Abstract: Background　The implementation of contracted family doctor services is one of the tasks to achieve successful reform of the pharmaceutical and healthcare system in China. Currently，although the services are available nationwide，healthcare workers for delivering such services have not been fully incentivized by existing performance assessment systems，so it is essential to develop a set of more scientific and effective performance assessment system. Objective　To develop a system for assessing the performance of China's family doctors in the delivery of contracted services，promoting the domestic development of the services. Methods　Through reviewing relevant policy documents，literature，and sophisticated evaluation tools，we developed an item pool for the initial version of the contracted service performance assessment system for China's family doctors. Then from March to May in 2020，we selected 30 experienced experts from relevant fields，and invited them to attend a two-round Delphi survey using a self-developed Delphi Expert Consultation Form. After that，we calculated the authoritative coefficient and other indicators，and according to the consultation results，we revised the initial version of the system to a final one. Results　Either the first or second round of survey achieved a 100.0% response rate，with a 100.0% positive coefficient of experts. Furthermore，the authoritative coefficient（Cr） of experts for both rounds of the survey ranged from 0.850 to 1.000，with an average value of 0.913. All of that reached the acceptable standard. In terms of the value of the first-，second-，and third-level indices of the system，the Kendall's concordance coefficients in the first round of survey were 0.144（P<0.05），0.254（P<0.01），and 0.268（P<0.01），respectively，and those in the second round of survey were 0.158，0.354，and 0.495（all P<0.01），respectively，suggesting that the experts' opinions gradually reached a consensus，and the evaluation results were stable and reliable. The final system includes three first-level indices，10 second-level indices，and 59 third-level indices involving the quality of service structure，service delivery process and service outcome. Conclusion　The consulted experts were highly motivated with high degree of authority. And they obtained a consensus on the indices of the system after two rounds of survey，indicating that our system is reliable.

Key words: Contracted family doctor services, Pay for performance, Indicator system, Delphi technique

摘要： 背景　家庭医生签约服务是我国医药卫生体制改革的一项重要任务。目前我国所有区（县）均开展家庭医生签约服务工作，但现行绩效考核指标难以充分调动医务人员的积极性，因此形成一套科学有效的绩效考核指标体系具有重要意义。目的　构建我国家庭医生签约服务绩效评价指标体系，以促进我国家庭医生签约服务有效推进。方法　通过查阅相关政策文件、国内外文献及使用成熟的评估工具，并经过小组讨论初步拟定指标池，设计了德尔菲专家咨询表。于2020年3—5月，在全国范围内选择在该领域经验丰富的专家30名，经两轮专家咨询，构建了我国家庭医生签约服务绩效评价指标体系。结果　两轮专家咨询表均全部收回且有效，专家积极系数为100.0%，30名专家权威程度系数（Cr）为0.850~1.000，平均值为0.913，均达到可接受标准。第一轮专家咨询一、二、三级指标的重要性专家协调系数分别为0.144（P<0.05）、0.254（P<0.01）和0.268（P<0.01），第二轮专家咨询一、二、三级指标的重要性专家协调系数分别为0.158、0.354和0.495（P均<0.01），专家意见逐渐趋于一致，评价结果稳定、可靠。最终构建的我国家庭医生签约服务绩效评价指标体系包括结构质量、过程质量和结果质量3项一级指标、10项二级指标和59项三级指标。结论　咨询专家具有很高的积极性，且专家的权威程度较高。经两轮咨询，专家对一、二、三级指标的评价意见趋于一致，有足够的协调性，本研究构建的我国家庭医生签约绩效评价指标体系结果可信。

关键词: 家庭医生签约服务, 绩效工资, 指标体系, 德尔菲技术