Abstract: Background　The implementation of contracted family doctor services in China plays a vital role in deepening the reform of the pharmaceutical and healthcare system.Understanding residents' awareness of such services and its influencing factors is conducive to the promotion，and effective coverage and extension of the services.Objective　To investigate the awareness and associated factors of contracted family doctor services among urban residents in Xuzhou，providing practical and feasible suggestions for the improvement of residents' awareness level of such services.Methods　This household survey was conducted between June and September 2017 in a stratified random sample of 1 450 residents from 34 communities in 4 urban areas，Xuzhou.A questionnaire designed by our research team was used in the survey，which is composed of general sociodemographic characteristics，awareness of contracted family doctor services and contracting status.The survey achieved a response rate of 96.34%（1 397/1 450）.Results　Of the respondents，56.19%（785/1 397） knew contracted family doctor service.Most of them obtained the information from television and other media〔36.08%（504/1 397）〕 and the advocacy of community health workers〔30.85%（431/1 397）〕.Univariate analysis showed that the awareness level of contracted family doctor services varied significantly by age，education level，annual income，occupation，number of chronic diseases，self-rated heath status，history of health check-up，two-week morbidity，and history of seeking healthcare in primary care（P<0.05），but not by sex，and walking time from home to the nearest primary healthcare agency（P>0.05）.Multivariate Logistic regression analysis showed that age，education level，occupation，number of chronic diseases，self-rated health status，history of health check-up，and history of seeking healthcare in primary care were associated with the awareness level of contracted family doctor services among the residents.Conclusion　The awareness level of contracted family doctor services among urban residents in Xuzhou needs to be improved.Younger age，high education level，working in enterprises and public institutions，retired，having at least one chronic disease，poor self-rated health status，having health check-up and seeking healthcare in primary care are associated with higher awareness level of such services.More effective extension of such services can be achieved by the propaganda of the related policies by potential advocators fully identified from the urban residents..

Key words: Contracted family doctors services, Awareness, Root cause analysis, Xuzhou

摘要： 背景　实行家庭医生签约服务是深化医药卫生体制改革的重要任务，了解居民的知晓情况及其影响因素，有利于推进家庭医生签约服务，实现家庭医生签约服务有效覆盖和推广。目的　了解徐州市城区居民家庭医生签约服务知晓情况，探讨其影响因素，为改善居民的知晓情况提供切实可行的建议。方法　于2017年6—9月，采用分层随机抽样方法，选择徐州市4个城区34个社区的1 450例居民，应用自行设计的调查问卷进行入户调查。问卷内容包括：居民基本情况、居民家庭医生签约服务知晓及签约现状。共发放问卷1 450份，有效回收问卷1 397份，有效回收率96.34%。结果　1 397例调查对象中，785例知晓家庭医生签约服务，知晓率为56.19%；主要知晓途径为电视媒体〔36.08%（504/1 397）〕、社区医务人员的宣传〔30.85%（431/1 397）〕。单因素分析显示，不同年龄、文化程度、年收入、职业、慢性病患病种类、自评健康状况、健康体检经历、两周患病情况、基层就诊经历的城区居民对家庭医生签约服务的知晓率比较，差异有统计学意义（P<0.05）；不同性别、从家至基层医疗卫生服务机构步行时间的城区居民对家庭医生签约服务的知晓率比较，差异无统计学意义（P>0.05）。多因素Logistic回归分析显示，影响居民家庭医生签约服务知晓情况的因素有年龄、文化程度、职业、慢性病患病种类、自评健康状况、健康体检经历、基层就诊经历。结论　徐州市城区居民家庭医生签约服务的知晓率有待提高。相比较而言，年轻、文化程度高、企事业单位职工、离退休居民、患有慢性病、自评健康较差、有健康体检经历和基层就诊经历的居民对家庭医生签约服务的知晓度较高。可以通过充分挖掘和利用城区居民中政策推广的潜在有利人群，实现政策的真实有效宣传。

关键词: 家庭医生签约服务, 知晓率, 影响因素分析, 徐州