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

摘要： 背景　自2010年起为了促进学科发展，综合医院积极开设全科医学科，但发展至今综合医院的全科医学科定位与其必要性依然存在争议，质疑集中在其可能加重患者“虹吸效应”，支持一方强调其在全科人才培养中的必要性，因此确定其定位与功能是当前发展中亟须解决的问题。目的　了解各医疗供方对综合医院全科医学科的功能定位期待与要求，为各综合医院开设全科医学科、明确下一步发展方向提供参考依据。方法　于2019年5月10—14日，邀请13名政府部门、综合医院、社区卫生服务中心相关代表参与研究，采用专家咨询的方式，通过电子邮件的形式发放问卷提纲并回收，咨询内容主要包括综合医院全科医学科在医、教、研、管等方面承担的职责，综合医院全科医学科的学科发展，不同类型综合医院全科医学科建设的异同。结果　根据咨询结果，综合医院全科医学科的医疗业务功能定位主要是综合性、协调性规范诊疗，慢性病综合管理，健康促进，全专联合，双向转诊；人才培养的功能定位主要是院校教育、毕业后教育、继续教育和教学互动；科研的功能定位主要是学术领头、学科建设、指导协作、技术创新与推广；其他职责的功能定位主要是社会责任、社区管理；不同机构的专家对于不同类型医院全科医学科的建设异同存在较大分歧。结论　医疗供方对综合医院全科医学科的功能定位期待基本符合政策要求，但目前全科医学科的建设与开展现状还有一定差距，尤其是教学职责方面，不同类型医院全科医学科建设方向的专家意见和现实情况都不明确，有待基于实践经验进一步探索与验证。

关键词: 医院, 综合, 全科医学科, 学科定位, 发展方向