Abstract: Objective To explore the problem of dual track employment in blood collection and supply institutions, and provide countermeasures and suggestions for optimizing human resource management. Methods A specialized survey questionnaire was used to conduct a survey on 229 blood collection and supply institutions nationwide, to collect information on the number and turnover of staffing and non staffing personnel, then conduct a t-test for differential analysis. Results Blood collection and supply institutions across the country generally face problems such as delayed changes in staffing ratios, differences in the number of new personnel, significant differences in the turnover of self caused personnel, and complex or diverse salary management systems. Conclusion Strengthen the understanding of the management complexity brought by dual track employment, plan the dynamic mechanism of personnel staffing standards, innovate personnel management inside and outside the staffing, and optimize personnel allocation structure.

Key words: Blood collection and supply institutions, Human resources, Dual track employment, Countermeasures research