南京市重性精神疾病及防治人力资源的现状分析

Analysis of current situation of serious mental illnesses and human resources on prevention and control in Nanjing

目的：了解重性精神疾病及防治人力资源工作现状,为行政部门区域卫生规划提供依据。方法：利用《2014年南京市重性精神疾病管理治疗年度报表》、江苏省重性精神疾病信息系统中南京的数据。结果：精神分裂症16 013人,占全部建档重性精神疾病的75.6%。2014年随访中,最高危险性评为0级者12 909人（占86.8%）,最高危险性评为1~2级者1 900人（占12.8%）,最高危险性评为3~5级者67人（占0.5%）。南京市卫生系统精神卫生人力资源为精神科医生2.04名/10万人,护士4.05名/10万人。基层医疗机构全年平均随访402.2人次/全职专业人员,每全职专业人员每天随访患者1.61人次。结论：南京市重性精神疾病21.6%的患者处于管理状态,78.4%的患者为脱管状态。不论精神专科医院还是基层医疗机构,人员结构均较单一,需要在人力配置上给予更多考虑和配备。

Objective： To analyze the situations of serious mental illnesses and human resources on the prevention and control,which will provide the reference to the administrative departments of government in policies setting.Methods： Data from serious mental illness surveillance system of Jiangsu province and annual report about serious mental illness management-treatment project in 2014 were analyzed. Results： Health records of serious mental illnesses had been bulided and there were 16 013 schizophrenia patients,which was 75. 6%. There were 86. 8% in risk level 0,12. 8% in level 1-2 and 0. 5% in level 3-5 in the patients by follow-up last year. There were 2. 04 psychiatrists,4. 05 nurses per 100 000 peoples and 402. 2 person-times per community physician in the patients follow-up in Nanjing,and 1. 61 person-times follow-up per community physician every day. Conclusion： There are21. 6% patients controled by community physicians. The structure of personnel resource is relatively monotonous in specialized mental hospital / general hospital psychiatry department or community health service centers.