The essentials of public hospitals'doctor salary mechanism reform are to keep the competitive salary system，to absorb and keep excellent doctors，to improve doctors' performance，and to promote medical outcomes.Experiences in the development of public hospitals' doctor remuneration system in the UK，Germany and the USA give us some illustrations.The doctor remuneration mechanism reform can give more attention on the doctor post review system，guidelines on performance system，the payment method and the readjustment system of doctor remuneration.