关键词: 社区卫生服务, 家庭医生签约, 影响因素分析, 文献计量学

Abstract: Objective　To systematically evaluate the studies concerning factors associated with residents signing a contract with a family doctor in China，providing a reference for further development of family doctor system.Methods　We searched the studies about factors associated with residents signing a contract with a family doctor in China from the databases of CNKI （as of December 10，2017），Wanfang Data Knowledge Service Platform （as of December 21，2017），and VIP （as of December 15，2017）.The extracted data were stored in an Excel 2007 worksheet file.Visualization analysis （with tools offered by CNKI database） as well as bibliometric analysis of the studies were conducted.Results　62 studies were included.The annual number of studies published from 2012 to 2017 is 2，4，8，13，14，21，respectively，showing an increasing trend.Universities and institutes contributed 19 of them （30.6%）；58（93.6%） discussed the status of residents signing a contract with a family doctor；the settings for 40 （64.5%） studies are in eastern China；29 （46.8%） were funded by provincial or municipal projects；14 （22.6%） are master theses or doctoral dissertations；13 （21.0%） were published in Chinese General Practice.8 key words related to the associated factors for residents signing a contact with a family doctor were extracted based on statistical analysis of the frequency of key words，of them，"health services" "associated factors" "dual referrals" was used 25，19，13 times，respectively.Co-occurrence network analysis of the key words used 6 or more times found that，the co-occurrence frequency of "health services" and "associated factors"，"factor analysis" and "associated factors"，"associated factors" and "contract-signing rate"，"health services" and "dual referrals" was 12，12，8，8，presenting higher frequency.The main 3 aspects associated with residents signing a contract with a family doctor are individual factors，community healthcare institutions-related factors and governmental factors，with a frequency of 132，38，4，respectively，accounting for 75.9%，21.8%，2.3% of the total using frequencies （174） of the factors included in the 3 aspects.Conclusion　The number of studies concerning factors associated with residents signing a contract with a family doctor in China is increasing generally.The distribution of institutions contributing studies，types of studies，and settings for studies is uneven.The studies mainly focus on health services，associated factors，dual referrals and so on，and put forward that residents signing a contract with a family doctor in China is mostly affected by individual factors，followed by unignorable community healthcare institutions-related factors and governmental factors.

Key words: Community health services, Sign up of the family physicians, Root cause analysis, Bibliometrics