To understand the satisfaction of diabetic patients to family doctor contract services and its influencing factors, and to provide evidence for further improving the contract services of family doctors for diabetic patients.

From August to September 2019, a total of 514 diabetic patients who had been contracted by their family doctors were investigated using a multi-stage stratified random sampling method in three cities of Shandong province. Descriptive analysis, chi-squared test and logistic regression analysis were used to study the degree of satisfaction with contracted services and its influencing factors.

71.8% diabetic patients were satisfied with family doctor contract services. Age (χ²＝7.025, P=0.030), familiarity with family doctor (χ²=13.227, P<0.001), change of life habit (χ²=15.217, P<0.001), change of medical cost (χ²＝4.904, P＝0.027), changes in convenience of medical treatment (χ²=16.578, P<0.001), change of waiting time (χ²=9.155, P=0.002), and other factors will affect the satisfaction of diabetes patients with the services signed by family doctors.Multivariate logistic regression results showed that diabetes patients with higher annual family income (OR=2.321, 95% CI: 1.298-4.148), knew their family doctor’s name (OR=1.804, 95% CI：1.041-3.126), believed that their living habits improved after signing the contract (OR=1.903, 95% CI: 1.081-3.350), and had more convenient medical consultation (OR=1.741, 95% CI: 1.037-2.920) were more satisfied with the service of signing the contract.

The overall satisfaction of diabetic patients to family doctor contract services in Shandong province is relatively high, but there is still room for further improvement. It is suggested that measures should be taken to optimize the contracting services for low-income and elderly diabetic patients, and the contact between family doctors and patients should be further strengthened. Emphasis should be placed on guiding patients to form healthy behaviour, and improving the convenience of healthcare in order to improve patients’ satisfaction.