关键词: 家庭医生签约服务, 服务模式, 健康管理, 分级诊疗, 苏州

Abstract: The implementation of contracted family doctor services（CFDSs） is an important breakthrough initiative to promote the development of the tiered healthcare delivery system，and is a major manifestation of strategic changes in service delivery modes of community healthcare settings.On the basis of the supportive policies for promoting the development of CFDSs in Suzhou，we summarized and analyzed the primary actions for the delivery of such services in this city，such as the "531" plan of actions for the achievement of healthy citizens objectives，and the construction of regional healthcare consortiums，featured specialties，and community informatization.By the end of 2017，the overall contracting rate in Suzhou reached 31.4%，in particular，it was 62.83% in priority groups.And by the end of 2018，the city owned a total of 3 788 general practitioners（GPs），and had 3.53 GPs per 10 000 permanent residents.Meanwhile，Suzhou has formed its delivery models for CFDSs initially and has made remarkable achievements in chronic disease control and prevention.However，the incentive mechanism for the implementation of CFDSs is still not complete，and the developments of key disease screening projects for contracted residents are unbalanced，which will be improved by further efforts by Suzhou to better the development of CFDSs specifically.

Key words: Contracted family doctor services, Service model, Health management, Hierarchical diagnosis and treatment system, Suzhou