广东省精神卫生机构现状调查

目的 全面了解广东省精神卫生机构现状。方法 采用问卷调查法,通过自制调查表对全省62家精神卫生机构进行现状调查,同时对22家精神病专科医院进行4年前后比较。结果 全省精神科床位数9901张,精神科医师数1236人,精神科护士1909人,分别为1.16张/万人、0.15人/万人和0.22人/万人;病床使用率多数在82.00％;仅有12.00％的精神卫生机构采用开放式管理。22家医院4年前后比较,住院床位数、医生总人数、副高以上医生人数、心电图机台数、电脑台数、医院年总收入和住院月收费均得到增长,工作场所面积、病床使用率、日均门诊次数、日均心理门诊次数、除心电图机和电脑之外的其他设备无增长,政府拨款减少。结论 全省精神卫生机构存在的主要问题是精神卫生资源配置短缺和不平衡,管理模式落后,自身发展困难,政府投入减少。

Investigation on the current situation of mental health institutions in Guangdong

Objective To find out about the current situation of mental health institutions in Guangdong. Methods An investigation via self-made questionnaires was made on the current situation of 62 mental health institutions in the province and a comparison was made of 22 mental hospitals between now and four years ago. Results Throughout the province, there were 9901 psychiatric beds, 1236 psychiatric doctors and 1909 psychiatric nurses, averaging respectively 1.16 beds, 0.15 doctors and 0.22 nurses per 10 thousand people. The bed utilization ratio was mostly 82.00% and only 12.00% of the mental health institutions adopted open management. A comparison of the 22 mental hospitals between now and 4 years ago showed that the numbers of hospital beds, doctors, doctors with associate senior professional tides and above, ECG machines, computers, hospital total income per year, and monthly charges for hospitalization had increased while the area of workplaces, the bed utilization ratio, the average number of daily outpatient visits, the average number of daily outpatient psychological consultations, and equipment other than ECG machines and computers remained unchanged and government funding had decreased. Couclusion The major problems with the mental health institutions in the province are shortage and lack of balance in the allocation of mental health resources, backwardness in the modes of management, difficulty in internal development, and reduction of government input.