Abstract: Objective　To systematically evaluate the studies concerning factors associated with residents signing a contract with a family doctor in China，providing a reference for further development of family doctor system.Methods　We searched the studies about factors associated with residents signing a contract with a family doctor in China from the databases of CNKI （as of December 10，2017），Wanfang Data Knowledge Service Platform （as of December 21，2017），and VIP （as of December 15，2017）.The extracted data were stored in an Excel 2007 worksheet file.Visualization analysis （with tools offered by CNKI database） as well as bibliometric analysis of the studies were conducted.Results　62 studies were included.The annual number of studies published from 2012 to 2017 is 2，4，8，13，14，21，respectively，showing an increasing trend.Universities and institutes contributed 19 of them （30.6%）；58（93.6%） discussed the status of residents signing a contract with a family doctor；the settings for 40 （64.5%） studies are in eastern China；29 （46.8%） were funded by provincial or municipal projects；14 （22.6%） are master theses or doctoral dissertations；13 （21.0%） were published in Chinese General Practice.8 key words related to the associated factors for residents signing a contact with a family doctor were extracted based on statistical analysis of the frequency of key words，of them，"health services" "associated factors" "dual referrals" was used 25，19，13 times，respectively.Co-occurrence network analysis of the key words used 6 or more times found that，the co-occurrence frequency of "health services" and "associated factors"，"factor analysis" and "associated factors"，"associated factors" and "contract-signing rate"，"health services" and "dual referrals" was 12，12，8，8，presenting higher frequency.The main 3 aspects associated with residents signing a contract with a family doctor are individual factors，community healthcare institutions-related factors and governmental factors，with a frequency of 132，38，4，respectively，accounting for 75.9%，21.8%，2.3% of the total using frequencies （174） of the factors included in the 3 aspects.Conclusion　The number of studies concerning factors associated with residents signing a contract with a family doctor in China is increasing generally.The distribution of institutions contributing studies，types of studies，and settings for studies is uneven.The studies mainly focus on health services，associated factors，dual referrals and so on，and put forward that residents signing a contract with a family doctor in China is mostly affected by individual factors，followed by unignorable community healthcare institutions-related factors and governmental factors.

Key words: Community health services, Sign up of the family physicians, Root cause analysis, Bibliometrics

摘要： 目的　系统评价有关我国家庭医生签约影响因素的文献，为进一步完善家庭医生签约服务提供借鉴。方法　以中国知网（CNKI，自建库至2017-12-10）、万方数据知识服务平台（自建库至2017-12-21）、维普网（自建库至2017-12-15）作为数据来源，进行系统跨库检索与我国家庭医生签约影响因素有关的文献。采用Excel 2007录入数据；采用文献计量学方法和中国知网提供的可视化分析功能对文献进行分析。结果　最终纳入合格文献62篇。2012—2017年，与我国家庭医生签约影响因素相关的文献分别发表了2、4、8、13、14、21篇，发表文献的数量随着时间呈逐渐增长趋势。其中19篇（30.6%）来源于高校科研机构；58篇（93.6%）为现状研究类文献；40篇（64.5%）的研究区域为东部地区；29篇（46.8%）文献基金来源为省市级项目；14篇（22.6%）来自于硕士和博士学位论文，13篇（21.0%）来自于《中国全科医学》杂志。将62篇文献关键词的频次进行统计，共提取8个与我国家庭医生签约服务影响因素相关的关键词，其中卫生服务、影响因素、双向转诊出现的频次分别为25、19、13次。选取频次≥6次的高频关键词绘制出的关键词共现网络图谱，结果显示卫生服务与影响因素、因素分析与影响因素、影响因素与签约率、卫生服务与双向转诊共现次数较高，分别为12、12、8、8次。影响家庭医生签约的因素主要有3大类，分别是个人、社区卫生服务机构及政府因素。个人因素、社区卫生服务机构因素、政府因素出现总频次为174次，分别出现132、38、4次，占总频次的75.9%、21.8%、2.3%。结论　与我国家庭医生签约影响因素相关的文献数量总体呈增长趋势。发表文献的机构、研究类型、区域等分布不均，研究热点主要为卫生服务、影响因素、双向转诊等。影响家庭医生签约的因素主要为个人因素，社区卫生服务机构和政府因素也不容忽视。

关键词: 社区卫生服务, 家庭医生签约, 影响因素分析, 文献计量学