Abstract: Background　According to the issue in 2018，general hospitals determined as a standardized residency training base need to set up general practice department in accordance with the requirements in the document.However，to most heads of the department planned to be established，it is a great challenge to establish and manage the general practice department.Objective　To survey the establishment of general practice department in general hospitals in China，providing a reference for general hospitals that have not yet built the department.Methods　Participants were heads of the general practice department in general hospitals who were recruited from attendees of a general practice conference conducted in China in 2018.A WeChat survey with a self-designed questionnaire was carried out in September 2018，which covered the aspects of basic information of heads of the general practice department，establishment status of general practice department，attitudes toward general practice ward establishment，support for general practice department establishment，and so son.Results　Altogether，41 cases handed in responsive questionnaires.Of the 41 hospitals owning general practice department that the respondents come from，23 are in Zhejiang Province，other 18 are in other regions；most（75.6%） were grade A tertiary hospitals；68.3% have established general practice department independently；90.2% have set up the general practice clinic；73.2% had an independent general practice ward；68.3% had successful cooperation between general practice department and other specialties；95.1% had fixed community training base for general practice.Moreover，although the leaders of most （80.5%） hospitals attached importance to general practice development，41.5% of the hospitals had not carried out any general practice research.Furthermore，51.2% of the hospitals developed independent economic indicators for the operation of general practice department.The heads for general practice department in 70.7%（29/41）of the hospitals firmly supported the setting up of the general practice ward.Either the general practice ward was operated independently or not was not associated with perceptions of the necessity of establishing the ward among the heads of the ward（P>0.05）.In addition，general practice development achieved strong or relatively strong support from 70.7% of the hospitals，and 75.6% of the provincial or municipal health commissions.Conclusion　Most general hospitals have independently established general practice department，and also set up general practice clinic and general practice ward as well as fixed community training base meeting the national criteria.Outpatient teaching is the major pattern of general practice teaching.Some hospitals with general practice ward could carry out featured inpatient teaching.

Key words: General practice, Comprehensive hospital, Hospital department, Questionnaires, Data collection

摘要： 背景　根据国家最新文件，符合住院医师规范化培训基地的综合医院需独立设置全科医学科，并提出具体的设置要求。然而对拟新建全科的多数负责人来说，如何做好学科建设仍有一定的困惑。目的　了解国内综合医院全科医学科建设现状，为尚未建设全科医学科的综合医院提供借鉴。方法　选取参加2018年度国内某全科医学会议的综合医院全科医学科负责人进行调查研究。2018年9月通过手机微信调研平台进行网络问卷调查。调查问卷内容包括综合医院全科医学科学科负责人基本信息、全科医学科建设情况、全科医学科病房设置态度、全科医学科建设支持情况等。结果　共回收有效问卷41份。41家综合医院中，23家综合医院位于浙江省，18家位于省外；综合医院级别以三级甲等医院为主（占75.6%）；68.3%的综合医院独立设置了全科医学科；90.2%的综合医院开设全科门诊；73.2%的综合医院设有独立的全科病房；与专科间协作情况中非常顺畅和比较顺畅占68.3%；95.1%的综合医院全科医学科有固定的社区实践基地；科研方面，接近一半（41.5%）的医院全科未承担全科领域课题；大多数（80.5%）综合医院院领导重视全科领域；51.2%的综合医院对全科医学科制定了独立的经济考核指标。70.7%的综合医院全科医学科负责人非常支持设置全科病房。综合医院有独立的全科病房和无独立的全科病房的负责人对全科病房设置必要性的观点比较，差异无统计学意义（P>0.05）。医院非常支持和比较支持本院全科医学科发展的比例为70.7%，省／市卫生健康委员会非常支持和比较支持的比例为75.6%。结论　我国大多数综合医院独立设置了全科医学科，且大多数开设了全科门诊与全科病房，并拥有固定的社区实践基地，基本符合国家要求。目前全科教学仍应以门诊教学为主，有条件的综合医院设置全科病房以开展特色教学。

关键词: 全科医学, 综合性医院, 医院科室, 问卷调查, 数据收集