关键词: 全科医生, 卫生政策, 内容分析法, 政策分析

Abstract: Background　Currently，the ratio of general practitioners（GPs） to 10 000 residents fails to reach the 2020 target set in China's 13th Five-year Plan（2016—2020）. Moreover，the rate of registered GPs is low，especially in western China. Policy instruments are a general term for the means adopted by the government to achieve policy objectives. Only when policy instruments are appropriate，can policy implementation results be consistent with the policy objectives. Objective　To analyze the highlights and weaknesses as well as changes of the policies for GPs issued by the People's Government of Sichuan Province from 2009〔the year in which deepening the reform of the pharmaceutical and healthcare system（the new round of medical reform） was initiated〕 to 2019. Methods　From December 2019 to January 2020，using "general practitioners" in Chinese as key words，we searched the official websites of the People's Government of Sichuan Province and Health Commission of Sichuan Province for policy documents for GPs issued from January 1，2009 to December 31，2019，and performed content analysis and quantitative analysis of the texts of the policy documents in terms of types and development changes of policy instruments. Results　A total of 48 policy documents were included，involving 268 coded policy instruments，consisting of normative，incentive，capacity-developing，authoritative，systematic reform，symbolic and hortatory instruments，accounting for 4.9%（13/268），8.6%（23/268），22.4%（60/268），54.5%（146/268），7.8%（21/268） and 1.9%（5/268），respectively. The number of policy instruments had a first peak in 2012，with authoritative instruments as the major type. Then authoritative instruments decreased significantly and incentive instruments increased significantly. And the instruments had a second peak in 2018，with capacity-developing instruments as the major type. Goals and planning were used the most〔32.1%（86/268）〕，while consensus propaganda was least frequently used〔0.4%（1/268）〕. Policy planning，policy implementation，policy supervision and policy evaluation accounted for 51.1%（137/268），44.4%（119/268），3.4%（9/268）and 1.1%（3/268），respectively. Conclusion　The results of the policy instruments for GPs implemented since 2009 in Sichuan Province show that the instruments could meet GPs' actual needs and benefit their development. Future policy optimization should focus on the use of symbolic and hortatory and incentive instruments，with consideration of comprehensive associations between different types of instruments，and appropriately balanced use of them. Moreover，supervision and evaluation during policy implementation should be strengthened.

Key words: General practitioners, Health policy, Content analysis, Policy analysis