引用本文:袁湘芸,于德华,吴绍敏.温州市综合医院精神卫生服务现状调查[J].中国卫生政策研究,2011,4(9):31-34 |
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温州市综合医院精神卫生服务现状调查 |
投稿时间:2011-05-04 修订日期:2011-07-07 PDF全文浏览 HTML全文浏览 |
袁湘芸1, 于德华2, 吴绍敏3 |
1.温州医学院附属第一医院;2.上海市东方医院;3.同济大学医院管理处 |
摘要:目的:了解温州市综合医院精神卫生服务状况。方法:在温州市11所综合性医院进行问卷调查,内容包括医院规模及医疗服务总体资源,设置精神卫生服务机构及人员配置状况,精神卫生问题会诊情况,精神科联络情况及医院对临床医师进行精神卫生知识培训情况。结果:(1)11所综合医院中有5所设立了精神卫生科室,占45.5%;被调查的3所二甲医院均没有设立精神卫生科室。(2)设立精神卫生科室的5所综合性医院中,精神科会诊率平均为0.57%,在未开设精神卫生科室的医院中,精神科平均会诊率为0.13%,两者之间的差异非常显著。(3)11所医院都没有建立符合我国精神卫生特点的会诊—联络精神病学模式,都没有成立由精神科医师和临床医师共同参加的会诊联络小组。结论:温州市综合性医院精神卫生服务正处在起步阶段,已经开始重视精神卫生服务工作,但是资源配置、精神障碍的识别与处理、会诊联络精神病学工作及继续教育和培训等尚较粗略。 |
关键词:综合医院 精神卫生服务 温州市 |
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Current situation of mental health service in Wenzhou general hospital |
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Abstract:Objective: Study the current service situation of mental health in Wenzhow general hospital. Methods: 11 Wenzhou general hospitals were investigated by using a questionnaire survey. The survey contents include: hospital and medical services, the scale of the overall resources; set of mental health services and staffing situation; mental health case consultation; contact situation and psychiatric hospitals for mental health clinicians knowledge of training and so on. Results: (1)Among 11 general hospitals, five have set up the mental health departments, which accounts for 45.5%; Three surveyed secondary hospitals haven’t set up mental health department. (2)The average psychiatric consultation rate in five general hospitals having mental health departments is 0.57%, in other hospitals without mental health departments is 0.13%. The difference shows a statistic significant. (3)None of the 11 hospitals had set up the model which meet the mental health consultation, i.e., liaison psychiatry characteristics in our country. In other words, none of the consultation liaison group which were jointly participated in by the psychiatrists and clinicians. Conclusions: Wenzhou general hospital mental health services are in the initial stage, and has begun to attach importance to mental health services. However, the allocation of resources, recognition and treatment of mental disorders, psychiatric consultation liaison work, continuing education and training is still relatively weak. |
Key words:General hospital Mental health service Wenzhou City |
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