对于家庭医生签约服务本身的属性及其定义,尚未形成统一的认识。笔者从4个不同维度观察签约服务。模式性随着人类疾病谱由急性传染性疾病转为慢性非传染性疾病为主,医学服务模式也做出相应调整,由短期的门诊或住院服务转变为长期的、连续的、综合的健康管理服务。签约服务正是以契约(协议)为基础,将家庭医生与居民绑定,来实现服务的连续性。其理想状况是实现全生命周期的连续性服务,这是与以往坐堂行医服务模式 There is no unified understanding of the attributes and definitions of family doctor’s subscription service itself. The author observes subscription service from 4 different dimensions. Pattern With the shift of human disease spectrum from acute communicable disease to chronic non-communicable disease, the medical service model has also been adjusted to change from short-term outpatient or inpatient services to long-term, continuous and comprehensive health management service. Contract service is based on the contract (agreement), the family doctor and residents bound to achieve continuity of service. The ideal situation is to achieve continuity of service throughout the life cycle, which is consistent with the previous service model