As an important tool to promote hierarchical diagnosis and treatment, contracted family doctor services has experienced from pilot to full implementation, and is the core work of the current primary healthcare service system. According to the policy development and social demand, this paper focuses on the high-quality development of contracted family doctor services, interprets the policy value of high-quality contracted family doctor services in promoting hierarchical diagnosis and treatment, promoting medical and preventive integration as well as promoting the professionalisation of primary healthcare services, and elaborates the role path of high-quality contracted family doctor services in service mode, service content, service model and service guarantee. Finally, it points out that there are three major challenges in the development of high-quality contracted family doctor services, namely, the lack of timely policy support, the shortage of talents at the grassroots level, and the lack of a strong sense of accessibility for the residents.

家庭医生签约服务作为推进分级诊疗的重要抓手，经历了从试点到全面实施的发展历程，是目前基层医疗卫生服务体系的核心工作。根据政策发展和社会需求，本文将关注重点放在家庭医生签约服务的高质量发展上，解读高质量家庭医生签约服务在推进分级诊疗、促进医防融合、推动基层医疗服务职业化方面的政策价值，阐述高质量家庭医生签约服务在服务方式、服务内容、服务模式及服务保障中的作用路径，并提出当前家庭医生签约服务高质量发展面临的三大挑战：政策配套不及时、基层人才急缺、居民获得感有待提高。