上海市精神专科医院床位分析和发展建议  

The recommendation basing on an analysis of beds allocation of psychiatric hospitals in Shanghai

作　　者：罗力[1] 李伟 金春林[3] 蔡淳[3] 詹国芳[3] 项鸣涛 翁泽文[3] 贾妍 陈雯[3] 陈卓蕾[3] 刘芳[1] 舒蝶[1] 孔辉[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市发展与改革委员会,上海200003 [3]上海市卫生局,上海200040

出　　处：《中国卫生政策研究》2011年第9期21-25,共5页Chinese Journal of Health Policy

基　　金：国家自然科学基金面上项目(71073027);上海市卫生局卫生政策研究基金项目(2009HP011)

摘　　要：运用历史比较、横向比较等方法分析了上海市精神专科医院床位配置和利用情况。结果表明:(1)上海市精神专科医院床位持续增长,2008年每万人核定床位数达到了5.53张,实际开放床位数比核定床位数要高41%,床位使用率在120%左右,床位供给比较紧张。(2)与全国其他省、直辖市、自治区相比,上海精神专科医院床位配置水平最高;与发达国家相比,配置水平则垫底。近50年来,上海持续扩增床位,而西方发达国家持续削减床位,扩增曲线和削减曲线恰好在目前上海床位配置水平上交汇,提示上海正处于扩增床位还是严控床位的十字路口。(3)鉴于上海社区精神康复机构数量较少、建设缓慢的事实,以及这一事实在未来5年内的继续存在,所以分流病人比较困难,建议继续适度增加核定床位来满足日益增长的住院需求。The methods of historic comparison and cross-section comparison have been employed to analysis the beds allocation and their utilization among psychiatric hospitals in Shanghai.The results show that：（1）the beds of psychiatric hospitals have been growing rapidly during past 60 years.The number of approval beds per ten thousand people reached 5.53 in 2008.In addition,the actual number of beds was much higher than those number of approval beds by 41% and their utilization is 120% respectively,which indicates bed shortage in Shanghai.（2） Compared with other areas in China,Shanghai has the most beds in mental health.Compared with developed countries,the beds of Shanghai would go to the bottom.Shanghai continued to amplify beds while western countries continue to reduce beds during past fifty years.Now amplification curve and reducing curve intersects on the point of current number of beds in Shanghai.It indicates that Shanghai now is standing on the cross of road：whether or not to increase or decrease beds ？ （3） Given the poor accommodation ability of community mental rehabilitation,it would be much more difficult to triage patients from psychiatric hospitals even in the next years.So we proposed to continue a modest increase of approval beds to meet the growing need for hospitalization in psychiatric hospitals.

关 键 词：精神卫生服务 床位 需要 供给 上海 

分 类 号：R197[医药卫生—卫生事业管理]