四川省川东北片区医疗机构心理卫生服务现状

Present situation of mental health service in general hospital in northeast area of Sichuan Province

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

广元市精神卫生中心 ;
达州市精神卫生中心 ;
巴中市精神卫生中心 ;

摘要
【摘要】目的:了解2015年四川省川东北片区各级医疗机构心理卫生服务状况。方法:按照各地市卫生局提供的名单向川东北片区(广元、巴中、达州)全部91家各级医疗机构发放自编“医疗机构精神卫生服务情况调查表”,内容包括2015年医疗机构一般情况、医疗机构提供心理卫生服务的情况、提供心理卫生服务人员的特征,以及精神科药物的使用情况等。结果:共有42家医疗机构完成了调查,其中,16家医疗机构至少提供1种心理卫生服务,三级医疗机构提供心理卫生服务的比例明显高于一二级医疗机构;15家医疗机构提供门诊心理卫生服务,三级医疗机构提供门诊心理服务的比例明显高于一二级医疗机构;医疗机构有精神科会诊服务的仅占18.0%,三级医疗机构提供精神科会诊服务的比例明显高于一二级医疗机构;仅有6家医疗机构提供心理测查服务,三级医疗机构提供心理测查服务的比例明显高于一二级医疗机构;仅有3家医疗机构提供住院服务。医疗机构中共184人从事心理卫生工作,其中63.9%仅有初级或不具备专业水平;69.9%目前没有达到本科学历;41.9%的人员从事心理卫生服务工作的年限不足5年;11.6%的人员未接受过专业培训,44.2%接受专业培训不足一年。与一二级医疗机构相比,三级医疗机构提供心理卫生服务人员的受教育水平高,具有高级职称专业水平的人更多,接受的培训更多(均P<0.05)。结论:目前川东北片区医疗机构提供的心理卫生服务的种类和范围十分有限,尤其是一二级医疗机构,心理卫生服务人员的专业培训有待进一步加强。
Abstract
[Abstract] Objective: To understand the status of psychological health services in 2015 Sichuan Province in northeast area comprehensive hospitals. Methods: In accordance with the around the City Health Bureau to provide a list of northeastern area of Sichuan Province(Guangyuan, Bazhong and Dazhou city). All 91 in general hospitals issued "general hospital mental health services survey", including general situation of hospital, mental health services, characteristics of mental health service staff, and psychotropic drug use in 2015. Results: A total of 42 hospitals completed the survey. Among them, 16 hospitals provides at least a mental health services, the tertiary hospitals provide the proportion of mental health services is significantly higher than that of the secondary hospital; 15 hospitals to provide outpatient mental health services, tertiary hospitals provide outpatient mental health service was significantly higher than the proportion of secondary hospital; general hospital psychiatric consultation service only accounted for 18.0% and tertiary hospitals provide the proportion of psychiatric consultation service was significantly higher than that in the secondary hospital; only six hospitals provide psychological test to check the service and tertiary hospitals provide psychological survey service was significantly higher than the proportion of secondary hospital; only 3 hospitals provide inpatient services. 184 people in general hospital engaged in mental health work, among the 63.9% only primary or do not have the professional level; 69.9% has yet to achieve the bachelor degree; 41.9% of the personnel engaged in mental health service life problem 5 years; 11.6% did not receive professional training, 44.2% after professional training in less than a year. Compared with one or two hospitals, three hospitals provide a high level of education of mental health services, with a higher professional level of professional level of people more, more training (both P<0.05). Conclusion: At present, the types and scope of mental health services provided by the comprehensive hospital in Northeast Sichuan are very limited, especially in the one or two level hospitals.
关键词
【关键词】 川东北片区;医疗机构;心理卫生服务;横断面研究
KeyWord
[Key words] Northeast area of Sichuan; General Hospital; Mental health service; Cross sectional study
基金项目
页码 773-776
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张英辉*,刘雯,赵一超,黄洪,杨新,何凤梅. 四川省川东北片区医疗机构心理卫生服务现状 [J]. 国际精神病学杂志. 2016; 43; (5). 773 - 776.

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