关键词: 医院, 综合, 全科医学科, 学科定位, 发展方向

Abstract: Background　Since 2010，in order to promote the development of disciplines，general hospitals have actively opened general practice department. However，there are still disputes about the general practice department so far. Doubters fear it would increase the number of unnecessary upward referrals，while supporters emphasize its necessity in general practitioners training. Therefore，determining the orientation and function of this department in general hospitals is a dilemma to be solved urgently for its current development. Objective　To understand medical providers' perspectives of functional orientation and requirements of the general practice department in general hospitals，to provide a reference for future establishment and development of this department in general hospitals. Methods　From May 10 to 14，2019，we used a self-developed outline（consisting of 3 parts：essentials of medical education，research and management services delivered by general practice department in general hospitals，and its academic development，as well as the similarities and differences between the development of general practice departments in different types of general hospitals） to conduct semi-structured E-mail interviews with 13 representatives invited from relevant government departments，general hospitals and community health centers. Results　According to the interview results，the medical services delivered by the general practice department in general hospitals，included comprehensive，coordinated and standardized diagnosis and treatment，comprehensive management of chronic diseases，health promotion，general-specialty services，and bi-directional referral services. And talent cultivation services provided by it mainly included college education，post-graduation education，continuing education and teaching interaction. Moreover，the research services that the department undertook were as follows：leading the academic development，academic construction，guidance and collaboration，technological innovation and promotion. Other responsibilities assumed by the department were social and community management public health services. Experts from different institutions differed greatly on the construction of general practice department in different types of general hospitals. Conclusion　From the point of view of relevant experts，the functional orientation of the general practice department in general hospitals may generally meet relevant policy requirements，but there is a partial gap to be filled in the department development. In particular，there is no clear consensus regarding specific duties of this department in teaching among experts from different types of general hospitals，and among general hospitals with different development directions of general practice department，which needs to be explored and tested further.

Key words: Hospitals, general；General practice；Subject orientation；Development direction