目的

通过调查急救医疗机构中院前医师现状，分析急救医师职业寿命制约因素，提出对策建议，并尝试为稳定急救队伍，促进院前急救事业可持续发展提供参考。

方法

选取2016年2月至2024年8月中心所有医师为研究对象，统计现职与离职医师在年龄结构、工作年限、学历层次、职称状况、培训途径等方面数据和调查访问（回顾性问卷与访问调查法）相结合方式。

结果

急救职业寿命受行业、环境、社会、团队、家庭、阅历、技能更新速度以及体能、健康状态等多因影响，导致急救职业寿命长短不一，直接影响着院前急救体系建设与公共卫生服务的提供能力。

结论

避免或防范院前急救医师从业的影响因素，能够延长其职业寿命，并极大稳定急救队伍，建议完善法制化保障机制、延长急救医师职业寿命和探索职业化发展通道。

Objective

To investigate the current situation of pre-hospital doctors in emergency medical institutions， to analyze the factors impacting their career longevity， to propose countermeasures and recommendations， and to provide insights for stabilizing the emergency team and promoting the sustainable development of pre-hospital emergency services.

Methods

The study selected all doctors from the Zhenjiang Emergency Center between February 2016 and August 2024 as research subjects. Data on current and departed doctors （including age structure， years of service， educational background， professional titles，and training channels） were analyzed using a combination of statistical data and surveys （retrospective questionnaires and interviews）.

Results

The career longevity of emergency doctors was influenced by various factors， such as industry conditions， environment， societal influences， team dynamics， family circumstances， experience， skill updating speed， and physical health. These factors contributed to varying career trajectories and directly impacted the development of the pre-hospital emergency system and the capability to provide public health services.

Conclusion

It is suggested to improve the legal framework，extend the career longevity of emergency doctors， and explore professional development channels. These measures could stabilize the emergency team and enhance the career longevity of those engaged in prehospital emergency services.