三部门：加快推进家庭医生签约服务向专科医生拓展

国家卫健委、国家中医药局、国家疾控局联合发布通知，提出进一步深化家庭医生签约服务的九项措施1。此举旨在将签约服务从全科医生向专科医生拓展、从基层机构向二三级公立医院拓展、从公立向民营医疗机构拓展，力争到2030年实现签约服务供给更加充分、内涵更加丰富1。

按照时间表，到2026年底，基层机构内科、儿科和中医类别执业医师均应作为家庭医生开展签约服务，紧密型医联体牵头医院全科医生也应作为家庭医生开展签约服务1。到2027年底，基层机构其他专业执业医师应作为家庭医生直接提供签约服务，二三级医院派驻基层机构1年以上的医生原则上应开展家庭医生签约服务1。同时，基层机构均应将传染病防控服务纳入家庭医生签约服务内容1。

服务模式也将更加灵活多样。到2026年底，基层机构均应向居民提供灵活周期签约服务1。通知支持通过个性化服务包对有需求居民提供短期服务协议，并推进"人工智能+"签约服务，推动线上续约、咨询、随访与线下服务融合1。

The National Health Commission, National Administration of Traditional Chinese Medicine, and National Disease Control and Prevention Administration jointly issued a notice outlining nine measures to deepen family doctor contracting services 1. The initiative aims to expand these services beyond general practitioners to include specialists, extend them from primary healthcare institutions to secondary and tertiary public hospitals, and incorporate private medical institutions into the framework 1.

The phased implementation schedule sets specific timelines for integration across different provider types and specialties 1. By the end of 2026, internal medicine physicians, pediatricians, and traditional Chinese medicine practitioners at primary institutions must be available as family doctors providing contractual services, while comprehensive medical alliance lead hospitals are required to deploy general practitioners in this capacity 1. Primary institutions are also mandated to offer flexible cycle contracting options to residents and provide infectious disease prevention services as part of their family doctor offerings by this deadline 1. By the end of 2027, physicians in other specialties at primary institutions should directly provide family doctor services, doctors deployed to grassroots facilities for over one year at secondary and tertiary hospitals are expected to engage in family doctor contracting, and all primary institutions must incorporate infectious disease prevention into their service portfolios 1.

The reforms introduce additional service innovations to enhance accessibility and convenience 1. The framework supports personalized service packages offering short-term service agreements tailored to individual resident needs, while promoting integration of artificial intelligence-enabled services with online renewal, consultation, and follow-up capabilities merged with offline services 1. These measures are designed to achieve more abundant supply and richer content of family doctor contracting services by 2030 1.