目的系统评价全科医生对社区应用即时检验(POCTs)的态度。方法于2016年1月,系统检索Pub Med(1978—2016年)、EMbase(1978—2016年)、中国知网(1980—2016年)及万方数据知识服务平台(1980—2016年)中与全科医生对社区应用POCTs态度有关的文献,同时根据纳入文献的参考文献进行人工检索。采用EPPI-Reviewer 3.0软件,通过主题合成的方法进行定性资料的统计分析。结果最终纳入合格文献6篇,均为定性研究,共有受访者204例,均为全科医生。生成分析性主题3项,均包括全科医生的积极态度和消极态度两方面:(1)POCTs对医患共同决策、诊断及治疗的影响,积极态度包括可帮助明确诊断结果、制定有效治疗方案,消极态度包括准确性存在质疑、对个别诊疗帮助不大、过于依赖检查结果;(2)POCTs对诊疗其他方面的影响,积极态度包括可减少针对同一健康问题的就诊次数和电话咨询次数、防止信息遗漏、优化慢性病管理、增强全科医生工作满意度,消极态度包括医疗检查费用上涨、仪器维护和检查项目增加带来的成本增加、使用面窄、质量控制不完善;(3)POCTs对医患关系、患者满意度的影响,积极态度包括促进医患沟通、树立患者信心并提高其治疗依从性、加强患者慢性病自我管理能力、优化医患共同决策模式、增加患者满意度,消极态度包括增加患者紧张焦虑情绪、可能增加患者的检查抵触情绪。结论即时检验在社区中的应用正逐年普及,有助于医患共同决策,促进医患沟通;但应进一步提供各类相关即时检验准确性的证据,评价即时检验在基层医疗中的应用效果和经济效益。 Objective To systematically evaluate the attitude of general practitioners to POCTs. Methods In January 2016, we searched Pub Med (1978-2016), EMbase (1978-2016), CNKI (1980-2016) and Wanfang Data Knowledge Service Platform (1980-2016) General practitioners’ literature on community-based attitudes toward POCTs and manual searches based on references included in the literature. EPPI-Reviewer 3.0 software was used to conduct statistical analysis of qualitative data through themed synthesis. The results were finally included in the qualified literature 6, are qualitative research, a total of 204 respondents, are general practitioners. Generating three analytical themes, including general practitioner’s positive attitude and negative attitude: (1) the impact of POCTs on common decision-making, diagnosis and treatment of patients and patients, positive attitudes include helping to confirm the diagnosis results and formulate effective treatment options , Negative attitudes, including the accuracy of the questionable, little help to individual treatment, over-reliance on the test results; (2) POCTs other aspects of treatment, positive attitudes include reducing visits to the same health problems and the number of telephone counseling to prevent Neglect of information, optimization of management of chronic diseases, improvement of general practitioner job satisfaction, negative attitudes including rising costs of medical examinations, increased costs due to increased instrument maintenance and inspection items, narrow usage area and imperfect quality control; (3) Patient relationship and patient satisfaction. Positive attitudes include promoting communication between doctors and patients, establishing patient confidence and improving treatment compliance, strengthening self-management ability of patients with chronic diseases, optimizing doctor-patient common decision-making model and increasing patient satisfaction. Negative attitudes include increasing Patients nervous anxiety, may increase the patient’s check resistance. Conclusion The application of real-time test in the community is gradually popularized year by year, which is helpful for the common decision-making of doctors and patients and communication between doctors and patients. However, evidence of the accuracy of all kinds of relevant real-time tests should be further provided to evaluate the effect of real- Economic benefits.