Abstract: Objective　 To investigate the awareness level of medical consortia among community-based general practitioners（GPs） in Hubei province.Methods　 We recruited 764 GPs who took part in the standard training for GPs conducted in Hubei Province from April to June in 2017.In August 2017，we carried out a survey among them with a questionnaire developed by our research group for obtaining the data about sociodemographic characteristics, familiarity level with medical consortia, support level for medical consortia, awareness level of the construction of medical consortia, perception level of the healthcare cooperation between GPhe institutions and higher level hospitals, and status of participating in dual referrals between the members in the medical consortium.Totaled 749 returned responsive questionnaires，with a response rate of 98.0%.Results　Of the respondents，60.8%（448/737） were much or relatively familiar with medical consortia，88.3%（646/732） were very or relatively supportive of the construction of medical consortia.The familiarity level with medical consortia between he respondents varied significantly by the professional and technical title（P<0.05），while the support level for medical consortia did not（P>0.05）.According to the views of the respondents，the foremost benefit of the construction of medical consortia was the reduction of patients' medical costs（78.0%，584/749）；the first leading difficulty during the construction of medical consortia was that residents were unfamiliar with the medical consortium due to insufficient publicity（70.1%，525/749）；the primary suggestion for the construction of medical consortia was that higher level hospitals should regularly arrange doctors to community health service institutions to offer professional guidance（87.7%，657/749）.A total of 84.9%（626/737) of the respondents reported that their institutions had designated higher level hospitals receiving upward referrals，33.3%（245/735）of them reported that their institutions had received doctors from higher level hospitals for exchanging experience or offering professional guidance，53.5%（394/736） of them often referred patients often referred their patients to higher level hospitals，while 83.1%（608/732） of them occasionally or never received patients referred from higher level hospitals.The familiarity level with medical consortia in the respondents differed significantly by whether their institutions had designated higher level hospitals receiving upward referrals and had received doctors from higher level hospitals exchanging experience or giving professional guidance（P<0.05）.Conclusion　The overall awareness level of medical consortia among GPs in Hubei Province is relatively good，and the support level for the construction of medical consortia is relatively high.However，the publicity of the policies related to medical consortia should be strengthened and the cooperation and resource sharing between the members in the medical consortium should be improved.

Key words: General practitioners, Medical consortia, Cognition

摘要： 目的　了解湖北省社区卫生服务机构全科医生对医疗联合体（医联体）的认知情况。方法　于2017年8月，选取2017年4—6月参加湖北省全科医师规范化培训的全科医生764例。采用本课题组编制的问卷对纳入全科医生进行调查，内容包括全科医生的基本情况、对医联体的熟悉程度和支持度、对医联体建设的认知情况、所在机构与上级医院的业务往来情况、在医联体内双向转诊的参与情况。共发放问卷764份，回收有效问卷749份，有效回收率为98.0%。结果　60.8%（448/737）的全科医生表示对医联体非常/比较熟悉，88.3%（646/732）的全科医生表示对医联体建设非常/比较支持。不同职称全科医生对医联体的熟悉程度比较，差异有统计学意义（P<0.05）；对医联体建设的支持度比较，差异无统计学意义（P>0.05）。全科医生认为建设医联体的好处排在首位的为减少患者的诊疗费用（78.0%，584/749），认为目前建设医联体的困难排在首位的为宣传不够致使居民不了解医联体（70.1%，525/749），对医联体建设的建议排在首位的为上级医院定期安排医生到社区卫生服务机构进行业务指导（87.7%，657/749）。84.9%（626/737）的全科医生所在机构有定点转诊上级医院，33.3%（245/735）的全科医生所在机构有上级医院医生来进行经验交流/业务指导；53.5%（394/736）的全科医生经常向上级医院转诊患者，83.1%（608/732）的全科医生偶尔/从未收治过上级医院下转的患者。所在机构有无定点转诊上级医院、有无上级医院医生来进行经验交流/业务指导的全科医生对医联体的熟悉程度比较，差异有统计学意义（P<0.05）。结论　湖北省全科医生对医联体的认知情况较好，对医联体建设的支持率较高，应继续加强对医联体相关政策的宣传，并促进医联体内部的合作与资源共享。

关键词: 全科医生, 医疗联合体, 认知