Abstract: Background Promoting the high-quality development of family physician-contracted service is an inevitable trend of deepening the reform of the medical and healthcare system in the new situation. How to strengthen the construction of family physician teams and promote the improvement and efficiency of contracted service has become an urgent problem to be solved. Objective To investigate the team interaction of family physician team member, and to explore the impact of family physician team member interaction on job performance. Methods From October to December 2021, a questionnaire survey was conducted on 593 family physician team members in Qianjiang, Hubei and Changsha, Hunan by combining the convenience sampling and cluster random sampling. The scores of each dimension of family physician team members' interaction were analyzed, and hierarchical linear regression was used to verify the impact on job performance. Results There were differences in the scores for the dimensions of team interaction and job performance of family physician team members with different characteristics. The task monitoring dimension of interactive behavior significantly and positively affected job performance (β = 0.201, P < 0.001), the cohesion dimension significantly and positively affected job performance (β = 0.255, P < 0.001), and the interpersonal trust dimension significantly and positively affected job performance (β = 0.236, P < 0.001). Conclusion The family physician team members have a higher overall score for team interaction; the three dimensions of team interaction, task monitoring, cohesion and interpersonal trust, has a positive impact on job performance. It is recommended to optimize the structure of the family team interaction team and strengthen the management of family team interaction team members' interaction.

Key words: Family physician, Team interaction, Job performance, Task monitoring, Interpersonal trust, Cohesion

摘要： 背景 推进家庭医生签约服务高质量发展是新形势下深化医药卫生体制改革的必然趋势。如何加强家庭医生团队建设，进而促进签约服务提质增效成为亟待解决的问题。目的 研究家庭医生团队成员互动行为现状，探究家庭医生团队成员互动行为对工作绩效的影响。方法 于2021年10-12月，结合便利抽样法和整群随机抽样法，对湖北潜江和湖南长沙的593名家庭医生团队成员进行问卷调查，分析家庭医生团队成员互动行为各维度得分情况，采用层次线性回归验证其对工作绩效的影响。结果 不同特征家庭医生团队成员互动行为各维度和工作绩效得分存在差异。互动行为的任务监测维度显著正向影响工作绩效（β = 0.201，P ＜ 0.001），凝聚力维度显著正向影响工作绩效（β = 0.255，P ＜ 0.001），人际信任维度显著正向影响工作绩效（β = 0.236，P ＜ 0.001）。结论 家庭医生团队成员的互动行为整体得分较高；任务监测、凝聚力和人际信任3个维度互动行为对工作绩效有积极影响。建议优化家庭医生团队结构，加强家庭医生团队成员互动行为管理。

关键词: 家庭医生, 团队互动, 工作绩效, 任务监测, 凝聚力, 人际信任