摘要
Abstract
Background The trend towards specialization in general hospitals has promoted the development of professional and refined medical technology.However,it also brings problems:patients with complex conditions need to seek medical advice across multiple specialties,increasing the difficulty of accessing healthcare and potentially leading to incomplete treatment plans.Therefore,when dealing with undifferentiated diseases,general practitioners(GPs)must take on the responsibility of providing multidisciplinary comprehensive support.Objective To analyze GPs'understanding and practice regarding multidisciplinary undifferentiated disease treatment(MUD-MDT).Methods A survey questionnaire targeting MUD-MDT was developed,and distributed to GPs from multiple hospitals nationwide via the General Practice Alliance platform affiliated with the First Affiliated Hospital of Zhejiang University School of Medicine,collecting basic information of GPs,their awareness and practice of undifferentiated diseases(MUD),and multidisciplinary diagnosis and treatment(MDT).Results A total of 303 questionnaires were included,with an average age of(38.8±9.2)years;194 females(64.03%)and 109 males(35.97%).Regarding MUD,88.78%(269/303)knew about MUD,but only 23.79%(64/269)had participated in related work;the main reason for lack of knowledge was"lack of relevant training"at 76.47%(26/34).For MDT,91.42%(277/303)were aware of it,77.26%(214/277)merely knew the basic concept,and only 22.74%(63/277)had participated in related work.In terms of practical implementation,32.67%(99/303)had implemented MUD,49.83%(151/303)had implemented MDT,and 20.46%(62/303)had implemented MUD-MDT.There was a high recognition of MUD-MDT among GPs.Differences in MUD awareness among GPs with different professional titles were statistically significant(P<0.05);differences in MDT awareness between genders and education levels were statistically significant(P<0.05);differences in the implementation of MUD-MDT among different genders,working years,and types of affiliated medical institutions were statistically significant(P<0.05).Analyzing the cognitive scores of three groups of GPs who had implemented,not implemented,or were unclear if MUD-MDT was implemented at their units showed no significant difference in all cognitive items(P>0.05).Conclusion Although GPs have a certain level of understanding of MUD-MDT,the implementation rate is not high.Despite its application in outpatient clinics,wards,and teaching activities,more efforts are needed to address issues such as inadequate organizational management,lack of standardized procedures,and uneven professional competence among doctors.关键词
全科医学/未分化疾病/多学科诊疗/全科医生/问卷调查Key words
General practice/Medically unexplained symptoms/Multidisciplinary diagnosis and treatment/General practitioners/Questionnaire survey分类
医药卫生
