首页|四川省精神卫生资源状况及机构医疗服务能力评价

四川省精神卫生资源状况及机构医疗服务能力评价

Status of Mental Health Resources and Evaluation of Institutional Medical Service Capacity in Sichuan Province

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目的:了解四川省精神卫生资源状况,对抽样机构的医疗服务能力进行综合评价,为卫生行政部门加强机构管理提供依据.方法:采用频数/均值描述全省精神卫生资源配置情况,参考Donabedian模型筛选实有床位数、卫技人员占比以及医床比等12 个指标,采用熵权TOPSIS法对抽样机构进行医疗服务能力综合评价.结果:2020 年全省共有精神卫生医疗机构共328 家,其中精神专科医院142 家,综合医院精神科144个;精神科实有床位数80380 张,床位密度为96.07/10 万人;精神卫生执业(助理)医师 3222 人,医师密度为3.85/10 万人,精神科注册护士10716 人,护士密度为 12.81/10 万人;川西北经济区精神卫生资源落后较大.市州级权重前3 个指标为医院总收入>医床比>医生理论知识知晓率,区县级权重前 3 个指标为医院总收入>年出院人次>医院总支出;市州级医疗服务能力排在前3 位的为A1>A3>A2,区县级排前3 位的是H1>H4>H18.结论:四川省精神卫生资源分布仍不均匀;机构医疗服务能力仍与所处地经济发展水平相关紧密;需加强精神卫生资源匮乏地区的床位数、人才配置等基础建设,提高当地居民精神疾病就医意识,扩大医疗服务覆盖范围.
Objective:To understand the status of mental health resources in Sichuan province,to comprehensively evaluate the medical service capacity of the sample institutions,so as to provide the basis for the health administrative departments to strengthen the management of institutions.Methods:Frequency/mean was used to describe the allocation of mental health re-sources in the province.According to Donabedian model,12 indicators were selected,including the number of beds,proportion of medical and technical personnel and ratio of hospital to bed,and entropy weight TOPSIS method was used to comprehensively eval-uate the health service capacity of sampling institutions.Results:In 2020,there were 328 mental health institutions in the prov-ince,including 142 psychiatric hospitals and 144 psychiatric departments in general hospitals.There were 80380 beds in the psy-chiatric department,with a bed density of 96.07/100000.There were 3222 mental health(assistants)practitioners,with a physi-cian density of 3.85/100000,and 10716 psychiatric registered nurses,with a nurse density of 12.81/100000.Mental health re-sources in northwest Sichuan economic zone lagged behind.The top three indexes for the weight of cities and counties were total hos-pital income>hospital-bed ratio>doctors'awareness rate of theoretical knowledge.The top three indexes for the weight of districts and counties were total hospital income>annual discharge>total hospital expenditure.The top three city-state hospitals of medical service capacity were A1>A3>A2,and the top three district-county hospitals were H1>H4>H18.Conclusion:The distribution of mental health resources in Sichuan province is still uneven.Hospitals'medical service capacity is still closely related to geographical location and local economic development level.It is necessary to strengthen the infrastructure construction such as the number of beds and the allocation of talents in areas with poor mental health resources,improve local residents'awareness of seeking medical treatment for mental diseases,and expand the coverage of medical services.

Mental Health ResourceMedical Service CapacitySichuan

李莉、王梦媛、周波、成龙、李佳圆、李慧

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四川省医学科学院·四川省人民医院 (电子科技大学附属医院), 四川省精神医学中心, 四川成都, 610072

中国医学科学院心身医学重点实验室, 四川成都, 610072

成都市郫都区疾病预防控制中心, 四川成都, 611730

四川大学华西公共卫生学院/华西第四医院, 流行病与卫生统计学系, 四川成都, 610044

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精神卫生资源 医疗服务能力 四川

国家重点研发计划

2017YFC0113900

2024

医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
年,卷(期):2024.37(5)
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