2013年4月,国家卫生计生委出台《关于开展乡村医生签约服务试点的指导意见》,提出“要在农村地区探索开展村医签约服务试点工作,转变村医服务模式”。这标志着签约服务试点工作在我国农村地区正式拉开帷幕。2016年,笔者带领团队,选取江苏省盐城市大丰区、福建省龙岩市长汀县、安徽省阜阳市颍州区和亳州市蒙城县作为样本,在4个县(区)的22家乡镇卫生院 In April 2013, the National Health and Family Planning Commission issued the “Guiding Opinions on Piloting Contracted Services for Rural Doctors”, proposing that “in the rural areas, it is necessary to explore and carry out trial services for village doctors contracting services, and transform the village medical service model.” This marks the official opening of the signing service pilot project in rural areas in China. In 2016, the author led the team to select 22 samples from 4 counties (districts) in Dafeng District of Yancheng City, Jiangsu Province, Changting County of Longyan City, Fujian Province, Yinzhou District of Fuyang City, Anhui Province, and Mengcheng County of Ganzhou City. Township Health Center