In response to the persistent problems of “difficult and expensive medical treatment” in China, family doctor contract based services and related policies have become important content in deepening medical reform and promoting graded diagnosis and treatment in recent years. Existing research is mostly based on developed large cities, mainly analyzing the static and dynamic aspects of policy implementation subjectively and objectively, However, there is less attention paid to the problems of collaborative cooperation between grassroots governments and other governance entities in third tier cities with lower levels of development. This study indicates that there are still problems with the management model of family doctors, such as “signing but not signing”, poor funding and referral between superiors and subordinates. It is necessary to further strengthen the vertical and horizontal linkage mechanism, expand the number of family doctors and enhance their professional attractiveness, and strengthen publicity to create a good social environment for the implementation of the family doctor service model, so as to further promote and sustainably develop the system.