significant salary reductions faced by doctors across various hospitals in China, attributing these changes to economic conditions, medical insurance cost control, and the financial burdens of hospital construction and renovation [3][4][15]. Group 1: Salary Reductions - Many doctors report salary cuts, with some experiencing a decrease of around 30% in their performance bonuses [3][4]. - A doctor in Chongqing noted that their monthly salary dropped from approximately 6,000 yuan to 4,000 yuan, reflecting a 30% reduction [3]. - In a provincial children's hospital, another doctor reported a similar decline, with salaries reduced by one-third compared to the previous year [4]. Group 2: Performance Bonuses - Performance bonuses, which constitute a significant portion of doctors' income, have been halved in some cases, leading to financial distress among medical staff [5][11]. - The performance calculation method has changed multiple times, with recent adjustments resulting in a performance base drop from around 10,000 yuan to 7,000 yuan [8][10]. - A survey indicated that 57.9% of medical personnel experienced salary reductions in 2024, primarily due to decreased performance bonuses [13]. Group 3: Contributing Factors - The decline in patient numbers is a major factor, with many hospitals reporting fewer admissions and outpatient visits, particularly in pediatric departments [16]. - Medical insurance cost control measures, such as the DRG payment reform, have also impacted hospital revenues and, consequently, doctors' salaries [17][18]. - The financial strain from hospital renovations and expansions has led to increased operational costs, further exacerbating the salary issues for medical staff [18].

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].