关键词: 全科医学, 互联网+医疗, 门诊医疗

Abstract: Objective　To explore the status of online visits in the Department of General Practice under "Internet+" in order to provide the reference for the improvement of online consultation skills of general practitioners.Methods　From February 2016 to February 2017，patients' basic characteristics，types of diseases，and treatment measures of 715 online visits were collected from the online Department of General Practice of the First Affiliated Hospital，College of Medicine，Zhejiang University.And patients who were willing to participate in the subjective satisfaction survey of the Internet evaluation system were investigated.Results　Of the 715 online outpatient visits，the top three system involved 91（12.7%）visits in the musculoskeletal system，81（11.3%）visits in the digestive system，and 66（9.2%）visits in the reproductive system.The top three treatment measures were offline treatments for 451（63.1%） visits，treatment guidance/examination appointments for 181（25.3%）visits，and follow-up for 74（10.3%）visits.And 563（78.7%）visits were diagnosed with certain diseases，and 152（21.3%）visits were undiagnosed.The top three undiagnosed diseases were joint pain〔14（9.2%）〕，abdominal pain〔13（8.6%）〕，and dizziness〔13（8.6%）〕.The top three diagnosed diseases were rash〔24（4.3%）〕，upper respiratory tract infection〔18（3.2%）〕，and gastritis〔14（2.5%）〕.Of the 378 patients who were surveyed for satisfaction，369（97.6%）were satisfied with their experience.Conclusion　Patients have high satisfaction with the online consultation of general practitioners while there are still some limitations，which demands higher online consultation skills of general practitioner.

Key words: General practice, Internet + healthcare, Ambulatory care