Abstract: Background With the acceleration of population aging and the increasing complexity of healthcare service demands in China，hospitalized patients often suffer from diseases affecting multiple systems and organs. The traditional single-discipline treatment model can no longer meet patients' comprehensive healthcare needs. Interdisciplinary consultation，as a cross-disciplinary and multi-professional collaborative healthcare service model，plays an increasingly important role in improving the quality of diagnosis and treatment and integrating medical resources. However，systematic research on the current status of interdisciplinary consultation in general hospitals remains relatively scarce in China，and the actual operational conditions，existing problems，and improvement pathways of interdisciplinary consultation have not been comprehensively revealed. Objective To investigate the current status of interdisciplinary consultation in general hospitals and analyze clinical physicians' perspectives and evaluations of consultation services，thereby providing reference recommendations for continuing education training of clinical physicians and optimization of clinical consultation work by medical administration departments. Methods Clinical physicians from general hospitals who voluntarily participated in an online questionnaire survey were selected as subjects from August 14 to September 14，2023. Based on literature analysis，a preliminary questionnaire was designed and then consulted with two senior clinical experts. Through six rounds of consultation-feedback-modification-consultation cycles，the “Survey on Current Status of Interdisciplinary Consultation in General Hospitals” questionnaire was finalized，including basic information of respondents，current status of interdisciplinary consultation，perspectives and evaluations of interdisciplinary consultation，and expectations for consultation improvement. The questionnaire word document was imported into “Questionnaire Star” platform，and after repeated testing，a link was generated and distributed to multiple national clinical physician WeChat communication groups. Results A total of 281 questionnaires were collected，with 216 valid questionnaires confirmed（response rate 76.87%）. The 216 clinical physicians had a mean age of（38.14 ± 7.79）years，with 90.28%（195/216）from tertiary hospitals. Attending physicians constituted the majority by professional title，accounting for 39.35%（85/216）. Regular consultations and urgent consultations were primarily undertaken by attending physicians，accounting for 71.30%（154/216）and 62.04%（134/216），respectively，though some hospitals had residents undertaking consultation work. Regular consultations completed within 24 hours accounted for 94.44%（204/216），while urgent consultations completed within 10 minutes were only 79.17%（171/216）. The 216 clinical physicians identified the main advantages of interdisciplinary consultation as：assisting in treatment plan formulation（90.28%，195/216），providing opportunities for professional knowledge and opinion exchange（89.35%，193/216），and assisting in diagnostic determination（86.11%，186/216）. The main disadvantages were concentrated in increasing treatment and waiting time（63.89%，138/216）and untimely and inaccurate information transmission（61.11%，132/216）. Regarding evaluation of interdisciplinary consultation，the main reasons for dissatisfaction with consultation results were “failure to provide specific treatment recommendations（76.39%，165/216）” and “failure to provide valuable diagnostic information（73.15%，158/216）”. The 216 clinical physicians generally expected consultation optimization and improvement in consultation processes，consultation quality and safety，consultation incentives，and strengthening hospital informatization construction. Conclusion Continuing education training for clinical physicians should be strengthened to enhance comprehensive diagnostic and treatment capabilities；humanities course training should be reinforced to improve consultation satisfaction；strict management of consultant physician qualifications should be implemented to ensure consultation quality；artificial intelligence should be introduced to strengthen management and ensure consultation timeliness；consultation processes should be optimized to enhance consultation efficiency.

Key words: General hospital, Interdisciplinary consultation, Questionnaires, Status of consultation

摘要： 背景 随着我国老龄化进程加速和医疗服务需求的复杂化，住院患者疾病往往累及多个系统和器官，传统单一学科诊疗模式已难以满足患者的整体医疗需求。科间会诊作为一种跨学科、多专业协作的医疗服务模式，在提高诊疗质量、整合医疗资源方面发挥着越来越重要的作用。然而，目前国内关于综合医院科间会诊现状的系统性研究相对匮乏，尚未全面揭示科间会诊的实际运行情况、存在的问题及改进路径。目的 研究综合医院科间会诊现状，并分析临床医师对会诊的看法和评价，为临床医师的继续教育培训及医务部门优化临床会诊工作提供参考意见。方法 于2023-08-14—09-14选取综合医院内自愿接受线上问卷调查的临床医师为调查对象。基于文献分析自行设计问卷初稿后，向2位高年资临床专家咨询，通过6轮咨询-反馈-修改-咨询循环，最后形成《综合医院科间会诊现况调查》问卷，内容包括接受调查者基本信息、科间会诊现状、对科间会诊的看法及评价和对会诊改进的期望。将《综合医院科间会诊现况调查》问卷word文档导入“问卷星”，经反复测试发布后形成链接，将链接发送至研究者的多个全国性的临床医师微信交流群。结果 共回收问卷281份，确认有效问卷216份（回收率76.87%）。216名临床医师平均年龄为（38.14±7.79）岁，90.28%（195/216）来自三级医院，职称以主治医师居多，占39.35%（85/216）。普通会诊和急会诊工作主要由主治医师承担，分别占71.30%（154/216）和62.04%（134/216），但部分医院存在住院医师承担会诊工作的情况。普通会诊在24h内完成的比例占94.44%（204/216），而急会诊在10min内完成仅为79.17%（171/216）。216名临床医师认为科间会诊的主要优点有协助制定治疗方案（90.28%，195/216）、提供专业知识和意见交流的机会（89.35%，193/216）、协助确定诊断（86.11%，186/216）；而缺点主要集中在增加治疗和等待时间（63.89%，138/216）、信息传递不及时和不准确（61.11%，132/216）。在对科间会诊的评价中，对会诊结果不满意的原因主要是“未提供具体的治疗意见（76.39%，165/216）”和“未提供有价值的诊断信息（73.15%，158/216）”。216名临床医师普遍期望会诊能在会诊流程、会诊质量和安全、会诊激励和加强医院信息化建设等方面进行优化和改进。结论 应加强临床医师继续教育培训以提升综合诊治能力；加强人文课程培训以提升会诊满意度；严格会诊医师资质管理以保证会诊质量；引入人工智能加强管理以保证会诊及时性；优化会诊流程以提升会诊效率。

关键词: 综合医院, 科间会诊, 问卷调查, 会诊现状