The choice preferences of community residents and general practitioners for the selection of family doctor contracted services

The family doctor contracted service is a manifestation of the implementation of health care reform policies, the main mode of grass-roots service at this stage, and an important hand in realizing a healthy China. The aim of family doctor contracted service is to establish a long-term and stable service relationship between general practitioners and contracted residents or families, with a focus on general practitioners and a family doctor team as the pillar. Through signing contracts, we aim to provide comprehensive, high-quality, and convenient health services to contracted individuals, create a health service system at the doorstep, and achieve full lifecycle health management. Although the overall signing rate, knowledge rate, and fulfillment rate of family doctor contracted service have been increasing year by year, there are great geographical differences (such as economy, society, culture, and politics), and some regions of China are still in the low knowledge rate, low signing rate and low fulfillment rate, in addition, due to the mismatch of the selection preferences of the community residents and general practitioners in family doctor contracted service, the low satisfaction of the supply and demand is probably the cause of the current "signing for the sake of signing" "signing without contracting" "pseudo-signing" "service items not being implemented", and so on. There are such phenomena as "signing for the sake of signing" "signing but not contracting" "pseudo-signing" and "failure to implement service programs", which seriously affect the quality of services. In order to better implement the contracted services of family doctors and improve the quality of contracted services, this paper summarizes the studies on the preference of community residents and general practitioners for contracted services of family doctors, exploring the potential factors affecting the supply and demand of family doctor signing services, proposing corresponding strategies to improve their quality and quantity. and provides the basis for the preference of family doctor contracted service from the different perspectives of supply and demand, providing reference for further promoting effective contracting and standardized performance, improving satisfaction of both parties, and strengthening the connotation of contracted service, so as to promote the high-quality development of family doctor contracted service.