Abstract: In the current situation，the promotion of family doctor services in China is an important initiative for improving the primary care，care delivery model，and the implementation of hierarchical medial system.Moreover，it plays a key role in safeguarding the people's health.We analyzed the implementation status of supportive policies for family doctor services based on the framework of Smith's policy implementation process model，detailedly discussed the policies，implementors，target group and environmental factors，and concluded that the promotion of family doctor services have increased the awareness and perception rates of these polices，and most residents enjoying the contracted family doctor services are satisfied with such polices，although the implementation results have not matched the expected outcome，it could be improved by detecting and overcoming the implementation-related barriers via multiple perspectives.With the fundamental support of policies，family doctor services can be better extended in an all-round way.

Key words: Smith's policy implementation process model, Policy implementation, Family doctor services

摘要： 新形势下推进家庭医生签约服务是强化基层卫生服务网、转变医疗服务模式、促进分级诊疗制度落实的重要举措，是保障群众健康的重要途径。本研究在了解家庭医生政策推行现状的基础上，以史密斯模型的理论框架为指导，从政策本身、政策执行主体、政策执行对象及政策执行环境多角度对家庭医生政策的执行情况予以分析。结果显示，家庭医生服务的推广提高了居民对该项政策的知晓率和认知率，参与家庭医生签约服务的多数居民对政策实施效果比较满意，但政策产生的效果与预期还有一定差距，应从多角度探究政策推行的障碍及障碍的消除路径，为家庭医生服务的深入开展奠定基础。

关键词: 史密斯模型, 政策执行, 家庭医生