Abstract: Objective To analyze the current situation of taking paid leave in tertiary general hospital staff and the factors affecting the completion of the paid leave and to provide policy recommendations for the gradual improvement of the relevant management system. Methods A questionnaire survey was conducted in 1850 staff members in a tertiary hospital in Beijing. Results Medical staff are generally aware of the paid leave system, and are generally satisfied with the implementation of the system. In 2017, the annual paid leave completion rate for staff was 79.7%. Medical staff paid leave is affected by the basic conditions of individual employees, positions, departments whether to encourage leave, duration and manner of leave and other factors. Conclusion Management philosophy is the key to the implementation of paid leave system, therefore,to ensure the implementation of paid employees leave, we recommend to improve the management system,to strengthen humanistic care, and establish an intangible compensation management culture.