北京地区325家综合医院心理卫生服务状况  

Characteristics of mental health services at 325 general hospitals in Beijing

作　　者：姜春玲[1] 赵云霞[1] 赵秀芹[1] 张艳萍[1] 费立鹏[1] 

机构地区：[1]北京回龙观医院北京心理危机研究与干预中心,100096

出　　处：《中华预防医学杂志》2005年第4期241-244,共4页Chinese Journal of Preventive Medicine

基　　金：北京市科委课题基金资助项目(H010910130112)

摘　　要：目的了解北京地区各级综合医院心理卫生服务状况。方法向北京18个区县的全部508家各级医院发放自制的《医院精神卫生情况调查表》,内容包括医院2001年提供心理卫生服务的种类、提供心理卫生服务人员的特征、心理卫生服务初诊患者数量及诊断、精神科药物的使用情况等。结果共有73%(373/508)的医院参加,其中综合医院占75%(325/436)。在325家综合医院中,171家(53%)提供1种或多种心理卫生服务;共有420名医务人员从事此项工作,但他们学历偏低,接受相关培训较少。61家设有心理门诊,其心理卫生初诊患者占全地区各类医院(包括精神专科医院)初诊患者的50%(47151/93891);其中90%(42578/47151)就诊于18家三级综合医院。综合医院有诊断分类资料的44441例心理卫生初诊患者中,43%为神经症,30%为抑郁症。所有接受调查医院售出的抗抑郁药总量的73%和氟西汀总量的97%是由103家综合医院售出的。结论应当重视综合医院的心理卫生服务,加强相关从业人员的培训,建立相应科室,尤其在一、二级医院。为监督综合医院心理卫生工作的发展趋势,提高质量及水平,应定期评估其心理卫生服务的种类和范围、诊断的准确性和治疗的合理性。Objective Describe the mental health services provided at different types of general hospitals in Beijing.Methods Distribute the “Hospital Mental Health Services Survey” to all 508 hospitals in the 18 Beijing districts; the survey covers information for 2001 on the type of mental health services provided, the characteristics of the service providers, the number and diagnoses of first-visit mental health patients, and the prescription of psychotropic medications.Results 73% (373/508) of the hospitals completed the survey, including 75% (325/436) of the general hospitals. Among the 325 general hospitals, 171 (53%) provided one or more types of mental health services; they had a total of 420 staff members who provide these services, but their educational level was relatively low and mental health training limited. 61 general hospitals had mental health outpatient departments that treated 50% (47 151/93 891) of all first-visit mental health patients seen in all hospitals (including psychiatric hospitals) in the municipality; 90% (42 578/47 151) of these first-visit patients in general hospitals were seen at 18 level-3 hospitals. Among the 44 441 first-visit patients for whom diagnostic information was available, the main diagnoses were neurosis (43%) and depression (30%). 103 of the participating general hospitals prescribed 73% of antidepressant medications prescribed at all hospitals in the municipality and 97% of all fluoxetine (Prozac and others).Conclusions General hospitals-particularly level-1 and level-2 general hospitals-need to put more emphasis on mental health services, increase training of staff who provide the services and open relevant departments. Monitoring the development of mental health services in general hospitals and increasing the quality of their mental health services will require periodic assessment of the types and range of mental health services provided and of the diagnostic accuracy and treatment standards of the staff providing these services.

关 键 词：卫生服务状况 北京地区 心理卫生服务 卫生服务人员 初诊患者 精神专科医院 三级综合医院 心理卫生工作 2001年 精神科药物 卫生情况 医院精神 患者数量 医务人员 心理门诊 诊断分类 抗抑郁药 从业人员 二级医院 定期评估 

分 类 号：R197.3[医药卫生—卫生事业管理]