With the deepening of aging society in China, the needs of health service of the elderly are becoming more complex. This study discussed the connotation and path of high-quality development of contracted family doctor services in ageing society. The core connotations of high-quality development of contracted family doctor services are to improve health equity and accessibility, and to establish of perfect health service system for the elderly to adapt the changing of health needs, specific to an ageing society proactively. Currently, either the capacity of service providers or the layout and structure of health service is imperfect, and the equitable accessibility of healthy ageing services need to be improved, which are the main problems that restrict the integrated high-quality development of contracted family doctor services. This research presents that contracted family doctor services will be characterized by door-to-door service, comprehensive and precise service needs. And it also brings a high load to the service providers. This paper explores the practice of contracted family doctor services for the elderly in various local governments, and proposed that to achieve the high-quality development of family doctors, we should focus on supply-side structural reform, and promote the both "quality" and "quantity" of contracted family doctor services. In this regard, it is necessary to improve the top-level design and policy supporting system through government, to innovative service model by expand the diversity of service providers and digital intelligence technology.

随着我国老龄化程度的不断加深，老年人群健康服务需求愈加复杂。本研究就老龄化社会下家庭医生签约服务高质量发展的内涵与路径进行深入探讨。家庭医生高质量发展的核心内涵在于推动全民健康与健康公平可及性的同时，建立完善的老年健康服务体系、主动适应老龄化社会特殊的健康需求变化。目前家庭医生签约服务供给主体服务能力不足、健康服务布局与结构不健全以及健康老龄化服务公平可及性有待提升，是制约家庭医生签约服务高质量发展的主要问题。老龄化社会下家庭医生签约服务将呈现出上门服务、综合性需求、服务精准和高负荷的特征，基于此，本文结合各地方政府面向老年人群的家庭医生服务探索实践，提出实现家庭医生高质量发展要重点以供给侧结构性改革为核心，推动家庭医生签约服务"质"和"量"的同时发展，对此应完善顶层设计与政策配套体系、丰富家庭医生签约服务提供主体和服务模式、数智化技术赋能家庭医生签约服务及加强家庭医生队伍人力资源队伍能力建设等路径。