Abstract: Background　Since the implementation of the national strategy for general practice，the proportion of patients with multisystem diseases visiting General Practice Department has been increasing.However，there is a lack of reports on whether patients with multisystem diseases have more advantages in receiving general-practice treatment than specialized treatment in China.Objective　To compare the visits of patients with multisystem diseases in General Practice Department and specialized departments in order to provide theoretical basis for patients to choose the treatment department in general hospitals.Methods　A total of 502 hospitalized patients with multisystem diseases in General Practice Department and 412 patients in specialized departments of the First Affiliated Hospital of Xi'an Medical University were selected in 2018.Clinical data were analyzed statistically by browsing electronic medical histories and issuing questionnaires to patients，which included the basic information of patients，the time of diagnosis，the diagnosis condition of disease，disease consultations，the situation of referral，medical expenditure，daily communication time with medical staff，satisfaction with medical staff，follow-up visits，and further consultations in half a year.Results　The disease information of 502 patients was compared with 412 patients in specialized departments with no significant differences（P>0.05）.However，it was found that General Practice Department did better than specialized departments in terms of disease consultations，the situation of referral，daily communication time with medical staff，satisfaction with medical staff，follow-up visits，and further consultations in half a year by comparing the diagnosis and treatment of patients with multisystem diseases in other departments（P<0.01）.The differences in the time of diagnosis，the diagnosis condition of disease，and medical expenditure were not statistically significant（P>0.05）.Conclusion　Most health problems of patients with multisystem diseases have been solved more optimally in General Practice Department of general hospitals.The establishment of General Practice Department in general hospitals may meet the needs of patients with multisystem diseases.

Key words: Multisystem disease；General practice department；Specialized departments；Hospitals, general

摘要： 背景　自从国家实施全科医学战略以来，多系统疾病患者在全科医学科就诊的比例日益增高。多系统疾病患者在全科就诊是否比在专科就诊更具优势，国内缺乏此方面的报道。目的　比较多系统疾病患者在综合医院全科医学科与专科的就诊情况，为多系统疾病患者在综合医院选择就诊科室提供理论依据。方法　选择2018年在西安医学院第一附属医院全科医学科住院的502例多系统疾病患者和专科住院的412例患者为研究对象，通过浏览电子病历及发放问卷调查的形式对纳入对象进行统计分析，内容包括患者的基本情况、确诊所需时间、确诊情况、会诊情况、转科情况、医疗花费、每日与医护的交流时间、对医护人员的满意度、随访情况及半年内复诊情况。结果　全科收治的502例患者和专科412例患者的基本情况比较，差异无统计学意义（P>0.05）。对全科和专科住院的多系统疾病患者的多方面诊治情况比较发现，全科在多系统疾病患者的会诊、转科、每日与医护的交流时间、对医护人员的满意度、随访、半年内复诊上优于专科，差异有统计学意义（P<0.01）；在疾病确诊所需时间、是否确诊及医疗花费方面，差异无统计学意义（P>0.05）。结论　多系统疾病患者的大多健康问题在综合医院全科医学科得到了更优化的解决，综合医院成立全科医学科符合广大多系统疾病患者的就诊需求。

关键词: 多系统疾病, 全科, 专科, 医院, 综合