2015年上海市精神卫生医疗机构与床位资源现状分析

Research on the Current Situation of Mental Health Service Facilities and Beds in Shanghai in 2015

目的:了解上海市精神卫生医疗机构和床位资源现状,探讨现有资源的数量与特征,为上海市精神卫生工作规划(2016-2020)的制定提供参考。方法:通过描述性分析的方法对上海市精神卫生医疗机构的数量、机构性质、主办单位、区域分布、床位密度等指标进行分析。结果:上海市共有精神卫生医疗机构64家,实际开放床位数一共为14 267张,床位密度为5.91张/万人;精神卫生医疗机构以精神专科医院和综合性医院为主,占被调查机构数的71.88%;精神科床位主要集中在精神专科医院,精神卫生床位资源多集中在静安、徐汇、黄浦、虹口等中心城区。结论:上海市精神卫生资源配置的数量有待增加,结构与地区分布需要进一步优化,民办精神卫生资源有待发展。

Objective： To find out the spatial distribution features of mental health service facilities and beds in Shanghai in order to provide basis for making regional mental health planning from 2016 to 2020. Methods：Descriptive analyses were conducted on the quantities, sponsors, distributions and bed density, et al. Results： At the end of 2015, there were 64 mental health services facilities and 14267 psychiatric beds in Shanghai, the mean number of psychiatric beds per 10,000 population was 5.91. Most（71.88%） of the mental health facilities were psychiatric hospital and general hospital. Psychiatric beds were mainly （ 86. 4%） located in psychiatric hospitals and gathered in Jingan、Xuhui、Huangpu and Hongkou District. Conclusion：The number of psychiatric bed per 10,000 population in Shanghai is well below the mean for countries of a similar economic level. The structure and spatial distribution is inappropriate to the region’’s present and future needs and the development of non-state mental hospitals should be promoted.