摘要
目的:了解四川省精神卫生资源状况,对抽样机构的医疗服务能力进行综合评价,为卫生行政部门加强机构管理提供依据。方法:采用频数/均值描述全省精神卫生资源配置情况,参考Donabedian模型筛选实有床位数、卫技人员占比以及医床比等12个指标,采用熵权TOPSIS法对抽样机构进行医疗服务能力综合评价。结果:2020年全省共有精神卫生医疗机构共328家,其中精神专科医院142家,综合医院精神科144个;精神科实有床位数80380张,床位密度为96.07/10万人;精神卫生执业(助理)医师3222人,医师密度为3.85/10万人,精神科注册护士10716人,护士密度为12.81/10万人;川西北经济区精神卫生资源落后较大。市州级权重前3个指标为医院总收入>医床比>医生理论知识知晓率,区县级权重前3个指标为医院总收入>年出院人次>医院总支出;市州级医疗服务能力排在前3位的为A1>A3>A2,区县级排前3位的是H1>H4>H18。结论:四川省精神卫生资源分布仍不均匀;机构医疗服务能力仍与所处地经济发展水平相关紧密;需加强精神卫生资源匮乏地区的床位数、人才配置等基础建设,提高当地居民精神疾病就医意识,扩大医疗服务覆盖范围。
Objective:To understand the status of mental health resources in Sichuan province,to comprehensively evaluate the medical service capacity of the sample institutions,so as to provide the basis for the health administrative departments to strengthen the management of institutions.Methods:Frequency/mean was used to describe the allocation of mental health resources in the province.According to Donabedian model,12 indicators were selected,including the number of beds,proportion of medical and technical personnel and ratio of hospital to bed,and entropy weight TOPSIS method was used to comprehensively evaluate the health service capacity of sampling institutions.Results:In 2020,there were 328 mental health institutions in the province,including 142 psychiatric hospitals and 144 psychiatric departments in general hospitals.There were 80380 beds in the psy-chiatric department,with a bed density of 96.07/100000.There were 3222 mental health(assistants)practitioners,with a physician density of 3.85/100000,and 10716 psychiatric registered nurses,with a nurse density of 12.81/100000.Mental health resources in northwest Sichuan economic zone lagged behind.The top three indexes for the weight of cities and counties were total hospital income>hospital-bed ratio>doctors'awareness rate of theoretical knowledge.The top three indexes for the weight of districts and counties were total hospital income>annual discharge>total hospital expenditure.The top three city-state hospitals of medical service capacity were A,>A,>A2,and the top three district-county hospitals were H,>H,>Hig.Conclusion:The distribution of mental health resources in Sichuan province is still uneven.Hospitals'medical service capacity is still closely related to geographical location and local economic development level.It is necessary to strengthen the infrastructure construction such as the number of beds and the allocation of talents in areas with poor mental health resources,improve local residents'awareness of seeking medical treatment for mental diseases,and
作者
李莉
王梦媛
周波
成龙
李佳圆
李慧
LI Li(Sichuan Provincial Center for Mental Health,Sichuan Provincial People's Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu,Sichuan,610072,China)
出处
《医学与社会》
北大核心
2024年第5期75-80,92,共7页
Medicine and Society
基金
国家重点研发计划“基于国产诊疗装备支撑的主动健康型医联体跨区域规模化应用示范”,编号为2017YFC0113900。
关键词
精神卫生资源
医疗服务能力
四川
Mental Health Resource
Medical Service Capacity
Sichuan
