关键词: 全科医生, 医疗联合体, 认知

Abstract: Objective　 To investigate the awareness level of medical consortia among community-based general practitioners（GPs） in Hubei province.Methods　 We recruited 764 GPs who took part in the standard training for GPs conducted in Hubei Province from April to June in 2017.In August 2017，we carried out a survey among them with a questionnaire developed by our research group for obtaining the data about sociodemographic characteristics, familiarity level with medical consortia, support level for medical consortia, awareness level of the construction of medical consortia, perception level of the healthcare cooperation between GPhe institutions and higher level hospitals, and status of participating in dual referrals between the members in the medical consortium.Totaled 749 returned responsive questionnaires，with a response rate of 98.0%.Results　Of the respondents，60.8%（448/737） were much or relatively familiar with medical consortia，88.3%（646/732） were very or relatively supportive of the construction of medical consortia.The familiarity level with medical consortia between he respondents varied significantly by the professional and technical title（P<0.05），while the support level for medical consortia did not（P>0.05）.According to the views of the respondents，the foremost benefit of the construction of medical consortia was the reduction of patients' medical costs（78.0%，584/749）；the first leading difficulty during the construction of medical consortia was that residents were unfamiliar with the medical consortium due to insufficient publicity（70.1%，525/749）；the primary suggestion for the construction of medical consortia was that higher level hospitals should regularly arrange doctors to community health service institutions to offer professional guidance（87.7%，657/749）.A total of 84.9%（626/737) of the respondents reported that their institutions had designated higher level hospitals receiving upward referrals，33.3%（245/735）of them reported that their institutions had received doctors from higher level hospitals for exchanging experience or offering professional guidance，53.5%（394/736） of them often referred patients often referred their patients to higher level hospitals，while 83.1%（608/732） of them occasionally or never received patients referred from higher level hospitals.The familiarity level with medical consortia in the respondents differed significantly by whether their institutions had designated higher level hospitals receiving upward referrals and had received doctors from higher level hospitals exchanging experience or giving professional guidance（P<0.05）.Conclusion　The overall awareness level of medical consortia among GPs in Hubei Province is relatively good，and the support level for the construction of medical consortia is relatively high.However，the publicity of the policies related to medical consortia should be strengthened and the cooperation and resource sharing between the members in the medical consortium should be improved.

Key words: General practitioners, Medical consortia, Cognition