天津市医疗机构精神卫生服务资源和利用状况调查

Medical Institute-based Mental Health Resources and its Services Utilization in Tianjin:A Cross-sectional Study

目的了解天津市医疗机构精神卫生服务资源和利用情况,为制定天津市精神卫生服务规划提供基础数据。方法使用《天津市医疗机构精神卫生服务状况调查问卷》调查并分析天津市18个区县365家医疗机构2006年精神卫生资源分布情况及精神卫生服务提供和利用情况。结果 2006年天津市有60家医疗机构提供精神卫生服务,共拥有精神科医生561人,精神科护士885人,精神科床位4281张,按人口密度计算分别为5.4/10万、8.5/10万、4.1张/万。全年总住院10449人次,门诊为434120人次。精神卫生资源相对集中于市内六区和其他六区,精神专科医院较综合医院的精神卫生资源更为丰富,三级医院所拥有的资源又明显多于一、二级医院。住院服务的利用主要在市内六区和精神专科医院,门诊服务利用主要在市内六区和非精神专科医院。结论天津市精神卫生资源处于国内较高水平,但是资源的分布和服务的利用极为不均衡,存在资源相对短缺和利用不足。

Objective To investigate the mental service resources and its utilizations in hospitals in Tianjin. Methods With self-established questionnaire about mental health services provided by medical institutes, 365 registered hospitals from 18 districts and counties in Tianjin were surveyed by the questionnaire on mental services status of these hospitals in 2006, exploring the distributions of mental health resources as well as the deliver） and utilization of mental health services. Results In 2006, there were 60 hospitals in Tianjin to provide mental services, in which there were 561 psychiatric doctors （5.38 doctors per 100 thousand residents） and 885 psychiatric nurses （8.49 nurses per 100 thousand residents） and 4 281 psychiatric beds （4.11 beds per 10 thousand residents）. The total person time of outpatient was 434 120, and the total person time of inpatient was 10 449. According to area division, resources of mental health services relatively concentrated in central districts and quasi-central districts. Psychiatric hospital had more mental health resources than general hospital did. There were more resources in tertiary hospitals than in primary and secondary hospitals. Inpatient services were mainly in central districts and psychiatric hospitals, and outpatient services mainly in central districts and general hospitals. Conclusion Though mental health resources of Tianjin were in a relatively high level, the distribution of mental health resources and utilizations of service were imbalanced, with relatively short and under-utilized resources.