After being completely promoted for less than seven years, China's contracted family doctor service work still faces a number of development problems. The primary obstacle impeding the work of contracted family doctor service is an inadequate guarantee mechanism. There is an urgent need for scientific and reasonable policies on contracted family doctor service to guarantee the effective development of the work.

To quantitatively analyze the textual content of China's contracted family doctor service policies, to explore the focus and shortcomings of the existing policies, and to provide the basis and reference for the development and optimization of the subsequent contracted family doctor service policies.

Policy texts were collected by visiting the official websites of the China government and the National Health Commission of the People's Republic of China on 2023-01-10, and 15 policy texts on contracted family doctor service from 2015—2022 were selected to construct a three-dimensional analytical framework of policy tools-stakeholders-policy strength, to categorize, code, and analyze the policy documents.

Supply-based, demand-based, and environment-based tools accounted for 30.5% (69/226), 19.0% (43/226), and 50.5% (114/226) of the policy tool dimension. Family doctors, contractors, non-contractors, primary medical and health care institutions, hospitals (secondary and above), and the government accounted for 29.2% (123/422), 14.7% (62/422), 9.2% (39/422), 21.3% (90/422), 13.3% (56/422), and 12.3% (52/422) of the stakeholder dimension. The average strength of China's contracted family doctor service policies was 2.2 points. In the cross-dimension of policy tools-stakeholders, the distribution of stakeholders in supply-based and environment-based tools was relatively poor. There were some sub-tools that were absent from the policy tools. In the cross-dimension of policy tools-policy strength, environment-oriented policy instruments were used more often as policy strength increased. In the cross-dimension of stakeholders-policy strength, there were large differences of the policy strength matching scores among various stakeholders. Family doctors had the highest score (311 points) with non-contractors the lowest score (90 points) .

From the perspective of policy tools, policy tools should be allocated rationally, with the weight of use continuously adjusted, the internal structure optimized, and the rationality of the distribution of policy tools among stakeholders improved. From the stakeholder's perspective, all stakeholders should be taken into account, their respective positions need to be clarified, and the demand of the non-contractors should be emphasized. From the perspective of policy strength, the policy supervision and management capacity ought to be strengthened to continuously improve the implementation of the policy of contracted family doctor service.

我国家庭医生签约服务工作全面推进不足7年，仍面临着一系列发展问题，保障机制不健全是阻碍家庭医生签约服务发展的关键问题，亟须科学且合理的家庭医生签约服务政策来保障工作的有效开展。

对我国家庭医生签约服务政策的文本内容进行量化分析，探究现有政策的侧重点及不足，为后续家庭医生签约服务政策的发展和优化提供依据与参考。

于2023-01-10，检索中国政府、国家卫生健康委员会等官方网站，获取与家庭医生签约服务相关的政策文件15份，检索时限为2015—2022年。构建政策工具-利益相关者-政策力度三维分析框架，对政策文件进行分类、编码及分析。

政策工具维度中供给型、需求型、环境型工具分别占30.5%（69/226）、19.0%（43/226）、50.5%（114/226），利益相关者维度中家庭医生、签约者、未签约者、基层医疗卫生机构、医院（二级及以上）、政府分别占29.2%（123/422）、14.7%（62/422）、9.2%（39/422）、21.3%（90/422）、13.3%（56/422）、12.3%（52/422），我国家庭医生签约服务政策的平均力度值为2.2分。政策工具-利益相关者交叉维度中，利益相关者在供给型、环境型工具中的分布情况欠佳，子工具存在缺位现象；政策工具-政策力度交叉维度中，环境型工具随着政策力度的加大受到更多使用；利益相关者-政策力度交叉维度中，各利益相关者的政策力度匹配分数具有较大差异，家庭医生主体分数最高（311分），未签约者主体分数最低（90分）。

政策工具角度，应合理配置政策工具，不断调整使用比重，优化内部结构，并提升利益相关者间政策工具分布的合理性；利益相关者角度，应统筹兼顾所有利益相关者，明确各自定位，着重关注未签约者需求；政策力度角度，应强化政策监督管理能力，持续提高家庭医生签约服务政策的执行力度。