With the expansion of the public hospital pay system reform pilot, the final "one kilometer" of public hospital reform, the reform of the system of pay system to move the whole body, affecting the success or failure of the reform of pay system, in the reform of the system of pay system, to explore the "workload efficiency points management model", "four-wheel drive" to reflect the priority incentive mechanism, "four-dimension assessment" to reflect the mechanism of qualitative efficiency. "Four levels of the budget" reflects the consideration of equity, "the second distribution" reflects "more than enough work, excellent performance pay", the realization of health care public welfare "Nashi equilibrium"