Volume 23 Issue 8
Aug.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(8): 1312-1315
ZHAO Lihua, CHEN Xiaoyong, REN Jingjing, KONG Yanhua, LIN Ziwei, LIANG Yan, ZHAO Jialong, CUI Manman, YAN Shanshan. The application of multidisciplinary team diagnosis, treatment, and long-term management in medically unspecified disease[J]. Chinese Journal of General Practice, 2025, 23(8): 1312-1315. doi: 10.16766/j.cnki.issn.1674-4152.004122
Citation: ZHAO Lihua, CHEN Xiaoyong, REN Jingjing, KONG Yanhua, LIN Ziwei, LIANG Yan, ZHAO Jialong, CUI Manman, YAN Shanshan. The application of multidisciplinary team diagnosis, treatment, and long-term management in medically unspecified disease[J]. Chinese Journal of General Practice, 2025, 23(8): 1312-1315. doi: 10.16766/j.cnki.issn.1674-4152.004122
shu

The application of multidisciplinary team diagnosis, treatment, and long-term management in medically unspecified disease

doi: 10.16766/j.cnki.issn.1674-4152.004122
  • 1.

    Graduate School of Bengbu Medical University, Bengbu, Anhui 233030, China

Funds:

 72274169

 AHWJ2023BAc20106

  • Received Date: 2024-12-23
    Available Online: 2025-10-31
    Abstract
  •   Objective  To analyze the clinical characteristics of inpatients with medically unspecified disease (MUD), compare the diagnosis and treatment of MUD-multi-disciplinary team (MUD-MDT) in general practice versus specialties, and evaluate the long-term management effectiveness in tertiary hospital.  Methods  Clinical data were collected from patients with common MUD and MDT application in Bozhou People' s Hospital from September 2022 to September 2023. A total of 234 cases were included for statistical analysis. Among them, 100 patients without definitive organic or psychiatric diagnoses were selected for further analysis. Of these, 50 MUD patients received long-term community management for one year following discharge, while the other 50 MUD patients did not receive such management after discharge. The basic information of the patients was collected and analyzed statistically.  Results  Among the 234 MUD inpatients, females outnumbered males. The age range was 18-99 years old, with an average age of (64.57±16.28) years. Compared with specialty departments, MUD-MDT treatment in general practice demonstrated a higher definitive diagnosis rate, greater clinical improvement, shorter hospitalization, and lower total hospitalization cost. Regarding management modes, the self-management scores of MUD patients without long-term community management were lower than those with long-term community management, with a statistically significant difference (P < 0.001). The scores of depression and anxiety in MUD patients without long-term community management were higher than those with long-term community management (P < 0.05).  Conclusion  In the diagnosis and treatment of undifferentiated diseases, MUD-MDT in general practice is more effective and cost-effective than that in specialty departments. The establishment of "general-specialty-community" multidisciplinary team model for diagnosis, treatment, and long-term management of undifferentiated diseases can improve the self-management ability of MUD patients and reduce the occurrence of mental diseases.

     

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