Abstract:
General practitioners（GPs） are the "gatekeeper" for residents' health. Exploration of the roles of GPs working in primary healthcare settings of a regional medical consortium and the relationship between the roles，the conditions under which the GPs play a role in the medical consortium，etc. helps GPs better understand their roles and responsibilities，and promotes the improvement of the structural system of the medical consortium. We discussed the 5 roles 〔the initial care provider，health manager，conveyor of health information to patients （for reducing the asymmetry in information between them and patients），health service hub，teacher and researcher〕 of GPs who work in primary healthcare settings joining in a regional medical consortium，and the relationships of the roles. Moreover，we analyzed the problems that hinder GPs from playing their due roles，such as the unsatisfactory overall qualities and work enthusiasm of GPs working in primary healthcare settings，patients' inactive primary healthcare-seeking，and incomplete structure of the regional medical consortium. Furthermore，for addressing these problems，we proposed suggestions，such as attaching importance to the continuing education and incentives for GPs，pricing health management services，formulating positive and negative incentive measures for the performance of GPs，intensifying the publicity connotation and details of family doctor system，and integrating the resources owned by the members of a regional medical consortium with the concept of modern medical model.

Key words: General practitioners, Medical consortium, Health management, Role

摘要： 全科医生是居民健康的“守门人”，探讨全科医生在医联体内的角色定位、各角色间的联系、全科医生在医联体内发挥作用的条件等，有助于全科医生更好地认清自身的功能职责和医联体结构体系的完善。本文从基层首诊、健康管理、医疗信息的平衡、医疗资源的枢纽、教学科研方面探讨基层全科医生在医联体内的角色定位及各角色间的相互关系，分析了全科医生在医联体内发挥作用的条件和目前存在的问题。认为当前基层全科医生综合素质不高和积极性不强、患者参与度低、医联体结构建设不完整等问题将影响基层全科医生作用的有效发挥。建议重视基层全科医生的继续教育与奖励，对各项健康管理服务进行标价及制定奖惩措施，深化家庭医生签约制度的宣传内涵和细节，医联体按现代医学模式理念进行资源整合等。

关键词: 全科医生, 医联体, 健康管理, 角色