Abstract:Abstract: Objective: To analyze incentive system of family doctor contracted services in China compared with the Quality and Outcome Framework of the UK (QOF), and put forward policy recommendations for the Chinese government. Methodology: Both qualitative and quantitative methods are used in this study, including literature review, typical areas surveys in China and a study visit to the UK. Results: (1) There were mainly three types of funding for contracted services in research areas: the first is funded by health insurance; the second is funded by the government; and the third is from out of pocket payment by receivers. However, only 40.9% of family doctors agreed with that they had been paid on contracted services delivery. QOF is funded by the general taxation and national insurance. (2) 81.8% of the surveyed family doctors stressed that their remuneration could not match their workload, while the QOF had promoted productivity and work efficiency of general practitioners in England. (3) The general satisfaction rate on performance evaluation of family doctors was 85.2, but there was an obvious regional difference. The QOF may provide reference as a better performance evaluation system with result-oriented revenue allocation. Conclusion and recommendations: The funding source was multi-channeled and not stable in China; the family doctors are still not active in implementing contracted services; and the performance system for service delivery needs improvement. It is recommended that investment and funding should be increased to raise family doctors’ income, establish an outcome-oriented performance evaluation and revenue distribution system, and further improve health information system of primary care.