摘要
目的对比分析2012年及2017年成都市精神卫生资源,了解成都市精神卫生医疗机构建设发展的现状和问题,为制定下一步精神卫生体系、人力和服务发展规划提供参考。方法于2018年1月-3月,采用成都市精神卫生资源调查表对2017年成都市行政区域内精神卫生医疗机构的床位、人力资源、业务开展情况等进行调查。结果2017年成都市实有开设精神科并开展业务的医疗机构共60家,编制床位数4503张,床位密度3.14张/万人,分别较2012年增长了43.73%、17.60%;实有床位数9647张,床位密度为6.65张/万人,分别较2012年增长了82.09%、47.12%。2017年成都市精神卫生医疗机构有精神科医生677人(4.71人/每10万人)、精神科护士1511人(10.53人/每10万人),分别较2012年增长了2.17%、5.94%。2017年成都市精神科共接收门诊患者792874人次,住院患者43981人次,分别较2012年增长了76.09%、78.08%。平均每名精神科医生年负担门诊患者1171人次、住院患者65人次,分别较2012年增长了40.75%、41.30%。结论与2012年相比,2017年成都市的精神卫生医疗机构数量急增;精神科开放床位数量已可以满足中等需求,精神科医疗服务量明显增加,但精神科医护人员并无明显增长。
Objective To find out the current situation and problems of mental health institutions construction and development through comparing and analyzing the mental health resources of Chengdu between 2012 and 2017.It was aimed to provide references for the development of the mental health systems,human resources and services allocation.Methods From January to March 2018,the questionnaire of mental health resources in Chengdu was adopted to investigate the beds,human resources and proceeding situation of mental health medical institutions of Chengdu in 2017.Results In 2017,there were 60 mental health institutions providing psychiatric health services with 4503 authorized inpatient beds(3.14 beds per 10000 people),which indicated an increase of 43.73%and 17.60%respectively compared with 2012.The number of actual beds was 9647(6.65 per 10000 people)with an increase of 82.09%and 47.12%respectively compared with 2012.In 2017,there were 677 psychiatric doctors(4.71 per 100000 people)and 1511 psychiatric nurses(10.53 per 100000 people)in mental health institutions in Chengdu increased by 2.17%and 5.94%respectively compared with 2012.In 2017,a total of 792874 outpatient patients and 43981 inpatients were received in the psychiatric department of Chengdu with respectively increase of 76.09%and 78.08%compared with 2012.On average,each psychiatric practitioner had an annual burden of 1171 outpatient clinics and 65 inpatients with respectively increase of 40.75%and 41.30%compared with 2012.Conclusion Compared with 2012,the number of mental health institutions in Chengdu has increased in 2017.The number of psychiatric open beds has been able to meet the medium demand.The amount of psychiatric medical services increased significantly,but there is no significant increase in psychiatric medical staff.
作者
任华
秦小荣
李慧
欧阳艾莅
Ren Hua;Qin Xiaorong;Li Hui;Ouyang Aili(The Fourth People's Hospital of Chengdu,Chengdu 610036,China)
出处
《四川精神卫生》
2019年第6期536-539,共4页
Sichuan Mental Health
基金
成都市卫计委医学科研课题（2016006）
关键词
精神卫生医疗机构
资源调查
现况调查
Mental health medical institutions
Resource survey
Current survey
