Objective: To analyze the influence path of the interaction between the unit environment, achievement transformation willingness, and achievement transformation cognition on achievement transformation output to provide a basis for optimizing the achievement transformation environment of medical and health institutions and improving the efficiency of scientific and technol. achievements transformation.Methods: Through the questionnaire survey, 292 data points were obtained.SPSS20.0 was used to conduct cross-table chi-square anal. and binary logistic regression anal. on the willingness, cognition, and output of scientific and technol. achievements transformation.The process 14.0 plug-in is used to analyze the mediating effect of transformation cognition and the moderating effect of the unit environment.Results: Achievement transformation willingness has a significant pos. impact on achievement transformation cognition and achievement transformation output.Achievement transformation cognition has a pos. impact on achievement transformation output, and the mediating effect of transformation cognition is significant and partial.The unit environment has a neg. moderating effect on the influence of achievement transformation willingness on achievement transformation cognition, and a pos. moderating effect on the influence of achievement transformation willingness on achievement transformation output.Conclusion: Personal factors and unit achievement transformation environment have an obvious influence on the willingness and cognition of achievement transformation.It is necessary to optimize the environment of unit scientific and technol. achievements transformation, improve the policy system of benefiting from the achievements of scientific and technol. achievements transformation of medical and health personnel, implement the disposal right, income right and distribution right of scientific and technol. achievements transformation of medical and health institutions, and stimulate the enthusiasm of scientific and technol. achievements transformation of medical and health personnel.