Abstract: With the shift of the focus of medical strategy to the development of community general practice，the complexity of medical environment and the higher requirements of community population health management pose a greater challenge to the leadership of managers in primary medical institutions. However，compared with foreign countries，the theoretical and practical research on the leadership of managers in primary medical institutions in China is very scarce. Based on the contradiction between actual needs and actual lacks，this paper expounds the development process of medical administrators' leadership at home and abroad，summarizes the research ideas and effects of domestic and foreign medical institution managers' leadership，also this paper focuses on the progress and shortcomings of the research on the leadership of medical managers in China，and analyzes the necessity of carrying out the leadership research of managers in general departments at present，which put forwards policy recommendations and theoretical support for the future leadership development and research in primary medical institutions.

Key words: Accountable care organizations, Administrative personnel, Leadership, Personnel training, Review

摘要： 随着国家将医疗战略重点下移至社区全科发展，医疗环境的复杂性及社区人群健康管理的更高要求，对全科医学管理者领导力提出了更大挑战。但相较国外，我国全科医学管理者领导力的理论及实践研究极为匮乏。基于现实需求与实际缺乏的矛盾，本文阐述了国内外医疗管理者领导力的发展历程，总结了国内外医疗管理者领导力的研究思路和成效，重点分析了国内医疗管理者领导力研究的进展和不足，并分析了当前开展全科医学管理者领导力研究的必要性，以期为未来的全科医学管理者领导力发展和研究提出政策建议和理论支持。

关键词: 负责任医疗机构, 行政管理人员, 领导力, 人才培养, 综述