关键词: 全科医学, 综合性医院, 医院科室, 问卷调查, 数据收集

Abstract: Background　According to the issue in 2018，general hospitals determined as a standardized residency training base need to set up general practice department in accordance with the requirements in the document.However，to most heads of the department planned to be established，it is a great challenge to establish and manage the general practice department.Objective　To survey the establishment of general practice department in general hospitals in China，providing a reference for general hospitals that have not yet built the department.Methods　Participants were heads of the general practice department in general hospitals who were recruited from attendees of a general practice conference conducted in China in 2018.A WeChat survey with a self-designed questionnaire was carried out in September 2018，which covered the aspects of basic information of heads of the general practice department，establishment status of general practice department，attitudes toward general practice ward establishment，support for general practice department establishment，and so son.Results　Altogether，41 cases handed in responsive questionnaires.Of the 41 hospitals owning general practice department that the respondents come from，23 are in Zhejiang Province，other 18 are in other regions；most（75.6%） were grade A tertiary hospitals；68.3% have established general practice department independently；90.2% have set up the general practice clinic；73.2% had an independent general practice ward；68.3% had successful cooperation between general practice department and other specialties；95.1% had fixed community training base for general practice.Moreover，although the leaders of most （80.5%） hospitals attached importance to general practice development，41.5% of the hospitals had not carried out any general practice research.Furthermore，51.2% of the hospitals developed independent economic indicators for the operation of general practice department.The heads for general practice department in 70.7%（29/41）of the hospitals firmly supported the setting up of the general practice ward.Either the general practice ward was operated independently or not was not associated with perceptions of the necessity of establishing the ward among the heads of the ward（P>0.05）.In addition，general practice development achieved strong or relatively strong support from 70.7% of the hospitals，and 75.6% of the provincial or municipal health commissions.Conclusion　Most general hospitals have independently established general practice department，and also set up general practice clinic and general practice ward as well as fixed community training base meeting the national criteria.Outpatient teaching is the major pattern of general practice teaching.Some hospitals with general practice ward could carry out featured inpatient teaching.

Key words: General practice, Comprehensive hospital, Hospital department, Questionnaires, Data collection