目的 了解北京市属医院科技人才科研活动中存在的困境和需求，提出解决措施，以进一步激发科研人员的积极性。 方法 以问卷形式调查北京市属医院的科技人才，采用描述性统计、卡方检验和秩和检验等方法对调查对象进行分析。 结果 调查对象普遍认为缺乏研究辅助人员、研究平台不完善和研究生数量少是制约科研活动的主要影响因素，但不同人才梯队对上述因素的影响程度存在差异；65.2%的调查对象在科研工作中最需要的支持是科研团队支持；调查对象比较认同医院现行科研激励政策；薪酬收入制度改革是科技人才最迫切希望改革的激励政策。 结论 科研团队建设是医院科技人才开展科研活动迫切的需求，医院应建立梯队合理的科研团队，搭建科研平台，完善科技评价和激励政策，营造有活力的科技创新环境。

Objective To understand the dilemmas and needs of scientific and technological talents in scientific research activities in Beijing municipal hospitals, and to propose solutions to further stimulate the enthusiasm of scientific researchers. Methods A questionnaire survey was conducted among scientific and technological talents in Beijing municipal hospitals, and descriptive statistics, chi-square tests and rank sum tests were used to analyze the results. Results The survey respondents generally believe that the lack of research assistants, the inadequate research platforms and the small number of graduate students are the main influencing factors constraining scientific research activities, but there are differences in the degree of impact of these factors among different talent echelons. 65.2% of the survey respondents reported that the most needed support in scientific research work is the coordination and cooperation of the research team. The survey respondents generally agree with the current research incentive policy of the hospital. The reform of the salary and income system is the most urgent incentive policy that scientific and technological talents hope to reform. Conclusion The construction of a scientific research team is an urgent need for scientific and technological talents in hospitals to carry out scientific research activities. Hospitals should establish scientific research teams with reasonable echelon layouts, build high-quality scientific research platforms, improve the scientific evaluation system and talent incentive policies, and create a dynamic environment for scientific and technological innovation.