摘要
目的 了解我国未分化疾病(MUD)门诊开展的现况及评估全科医师诊治MUD的能力.方法 对我国已开设MUD门诊的医院负责人(45 人)及全科医师(376 人)进行问卷调查.分析我国MUD门诊的开展现状,为我国MUD门诊的建设及优化全科医师的接诊流程提供借鉴.结果 问卷有效回收率均为100%.参与调查的45家医院中仅2家(4.44%)为社区卫生服务中心.在开设的MUD门诊类型中,乏力门诊数量最多.84.44%的医院年门诊量≤1 000 人次.15.56%的医院发表了相关论文.73.40%的全科医师认为MUD诊疗难度大,但仅64.44%的医院提供了MUD相关培训,46.67%的医院建立了首诊处理流程.全科医师MUD的常规诊疗能力、急危重症急救处理能力及转诊能力的评分分别为(3.15±0.75)分、(3.11±0.91)分和(3.44±0.91)分;全科医师关于MUD的定义、国内外研究进展及相关书籍与指南了解程度的评分分别为(3.37±0.88)分、(2.70±0.86)分和(2.73±0.86)分.结论 我国MUD门诊面临的主要挑战包括门诊量偏低、诊疗流程存在缺陷、研究成果有限和全科医师能力不足,可通过优化诊疗流程、加强科学研究、提升全科医师能力等措施予以改善.
Abstract
Objective To understand the current status of the outpatient clinics for medically unspecified diseases in China,and evaluate the ability of general practitioner in diagnosing medically unspecified diseases.Methods An online questionnaire was used to survey the heads(45 people)and general practitioners(376 people)of hospitals in China that have established unspecified disease clinics.The content of the survey included the construction and management of medically unspecified diseases clinics,general practitioners'knowledge and reception skills regarding.Results Totally 45 questionnaires were collected from chiefs and 376 from general practitioners.Among the 45 participating units,only two(4.44%)were community health centers.Among the types of outpatient clinics for medically unspecified diseases of-fered,fatigue clinics were the most.Totally 84.44%of the units had an annual outpatient number less than 1,000.Totally 15.56%of the units published relevant papers.Totally 73.40%of the general practitioners thought that it was difficult to diagnose and treat medically unspecified diseases.However,only 64.44%of the hospitals provided relevant training,and 46.67%established a process for dealing with initial diagnosis.The average scores for general practitioners'abilities in routine diagnosis and treatment of medically unspecified diseases,emergency management of acute and critical condi-tions,and referral capabilities were(3.15±0.75),(3.11±0.91)and(3.44±0.91),respectively.General practitioners'com-prehension of the definition of medically unspecified diseases was(3.37±0.88).Their awareness of domestic and interna-tional research developments scored(2.70±0.86),while familiarity with relevant literature and guidelines achieved an av-erage score of(2.73±0.86).Conclusion The main challenges faced by clinics for medically unspeci-fied diseases in China include low outpatient vol-umes,flawed diagnostic and treatment processes,limited research outcomes,and insufficient capabili-ties of general practitioners.These issues can be im-proved through measures such as optimizing diagnostic and treatment processes,strengthening scientific research,and en-hancing the capabilities of general practitioners.
维普
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