国内心理咨询与治疗收费的现况调查

Current situation of fee of counseling and psychotherapy in China

目的:了解当前国内心理咨询与治疗收费的规范性以及机构差异、地域差异。方法:通过网络查询的方式,对142家心理健康服务机构在其网站上公布的收费标准进行统计,从心理咨询与治疗收费总体情况、地域和机构方面进行分析与比较。结果:有91家机构根据专业人员的职称或资历制定了高低悬殊的收费标准;私立机构的面谈咨询平均最低收费与最高收费均高于公立医院(均P<0.001);不同区域的面谈咨询最高收费差异有统计学意义(P<0.001),东部地区面谈咨询最高收费高于中部和西部地区;省会城市面谈咨询最高收费高于非省会城市(P<0.05)。结论:我国心理咨询与治疗收费缺乏整体规范,心理咨询与治疗收费需综合考虑机构性质、所处地区、人员资质及来访者具体情况,制定适当收费标准,以促进心理健康服务事业的发展。

Objective：To learn about the normativity and differences among regions and institutions of the fee of counseling and psychotherapy in China.Methods：The fee standards of 142 mental health service institutions released on their websites were collected through internet query,the overall situation and the aspects of regions and institutions of the fee of counseling and psychotherapy were analyzed and compared.Results：Ninety-one institutions set fee standards which had great disparity according to either the practitioner＇s professional titles or their qualifications.Private institutions had a significant higher level of both the average minimum and maximum fees of interview counseling than public hospitals（Ps〈0.00）.The differences in the maximum fees of interview counseling among different regions were found to be statistically significant（P〈0.001）,the maximum fees of interview counseling in eastern areas were significantly higher than that in central and western areas,the maximum fees of interview counseling in provincial cities were significantly higher than that in non-provincial cities（P〈0.05）.Conclusion：The current fee of counseling and psychotherapy lacks overall regulations.The fee of counseling and psychotherapy should take an overall account of the nature of institutions,the regions,the qualifications of practitioners and the specific conditions of the clients so as to set proper fee standards,thereby promoting the development of mental health services.