摘要目的:本研究旨在系统分析我国医疗机构专职科研人员队伍的建设现状、核心问题与发展路径。方法:通过政策文本分析、文献研究与典型案例剖析相结合的方法，梳理了该队伍在规模结构、平台支撑、成果贡献与管理机制方面的现状及问题，提出系统性对策建议。结果:研究深入揭示了我国医疗机构专职科研人员在身份定位、评价体系、资源配置、激励保障与医研协同等方面面临的深层次体制机制障碍，提出了涵盖战略规划、制度创新、资源支持与文化生态的体系化建设方案，构建了多层次闭环发展模式。结论:迫切需要通过系统性改革与持续投入，充分释放该队伍的创新潜力，为建成医药卫生强国与实现高水平医学科技自立自强提供核心支撑。

abstractsObjective:To systematically examine the current status, core challenges, and development pathways of full-time research personnel in medical institutions in China.Methods:An integrative qualitative approach was adopted, combining policy document analysis, literature review, and in-depth examination of representative cases. This approach was used to assess the workforce scale and structure, research infrastructure and platform support, scientific output and contributions, and governance and management mechanisms of full-time research personnel, and to develop comprehensive policy recommendations.Results:The analysis revealed deep-rooted institutional and structural barriers faced by full-time research personnel in medical institutions, particularly in relation to role definition, performance evaluation systems, resource allocation, incentive and support mechanisms, and coordination between research activities and clinical practice. To address these challenges, the study proposed a system-oriented capacity-building framework that integrated strategic planning, institutional innovation, resource support, and the cultivation of a supportive research culture, thereby establishing a multi-level, closed-loop development model.Conclusions:Systematic reforms and sustained investment are urgently needed to fully unleash the innovative potential of full-time research personnel in medical institutions. Strengthening this workforce will provide critical support for China's goal of building a strong healthcare and pharmaceutical system and for achieving high-level self-reliance in medical science and technology.