CAJ | 학술논문

目的：了解四川省精神卫生机构和床位资源，以及精神科执业医师（含助理）分布情况。方法本调查由四川省精神卫生中心于2014年7月组织实施完成。首先编制“四川省精神卫生服务的机构调查表”，下发各市州卫生局/精防机构填报；再编制“机构信息补充表”下发给被填报的相关机构人员填写；最后对全省开展精神卫生服务的机构，精神科核定床位及精神科执业医师（含助理）人数进行描述性分析。结果全省开展精神卫生临床服务的机构共138家，其中58.70%为专科医院，84.06%隶属于卫生系统。全省21个市州中阿坝藏族羌族自治州和甘孜藏族自治州尚无开展精神卫生服务的机构。全省181个区县中，50.83%的区县无精神卫生服务机构。全省编制床位19078张，每万人口编制床位2.37张；实际开放床位30241张，每万人实际开放3.76张。全省精神科执业医师（含助理）1756人，每10万人口2.18名精神科执业医师（含助理）。结论四川省各市州间精神卫生服务资源分布不合理。
목적：료해사천성정신위생궤구화상위자원，이급정신과집업의사（함조리）분포정황。방법본조사유사천성정신위생중심우2014년7월조직실시완성。수선편제“사천성정신위생복무적궤구조사표”，하발각시주위생국/정방궤구전보；재편제“궤구신식보충표”하발급피전보적상관궤구인원전사；최후대전성개전정신위생복무적궤구，정신과핵정상위급정신과집업의사（함조리）인수진행묘술성분석。결과전성개전정신위생림상복무적궤구공138가，기중58.70%위전과의원，84.06%대속우위생계통。전성21개시주중아패장족강족자치주화감자장족자치주상무개전정신위생복무적궤구。전성181개구현중，50.83%적구현무정신위생복무궤구。전성편제상위19078장，매만인구편제상위2.37장；실제개방상위30241장，매만인실제개방3.76장。전성정신과집업의사（함조리）1756인，매10만인구2.18명정신과집업의사（함조리）。결론사천성각시주간정신위생복무자원분포불합리。
Objective To make known the mental health organizations in Sichuan Province,their bed resources and the distribu-tion of psychiatrists( including the assistants). Methods The implementation of this survey was organized and completed by the Men-tal Health Center in Sichuan Province. At first,we drawed up investigation forms on the information of mental health organs in Sichuan Province and distributed them to the health bureaus or psychosis prevention centers in all cities( prefectures). Secondly,we drawed up the supplementary questionnaires and distributed them to the relevant persons to fill in. At last,we described and analyzed the present condition of mental health organizations in the Sichuan Province,their bed sources and the distribution of psychiatrists( including the assistants). Results 138 organizations engage in the psychosis clinical therapy,among which 58. 70% were specialized hospitals, 84. 06% belong to the health system. In all the 21 cities and prefectures of the entire province,mental health organizations had not been established in Aba Prefecture and Ganzi Prefecture yet. In all the 181 counties and districts of the entire province,50. 83% of them had no mental health organizations. In Sichuan Province,19078 beds in these organizations were recorded,that is to say,each 10000 people own 2. 37 beds. And 30241 beds were actually open to the public,that is to say,3. 76 beds were actually available for each 10000 people. There were 1756 psychiatrists( including the assistants)in Sichuan Province. In other words,there were only 2. 18 psychiatrists in every 100000 people. Conclusion In Sichuan Province among the cities and prefectures there existed such a problem as the irrational distribution of mental health service resources.