Abstract:Abstract Recently, the Standardized General Outpatient Service Process has been promoted in grassroots health service institutions in TianJin. It adopts the measures of clinical department integration and service process reengineering to make the service process according to the order of Appointment -- Triage -- Pre-consultation health management service -- Inter-consultation performance service -- Post-consultation follow-up appointment. The process transformation has brought about service collaboration among family physician team members and integration of medical, preventive and rehabilitation services. In a word, it is the service mode of "service first, diagnosis and treatment later". This kind of service mode challenges the performance management mode with economic income as the main reference.Therefore, taking standardized workload as the basis to evaluate the performance of "service" posts and "diagnosis and treatment" posts is of great significance to mobilize the enthusiasm of the majority of medical personnel. In this study, the posts of primary medical institutions (except some administrative posts) were divided into general diagnosis and treatment projects, health management projects and medical technology inspection projects, and standardized according to different characteristics of the projects, providing reference for the performance management of primary medical institutions after the transformation of service mode.