Abstract: Background　The positions of family doctors are mostly occupied by personnel from other departments. The overlap of positions and unclear division of duties have become obstacles for family doctors to carry out their work. How to identify and select good family doctors requires a set of assessment tools to measure the competency of family doctors. Objective　To establish a practical and effective competency indicator system of family doctors in order to provide a basis for family doctor's ability assessment and competitive recruitment. Methods　In December 2018，through the methods of literature review and group interview，the framework of family doctor's competency indicator system was preliminarily formulated. Two rounds of consultation were performed towards 31 experts using the Delphi method. The importance of indicators was scored by experts and indicators were deleted according to the coordination and concentration of experts' opinions. Besides，by employing the analytic hierarchy process，the weights of the first-level，second-level and third-level indicators were determined. Results　The effective recovery rate of the two rounds of consultation was 100.0%，and the overall authoritative coefficient of the experts was 0.852>0.70，and the expert coordination coefficients of the first-level，second-level and third-level indicators were 0.265，0.350，and 0.280（P<0.01）. Finally，a family doctor's competency indicator system was established consisting of 6 first-level indicators，13 second-level indicators，63 third-level indicators and their weights. The weights of the 6 first-level indicators of basic medical service ability，public health service ability，humanistic practice ability，interpersonal communication ability，education and learning ability and comprehensive management ability were 0.350，0.053，0.119，0.187，0.146，and 0.146，respectively. Conclusion　The family doctor's competency indicator system is scientific and forward-looking with 6 first-level indicators，13 second-level indicators，and 63 third-level indicators. Family doctor's competency evaluation pays more attention to the basic medical service ability. The next step is to build an assessment system of family doctor's comprehensive competency based on the competency model in order to provide a tool for family doctor's ability assessment.

Key words: Physicians, family；Post competency；Evaluation；Indicator system；Delphi technique

摘要： 背景　家庭医生岗位多由其他部门人员兼任，岗位交错重叠、职责分工模糊已成为家庭医生开展工作的阻碍。如何识别和选拔优秀的家庭医生，需要一套衡量家庭医生岗位胜任力的考评工具。目的　构建一套切实有效的家庭医生岗位胜任力指标体系，为家庭医生能力评估及竞聘上岗提供依据。方法　2018年12月通过文献回顾和小组访谈法初步拟定家庭医生岗位胜任力指标体系框架，采用Delphi法对31位专家进行两轮专家咨询，由专家对指标重要性进行评分，根据专家意见的协调程度和集中程度，对指标进行删减，并采用层次分析法确定一、二、三级指标的权重。结果　两轮咨询的有效回收率均为100.0%，两轮咨询后专家整体权威系数为0.852>0.70，一、二、三级指标的专家协调系数分别为0.265、0.350、0.280（P<0.01），最终构建了由6个一级指标、13个二级指标、63个三级指标及其权重构成的家庭医生岗位胜任力指标体系。基本医疗服务能力、公共卫生服务能力、人文执业能力、人际交往能力、教育学习能力及综合管理能力6项一级指标的权重分别为0.350、0.053、0.119、0.187、0.146、0.146。结论　家庭医生岗位胜任力指标体系包括一级指标6项、二级指标13项、三级指标63项，具有科学性和前瞻性。家庭医生岗位胜任力评价更重视基本医疗服务能力，下一步将借助胜任力模型构建一套家庭医生综合能力评估体系，为家庭医生能力评估提供工具。

关键词: 医师, 家庭；岗位胜任力；评价；指标体系；德尔菲技术