基于岗位职责和工时测定法的社区精神卫生服务人力资源配置研究  

Research on human resource allocation in community mental health services based on job responsibilities and workhours measurement methods

作　　者：奚蕊 黄庆之 陈云 李京渊 XI Rui;HUANG Qingzhi;CHEN Yun(Beijing Key Laboratory of Mental Disorders,National Clinical Research Center for Mental Disorders&National Center for Mental Disorders,Beijing Anding Hospital,Capital Medical University,Bejing 100088,China)

机构地区：[1]首都医科大学附属北京安定医院,国家精神疾病医学中心,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京市100088 [2]首都医科大学人脑保护高精尖创新中心 [3]北京市精神卫生保健所

出　　处：《精神医学杂志》2024年第4期342-347,共6页Journal of Psychiatry

基　　金：首都卫生发展科研专项资助(编号:首发2024-2-1173)。

摘　　要：目的研究现阶段社区精神卫生服务人员工作职责和任务,测算社区精神卫生服务人员的合理配置水平,提出政策及发展建议。方法通过文献回顾,集合卫生人力需要、岗位职责确定、工时测定和分类计算相结合等方法,梳理北京市社区精神卫生服务人员岗位职责和工作单元指标体系,测定社区精神卫生服务人员各单元工作时长,推算社区精神卫生服务人力资源配置水平。结果社区精神卫生服务人员年投入时长共计2691.52(Ti)时,社区精神卫生服务人员年工作时长平均超691.52时,超出合理范围内工作时长的34.6%。城乡地区社区精神卫生服务人员总工作时长比较差异有统计学意义(P<0.01),心理健康促进工作及其他工作的投入时长比较差异均有统计学意义(P<0.05)。结论社区精神卫生服务人员工作负担重、人力配置不足,应采用多种方式增加人员数量、调整人员结构,从而提高社区精神卫生服务工作质量,提升居民心理健康水平。Objective To delineate the existing job duties and tasks of community mental health service staff,evaluate the reasonable allocation level,and provide policy and development suggestions.Methods A comprehensive literature review was conducted,complemented by health workforce demand analysis,job responsibility identification,work hour quantification,and stratified calculations.This methodology enabled the clarification of the job responsibilities and work unit index system for community mental health service staff in Beijing,as well as the measurement of their working hours and the assessment of human resource allocation for community mental health services.Results The annual time spent in community mental health services was 2691.51 hours.The average annual work hours for community mental health service staff was bigger than 691.52 hours,which exceeded 34.6%of the reasonable work hours.There existed significant differences in total work hours and the time spent in mental health promotion work and other kinds of work between rural and urban community mental health service staff(P<0.05).Conclusion The findings indicate that community mental health service staff are facing heavy workloads and a shortage of personnel.It is essential to implement a variety of strategies to increase the workforce and adjust the personnel structure to improve the quality of community mental health services and promote the mental health of community members.

关 键 词：精神卫生服务 社区卫生服务 精神障碍 人力资源 

分 类 号：R749[医药卫生—神经病学与精神病学]