Abstract: This paper demonstrates a discussion on the community-based integrated health promotion,chronic disease management and long-term care contractual services among a number of community health service managers.Director ZHOU Hua thought this kind of services had increased the level of community residents’ satisfaction toward the services provided by the contracted family doctors;Director HU Jun-feng presented that the outstanding general practitioners（GPs） were the core competitiveness of a community health service center,and he emphasized that only "signing the contract with the items of providing subsequent health care services" could be called "signing a contract";Director JIANG Tian-wu put forward a series of specific measures on how to make the residents understand and believe the contracted services,and how to encourage GPs to sign contracts with the residents;Director ZHOU Qi-gang made a point that the training of GPs and nurses should be strengthened and the sense of gain of the contracted residents should be improved;Director CHEN Guo-sheng proposed that the technique level of GPs should be improved and the level of community residents’ satisfaction toward the services delivered by the contracted community physicians should be raised.It is hoped that the above discussion can provide reference for the development of community-based integrated health promotion,chronic disease management and long-term care contractual services.

Key words: Community-based integrated health promotion,chronic disease management and long-term care contractual services, Community health services, General practitioners

摘要： 本文组织多位社区卫生服务管理者针对医养护一体化签约服务展开主题研讨。周华处长认为医养护一体化签约服务提高了社区居民的满意度，要多方位推动医养护一体化签约服务；扈峻峰主任提出优秀的全科医生是核心竞争力，强调“签+约”才能称为签约；蒋天武主任提出了让居民了解并且信任签约、激励全科医生签约的具体举措；周其刚主任认为要加强医护人员培训，提升签约居民的签约获得感；陈国生主任认为要提升医生技术水平，提高社区居民的满意度。希望这些探讨能为医养护一体化签约服务的开展提供参考和借鉴。

关键词: 医养护一体化签约服务, 社区卫生服务, 全科医生