Objective · To analyze the pay satisfaction structure and dimensions of medical staff in public hospitals in Shanghai and to provide reference for the policy making. Methods · The research randomly selected 4 hospitals from 38 hospitals in Shanghai as a sample and selected on-the-job medical staff to conduct the questionnaire survey. The data was analysed by Epidata 3.0, SPSS 17.0 and AMOS 17.0. Results · The score of pay satisfaction of the medical staffs in Shanghai was relatively low. The score was 2.91±0.86. In the five dimensions, the welfare satisfaction score was 2.81±0.95 and was the lowest. The pay satisfaction of the medical staffs in public hospitals in Shanghai was made up of five dimensions: pay level satisfaction, pay improvement satisfaction, welfare satisfaction, pay structure satisfaction and pay management satisfaction. The five dimensions had significant positive effect on pay satisfaction of medical staffs and the pay structure satisfaction had the highest degree of influence. Conclusion · Hospitals should strengthen the cognition of the multi-dimension model of pay satisfaction of medical staffs. The current pay level of Shanghai public hospital medical staffs should be maintained. The construction of public hospital medical staff welfare in Shanghai should be strengthen. A scientific and reasonable compensation increase mechanism
should be established. A scientific and reasonable compensation structure should be set up and more advanced scientific compensation management system should be explored.