Objective To investigate hospital public opinion management in an era of self-media rise.Methods Using the 4R(Reduction,Readiness,Response,and Recovery)crisis theory,an"importance-compliance"scale measuring the hospital employees'perceptions of public opinions was constructed.The scale contains 8 dimensions and 23 items,and the results were analyzed using the paired t test and Importance-Performance Analysis(IPA).Results Among all dimensions and items,the employees'perceptions of public opinions were lower than the importance,with the largest discrepancy found within the dimensions associated with the Reduction stage.Among the 23 items in the IPA analysis,the first item("The hospital learns the demands of employees and patients through multiple channels")under the"Cultural Environment"was found to be a"high importance/low compliance"item that demands particular attention.Among the eight dimensions,both dimension 1("Cultural Environment")and dimension 3("Doctor-Patient Platform")were"low importance/low compliance"dimensions in the Reduction stage and required enhancement in terms of awareness and action.Conclusion The Reduction stage constitutes a pivotal aspect of hospital public opinion management.Improvement measures are suggested from perspectives of hospitals,employees,and patients,thereby offering a reference for hospital public opinion management.