Objective  To investigate the degree and influencing factors of confidence to contracted family doctor services (CFDS) among middle-aged and elderly residents in Xuzhou city of Jiangsu province for promoting implementation of CFDS in the population.

  Methods  We recruited 927 community residents aged 45 years and above using stratified random sampling in 6 urban districts for a face-to-face questionnaire survey during 3 – 10 July, 2017. The collected data were analyzed with statistical description, Wilcoxon rank sum test, Kruskal-Wallis H test and ordinal multiple logistic regression.

  Results  Among the respondents, only 15.53% reported the confidence to CFDS. The results of logistic regression showed that the respondents with the experience of transferred from grassroots medical institutions to major hospitals, having willingness to receive CFDS, and having participated in CFDS were more likely to report the confidence to CFDS; while those with rural census register, working in enterprises, being an employee other than an enterprises or public institution, initially visiting a doctor in major hospitals, and with the experience of transferred from a major hospital to grassroots institutions were less likely to report the confidence to CFDS.

  Conclusion  The confidence to contracted family doctor services is at a low level and mainly influenced by census register, occupation, type of medical institutions visited initially, experience of hospital transference, the willingness to receive the service, and whether having received the service among middle-aged and elderly community residents in Xuzhou city.