关键词: 家庭医生签约服务, 分级诊疗, 社区卫生服务, 健康中国, 发展历程, 现状, 问题, 对策

Abstract: As one important measure for achieving the medical reform launched in 2009 in China，the delivery of contracted family doctor services plays a key role in the realization of initial consultation in primary care，promotion of hierarchical medical system，and transformation of healthcare delivery models.On the basis of the reviewing of the development and related literature of contracted family doctor services in China，from three perspectives（supplier，demander and implementation mechanism），we analyzed the following major problems existing in the development of the services during the implementation of the Healthy China Initiative：insufficient quantity and inadequate quality of primary healthcare resources，residents' unsatisfactory acceptance of contracted family doctor services，inadequate growing and training mechanisms for general practitioners（GPs），lack of performance assessment and incentive mechanisms for GPs，insufficient strength of medical insurance payment mechanism in guiding patients' healthcare seeking in primary care，and imperfect publicizing mechanism and information construction for contracted family doctor services.Accordingly，we put forward the following suggestions：further enhancing the service capacities of primary healthcare institutions，improving the policy support for the implementation of contracted family doctor services，establishing and improving the performance assessment and incentive mechanisms for GPs，and actively promoting the development of Internet-based community healthcare.

Key words: Contracted family doctor services, Hierarchical medical system, Community health services, Healthy China, Development process, Present situation, Problem, Countermeasure