Family doctor contract services has become the main mode of primary medical and health service, but there is still no perfect, authoritative and feasible evaluation index system for family doctor contract services in our country.

The development of high-quality evaluation indicators for family doctor contract services aims to promote the high-quality development of family doctor contract services and improve the efficiency and quality of primary healthcare services.

From June to September 2023, through literature analysis, thematic group discussion, questionnaire survey and on-site interview, combined with the actual situation of family doctor service in Shanghai, the preliminary draft of the evaluation indicator system was formed. From October to November 2023, purpose sampling method was used to select 25 experts in general practice, public health, clinical medicine, health management and other fields in Shanghai, and these experts were interviewed by electronic questionnaire for two rounds. The evaluation index system of high-quality development of family doctor contract services was finally determined by Delphi method, and the weight of each index was determined by analytic hierarchy process. In the process, the basic information of experts, the enthusiasm of experts, the modification suggestions of experts, the degree of authority of experts, the degree of concentration of expert opinions, and the degree of coordination of expert opinions were recorded.

The effective response rates for the two rounds of expert consultations in this study were 100% and 96%, respectively. The familiarity coefficient (Cs) and judgment basis coefficient (Ca) for the first round of expert consultation were 0.864 and 0.920, respectively, and for the second round were 0.872 and 0.921, respectively. The authority coefficient (Cr) for both rounds were with values of 0.892 and 0.897 respectively. The Kendall coefficient (Kendall's W) for the two rounds were 0.201 (χ²=528.569, P<0.001)and 0.236 (χ²=607.250, P<0.001), respectively. Finally, an evaluation index system for the high-quality development of family doctor contract services was determined, which included 3 primary indicators of "service capacity, service quality, satisfaction and awareness", 8 secondary indicators, and 43 tertiary indicators. The weight coefficients of primary indicators were 0.334, 0.336 and 0.330, respectively.

This study showed a high level of expert enthusiasm, authority and coordination. After two rounds of consultation, the opinions of experts gradually converged, and the results of the evaluation index system for high-quality development of family doctor contract services were reliable, providing a scientific and objective evaluation tool for all regions in China to evaluate the effect of the family doctor contract service model.