Abstract: Background　Both ultrasound imaging and general medicine are developing rapidly. But it is still unknown that whether the advancement and popularization of portable ultrasound imaging can be used by general practitioners（GPs） to promote the development of general medicine，and what innovative ideas and methods can be used to accelerate the popularization of ultrasound imaging in primary care and to train ultrasound professionals with humanistic care，early disease screening，high service accessibility，and medical insurance expense control in primary care under consideration. Objective　To explore the perspectives of multiple healthcare providers（community GPs，community sonographers，and general hospital sonographers） on GPs' learning ultrasound techniques and applying portable ultrasound devices，and their suggestions on the implementation goals and specific operation requirements. Methods　The study was implemented from October to December 2019. In-person interviews using a semi-structured format were conducted with GPs and sonographers from Pudong New Area Jinyang Community Health Center，a community hospital that has trained the most GPs in China so far in terms of ultrasound learning and practice（two authors' current affiliation） for investigating their attitude and willingness regarding learning ultrasound techniques and delivering ultrasound services，and their opinions on the required ultrasound knowledge and level of actual performance. And two rounds of consultation using the Delphi technique were carried out with 17 sonographers with an experience of working at least 10 years in the general hospital for investigating their opinions on the specific requirements for community GPs to perform the ultrasound examination，such as collecting，storing and transmitting ultrasound imaging data，and making an ultrasound-based diagnosis. Results　Altogether，six community GPs and three community sonographers attended the interviews. The results showed that community GPs had interests in learning ultrasound techniques，and expressed their concerns about the post-learning application. Community sonographers believed that trained GPs would be capable of performing ultrasound examinations，and they could begin from performing simple scanning of external organs，such as thyroid and carotid. The positive and authoritative coefficients of senior sonographers for the two rounds of consultation were all 100.0%，and greater than 0.7，respectively. The consultation results indicated that eligible community GPs for collecting data of ultrasound examinations should have: a bachelor degree or above，major in clinical medicine，at least three years' clinical practice，GP certification，ultrasound technician certification，and at least two times of attending continuing ultrasound education per year. The required levels of knowledge and skills for GPs to store and transmit ultrasound imaging data，and make an ultrasound-based diagnosis were almost the same for sonographers，including common instrument adjustment，postural guidance，operation techniques，plane choice，probe placement，knowledge of data should be recorded，stored and reported，and knowledge of common requirements for diagnostic classification. Conclusion　Community GPs showed interests in learning ultrasound techniques for increasing their competencies，and they could try to begin from performing scanning of thyroid and carotid. The operational procedures and actual settings appropriate for GPs to perform ultrasound examinations should be determined. The use of portable ultrasound device may be a key to benefiting the ultrasound performance of GPs，which can be used to scan thyroid，carotid and other organs with a clear shape and simple structure，and to screen for chronic diseases as a chronic disease management program vigorously promoted in the community.

Key words: Community health services；Hospitals, general；General practitioners；Ultrasoundphysicians；Portable ultrasound

摘要： 背景　超声医学与全科医学作为两个迅猛发展的学科，随着超声技术中便携式超声的不断升级和普及，便携式超声技术能否为全科医生所用，助力全科发展？超声医学能否抓住全科医学的人文关怀、早筛查、广泛基层和控费等特征，找到可以加速超声技术在基层普及和多途径培养超声人才的新思路和新方法？目的　了解社区基层全科医生、社区超声医师和综合医院超声医师对于全科医生学习超声并应用便携式超声的观点、意见，以及具体操作过程要求和目标的实施建议。方法　2019年10—12月，采用目的抽样法，从2018年度“社区超声医学学科建设专题学习班”参培人数最多的一家社区卫生服务机构抽取全科医生和超声医生进行一对一半结构化访谈，访谈提纲主要围绕两类人群对于社区全科医生学习并进行超声操作的态度、意愿和对全科医生知识储备要求，以及全科医生在技术超声流程中执行的具体程度。在此基础上邀请国内综合医院工作10年以上的17位超声影像从业者参与咨询，咨询采用两轮德尔菲法方式进行，咨询内容主要为超声影像数据的采集、保存、传递、诊断等全过程中对社区全科医生的要求。结果　最终访谈了6名全科医生和3名超声科医师，结果显示社区全科医生对超声技术有兴趣，关心学习后的技术应用问题，社区超声医师认为全科医生可以执行筛查环节，从体表的、简单的器官探查开始，如甲状腺和颈动脉。两轮咨询专家积极系数为100.0%，权威程度>0.7，结果显示综合医院超声医学专家对社区全科医师参与超声技术影像数据采集对执行人要求为最低本科学历、临床医学专业、至少从事3年临床工作，具有全科执业医师和超声上岗证，每年至少参加2次继续教育；其余对社区全科医生进行超声数据采集部位、需掌握的数据采集操作技术（包括常见的仪器调节，患者体位指导，操作手法，切面选择，探头位置摆放，需达到图像记录、保存、文字报告内容，诊断分级的常见要求等）提出了与超声医生几乎一致的要求。结论　全科医生有一定兴趣使用超声技术发展自己的能力，可以尝试教授甲状腺和颈动脉超声探查技术。同时需要进一步界定全科医生可操作的环节和全科医生在当前社区医疗实际工作中应用超声的执业场景，便携式特征是优化当前超声技术为全科医生使用的关键，当前超声技术主要可用于甲状腺、颈动脉等形状明确、结构简单且是社区大力推行的慢性病管理范畴疾病的初步筛查。

关键词: 社区卫生服务；医院, 综合；全科医生；超声医师；便携式超声