Objective To understand the perspectives of general practitioners regarding the diagnosis and treatment of medically unspecified disease(MUD).Methods From June to August 2019,a total of 425 general practitioners from 11 prefecture level cities of Zhejiang Province were selected using stratified cluster sampling.These practitioners were in-vestigated using a self-designed questionnaire that covered their basic information and perspectives on the diagnosis and treatment of MUD.The questionnaire utilized the"Likert Scale"scoring method for evaluation and subsequent statistical analysis.Results A total of 425 questionnaires were distributed,with 325 recovered and deemed valid.Among the re-spondents,there were 127 males(39.1％)and 198 females(60.9％),with an average age of(38.41±7.74)years.The survey found that 54.1％of general practitioners expressed pressure when treating MUD patients,while 41.6％ex-pressed uncertainty in handing MUD cases.However,a significant majority(72.0％)of general practitioners believed it was worthwhile to assist these patients.Additionally,70.5％of general practitioners considered MUD challenging to diag-nosis,and 68.3％found MUD treatment to be challenging.Notably,male general practitioners in general hospitals dem-onstrated a higher willingness to treat MUD,which correlated with their years of experience.Overall,general practition-ers acknowledged the significant pressure posed by MUD patients.Furthermore,age,length of service,professional title,educational background,workplace,and hospital level all affected doctors'approach to the diagnosis and treatment of MUD.Conclusion Currently,general practitioners lack confidence in the diagnosis and treatment of MUD.To address this issue,it is necessary to establish a MUD diagnosis and treatment center under the leadership of the general medical department in a general hospital.This center should collaborate with multidisciplinary teams and community hospitals to develop a standardized MUD diagnosis and treatment process.Additionally,implementing an early training plan is neces-sary to foster general practitioners'general practice thinking,improve their communication skills,and enhance their diag-nosis and treatment ability.It is important to establish a harmonious doctor-patient relationship and promote individualized joint decision-making between doctors and patients.Finally,comprehensive management of MUD should be supported by providing recommendations and guidance.
Medically unspecified diseaseGeneral practitionersDiagnosis and treatment centersJoint decision-making
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