2015年辽宁省精神卫生资源状况调查

发布时间：2018-09-07 10:20

【摘要】：目的:本研究旨在了解2015年度辽宁省精神卫生资源状况及分布特点,发现辽宁省精神卫生资源的优点与不足,分析存在问题及原因,积极采取应对措施,为优化辽宁省精神卫生资源配置,制定精神卫生政策提供科学依据,为促进精神卫生事业的发展贡献力量。方法:采用问卷调查对辽宁省2015年精神卫生专科机构和精神卫生防治机构状况进行调查,主要收集其基础信息、床位资源和人力资源状况,利用EXCEL软件进行描述性分析,采用绘制洛伦兹曲线和计算Gini系数来分析各市相关资源分配的公平性。结果:1.辽宁省2015年拥有精神卫生专科机构114所,其中公立机构83(72.81%)所,民营机构31(27.19%)所,精神卫生专科机构覆盖率69.00%;精神卫生机构最多的地级市为沈阳市、铁岭市、大连市。2.精神卫生专科机构共有卫生人员14899人,其中精神卫生专业技术人员7177人,占48.17%;精神科执业医师1575人,人口密度为3.71人/10万人口;精神卫生专科机构中共有医生数2116人,按人口分布和地理面积分布的Gini系数分别为0.123981和0.247029;精神科护士4425人,护士人口密度为10.43人/10万人口,按人口分布和地理面积分布的Gini系数分别为0.122976和0.274814;其他人员包括医技344人,心理治疗师164人,心理咨询师530人,社会工作者55人。3.全部精神卫生专科机构中开设病房的由90家,编制床位数18022张,实际开放床位数24901张,人口密度为5.867张/万人,按人口分布和地理面积分布的Gini系数分别为0.166938和0.285294;我省精神科平均住院日数103.17天/人,平均月住院费用3387.69元/人;我省精神专科机构收治入院患者主要以精神分裂症为主,占总住院人数的72.73%;2015年辽宁省精神卫生专科机构总计拨款18686.27万元,总收入131972.21万元。4.精神卫生防治机构(精神卫生防治办公室)115家,独立编制2家,其余均为挂靠机构,挂靠专科医院28家,疾病预防控制中心65家,其他机构20家。结论:辽宁省精神卫生资源处于全国前列,在数量上达到中等资源配置,但机构分布不均,人力资源相对缺乏,结构不合理,特别是精神卫生防治人员多为兼职,精神卫生知识缺乏,防治技术不足;在未来辽宁省应注重资源的合理布局,增加精神卫生投入,规范精神卫生人员培养与配置。
[Abstract]:Objective: the purpose of this study was to understand the status and distribution of mental health resources in Liaoning Province in 2015, to find out the advantages and disadvantages of mental health resources in Liaoning Province, to analyze the existing problems and reasons, and to take active measures to deal with them. In order to optimize the allocation of mental health resources and formulate mental health policies in Liaoning Province, it can provide scientific basis and contribute to the development of mental health. Methods: a questionnaire survey was conducted on mental health institutions and mental health prevention institutions in Liaoning province in 2015. The basic information, bed resources and human resources were collected and analyzed by EXCEL software. Lorentz curve and Gini coefficient are used to analyze the fairness of resource allocation. The result is 1: 1. There are 114 mental health institutions in Liaoning province in 2015, of which 83 (72.81%) are public institutions, 31 (27.19%) are private institutions, and 69.00 are mental health institutions. The most prefecture-level cities with mental health institutions are Shenyang, Tieling and Dalian. The total number of health personnel in mental health specialized institutions is 14899, including 7177 mental health professionals and technicians, 1575 psychiatrists with a population density of 3.71 people / 100000 population, and 2116 doctors in mental health specialized institutions. The Gini coefficients of population distribution and geographical area distribution were 0.123981 and 0.247029 respectively, 4425 psychiatric nurses, 10.43 nurses / 100000 population, 0.122976 and 0.274814 Gini coefficients according to population distribution and geographical area distribution, respectively. 164 psychotherapists, 530 counsellors and 55 social workers. Of the total mental health institutions, 90 had wards, 18022 beds were compiled, 24901 beds were actually opened, and the population density was 5.867 beds per 10, 000 people. The Gini coefficients according to population distribution and geographical area distribution were 0.166938 and 0.285294.The average number of hospitalization days per person was 103.17 days per person, and the average monthly hospitalization cost was 3387.69 yuan per person. The total allocation of mental health institutions in Liaoning Province in 2015 was 186.8627 million yuan, with a total income of 1.3197221 billion yuan. There were 115 mental health prevention and control institutions (mental health prevention and control office), 2 were independently compiled, the rest were affiliated institutions, 28 affiliated specialized hospitals, 65 centers for disease prevention and control, and 20 other institutions. Conclusion: the mental health resources in Liaoning Province are in the forefront of the whole country and reach the middle resource allocation in quantity, but the organization distribution is uneven, the human resource is relatively lacking, the structure is unreasonable, especially the mental health prevention and treatment personnel are part-time. In the future Liaoning Province should pay attention to the rational distribution of resources increase the input of mental health and standardize the cultivation and allocation of mental health personnel.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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