关键词: 全科医生, 家庭医生, 薪金和附加福利, 按绩效付费, 绩效考核, 激励机制, 加利福尼亚, 美国

Abstract: A well-run incentive mechanism and performance evaluation system are key to improve the general practitioner system in China.This study thoroughly analyzed value-based pay for performance program（VBPFP） in California，with emphasis on its performance measures and incentive mechanism and compared it with that in China.On the basis of the comparative analysis，we found that the performance evaluation goals of VBPFP program was specific，which required general practitioners to pay equal attention to the quality and cost of patient care.The performance measures were mainly centered on the prevention and treatment of chronic diseases.The hybrid medical insurance payment methods were adopted to maximize the enthusiasm of general practitioners.Therefore，we put forward suggestions that our performance assessment should add indicators of chronic disease prevention and health management and that we should establish a hybrid payment method links to the medical insurance for general practitioners.In addition，timely disclosure of general practitioners' performance appraisal results and open recognition and reward for general practitioners with outstanding performance are also important to stimulate their enthusiasm at work.

Key words: General practitioners, Family physicians, Salaries and fringe benefits, Pay for performance, Performance assessment, Incentive mechanism, California, United States