公立医院双轨制下编外人员参加企业年金现状分析与路径探索

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Abstract Constructing an enterprise annuity system tailored to the characteristics of public hospitals holds substantial significance for safeguardingthe rights and interests ofcontract workers and advancingthe developmentof medical and health services.This study focused on the practicalchallngeofcontract workers participationin enterprise annuitiesunderthedual一track systemin public hospitals.Through theanalysisof thecurrent situationand practical explorations，it identifies theprimaryobstaclesfaced bycontract workers inpublic hospitals whenparticipatinginenterpriseannuities，including rigid institutionaldesign，substantial funding presures，complex management demands，and inadequate policycoordination. The study proposes strategic pathways to address these issues，such as refining top-level institutionaldesign，innovatingfunding mechanisms，enhancing layered andcategorized protection，andoptimizing investment management.

Key words Public Hospitals; Contract Workers； Enterprise Annuity；Dual-Track System; Pension Insurance First-author's address Chinese Hospital Association，Beijing，l0ol91，China

1 公立医院编外人员队伍现状分析

随着我国养老保险制度改革的不断深化，公立医院作为事业单位的重要组成部分，其养老保险制度面临着前所未有的机遇和挑战。（剩余7557字）