Family doctor contract services (FDCS) is an important measure for deepening medical reform in China, aimed at improving people's health level and the efficiency of the health service system. FDCS has achieved rapid development in terms of quantity, but there is currently a lack of research evidence related to the quality of FDCS.

To understand the current status and existing problems of home medicine service quality in Beijing from the perspective of general practitioners, and provide reference for improving the quality of FDCS.

Eighteen general practitioners from 18 community health service institutions in 9 districts of Beijing were selected through purposive sampling from August 2023 to June 2024, and semi-structured interviews were conducted with general practitioners based on the structure process outcome framework interview outline. Analyze the data through thematic analysis and extract interview themes.

The study extracted 3 themes and 11 sub-themes. Theme 1: The structural quality of FDCS (policy guidance and implementation, institutional conditions and facilities, assessment and incentive mechanisms for FDCS, home healthcare team building). Theme 2: Process quality of FDCS (contract service content, referral and treatment service process, outpatient service standards). Theme 3: The effectiveness of FDCS (improvement in residents' health levels, increased willingness to seek medical treatment, need to strengthen residents' recognition of home medicine services, increased occupational pressure on general practitioners).

Since the implementation of home medical services, the quality of services has gradually improved, but there are still some limiting factors. We should strengthen policy support, optimize service content and processes, integrate quality evaluation systems with incentive mechanisms, enhance the comprehensive service capabilities of general practitioners and establish efficient home medical teams.

家庭医生签约服务（以下简称家医服务）是我国深化医改的重要措施，旨在提升人民健康水平、卫生服务体系效率，家医服务在数量上已取得较快发展，但目前尚缺少家医服务质量相关的研究证据。

基于全科医生视角了解北京市家医服务质量现状和存在问题，为家医服务的质量改进提供参考依据。

2023年8月—2024年6月通过目的抽样选取来自北京市9个区18家社区卫生服务机构（以下简称机构）的18名全科医生，基于结构-过程-结果框架的访谈提纲对全科医生进行半结构式访谈。通过主题分析法对资料进行分析并提炼访谈主题。

研究提炼出3个主题和11个子主题。主题一：家医服务的结构质量（政策引导及落实、机构的条件设施、家医服务的考核和激励机制、家医团队建设）。主题二：家医服务的过程质量（签约服务内容、转诊和就诊服务流程、出诊服务标准）。主题三：家医服务的效果（居民的健康水平提升、居民的就诊意愿增强、家医服务的居民认可度有待加强、全科医生的职业压力增加）。

自开展家医服务以来，服务质量逐步提升，但仍存在部分制约因素。应加强政策支持，优化服务内容及流程，将质量评价体系与激励机制相融合，提升全科医生的综合服务能力并建立高效的家医团队。