中国全科医学2026，Vol.29Issue(14)：1803-1810,8.DOI:10.12114/j.issn.1007-9572.2024.0039
综合医院科间会诊现状研究
Study on the Current Status of Interdisciplinary Consultation in General Hospitals
摘要
Abstract
Background With the acceleration of population aging and the increasing complexity of healthcare service demands in China,hospitalized patients often suffer from diseases affecting multiple systems and organs.The traditional single-discipline treatment model can not meet patients'comprehensive healthcare needs.Interdisciplinary consultation,as a cross-disciplinary and multi-professional collaborative healthcare service model,plays an increasingly important role in improving the quality of diagnosis and treatment and integrating medical resources.However,systematic research on the current status of interdisciplinary consultation in general hospitals remains relatively scarce in China,and the actual operational conditions,existing problems,and improvement pathways of interdisciplinary consultation have not been comprehensively revealed.Objective To investigate the current status of interdisciplinary consultation in general hospitals and analyze clinical physicians'perspectives and evaluations of consultation services,thereby providing reference recommendations for continuing education training of clinical physicians and optimization of clinical consultation work by medical administration departments.Methods Clinical physicians from general hospitals who voluntarily participated in an online questionnaire survey were selected as subjects from August 14 to September 14,2023.Based on literature analysis,a preliminary questionnaire was designed and then consulted with two senior clinical experts.Through six rounds of consultation-feedback-modification-consultation cycles,the"Survey on Current Status of Interdisciplinary Consultation in General Hospitals"questionnaire was finalized,including basic information of respondents,current status of interdisciplinary consultation,perspectives and evaluations of interdisciplinary consultation,and expectations for consultation improvement.The questionnaire was imported into"Questionnaire Star"platform,and after repeated testing,a link was generated and distributed to multiple national clinical physician WeChat communication groups.Results A total of 281 questionnaires were collected,with 216 valid questionnaires confirmed(effective recovery rate 76.33%).The 216 clinical physicians had a mean age of(38.1±7.8)years,with 90.28%(195/216)from tertiary hospitals.Attending physicians constituted the majority by professional title,accounting for 39.35%(85/216).Regular consultations and urgent consultations were primarily undertaken by attending physicians,accounting for 71.30%(154/216)and 62.04%(134/216),respectively,though some hospitals had residents undertaking consultation work.Regular consultations completed within 24 hours accounted for 94.44%(204/216),while urgent consultations completed within 10 minutes were only 79.17%(171/216).The main advantages of interdisciplinary consultation included assisting in treatment plan formulation(90.28%,195/216),providing opportunities for professional knowledge and opinion exchange(89.35%,193/216),and assisting in diagnostic determination(86.11%,186/216).The main disadvantages were concentrated in increasing treatment and waiting time(63.89%,138/216)and untimely and inaccurate information transmission(61.11%,132/216).Regarding evaluation of interdisciplinary consultation,the main reasons for dissatisfaction with consultation results were failure to provide specific treatment recommendations(76.39%,165/216)and failure to provide valuable diagnostic information(73.15%,158/216).The 216 clinical physicians generally expected consultation optimization and improvement in consultation processes,consultation quality and safety,consultation incentives,and strengthening hospital informatization construction.Conclusion Continuing education training for clinical physicians should be strengthened to enhance comprehensive diagnostic and treatment capabilities;humanities course training should be reinforced to improve consultation satisfaction;strict management of consultant physician qualifications should be implemented to ensure consultation quality;artificial intelligence should be introduced to strengthen management and ensure consultation timeliness;consultation processes should be optimized to enhance consultation efficiency.关键词
综合医院/科间会诊/问卷调查/会诊现状Key words
General hospital/Interdisciplinary consultation/Questionnaires/Status of consultation分类
医药卫生引用本文复制引用
孙俊生,袁富珍,刘颖,张迩耀,任菁菁..综合医院科间会诊现状研究[J].中国全科医学,2026,29(14):1803-1810,8.基金项目
国家自然科学基金资助项目(72274169) （72274169）
深圳市龙岗区医学重点学科建设经费资助(2024-2027) （2024-2027）
广东省本科高校教学质量与教学改革工程项目(粤教高函[2023]4号) （粤教高函[2023]4号）
