發(fā)布時間：2018-01-10 04:00

  本文關(guān)鍵詞：農(nóng)村地區(qū)重性精神疾病管理治療一體化人力資源配置標準及分檔服務(wù)內(nèi)容研究　出處：《中國全科醫(yī)學》2014年23期 　論文類型：期刊論文

  更多相關(guān)文章： 精神病 人力資源 配置標準 分檔服務(wù) 河北省 農(nóng)村 全職當量

【摘要】：目的分析樣本地區(qū)精神衛(wèi)生人力資源現(xiàn)狀,剖析其配置中存在的問題,探索在農(nóng)村地區(qū)開展醫(yī)院社區(qū)一體化重性精神疾病患者管理治療所需的人員資質(zhì)、來源、配置標準及分檔服務(wù)內(nèi)容。方法 2009年7月,采用現(xiàn)場調(diào)查、深入訪談、文獻復習法總結(jié)國內(nèi)外重性精神疾病管理治療的人力資源現(xiàn)況,形成重性精神疾病管理治療標準技術(shù)流程和人力資源配置標準設(shè)計方案,之后在河北地區(qū)的省、市、縣、鄉(xiāng)、村級進行人員配置并進行培訓,對105例不穩(wěn)定重性精神疾病患者采用標準技術(shù)流程進行為期6個月的醫(yī)院社區(qū)一體化管理治療。因缺乏市和縣級精神衛(wèi)生機構(gòu),省級同時擔負了市和縣級職責。采用工作分析法記錄各崗位人員的服務(wù)項目及工作時間,計算全職當量人數(shù)(EFT,以工作8 h/d為EFT 1人),并分別計算醫(yī)院和社區(qū)提供不同服務(wù)和頻率時所需的EFT。結(jié)果 (1)社區(qū)精神病管理涉及的崗位有精神科醫(yī)生和護士、心理治療師、社工、職業(yè)治療師,在農(nóng)村可由受過培訓的執(zhí)業(yè)/助理醫(yī)師、社康護士、村醫(yī)及村干部等協(xié)助工作。(2)醫(yī)院社區(qū)提供分檔服務(wù),根據(jù)提供服務(wù)的內(nèi)容和頻率不同,精神衛(wèi)生服務(wù)分為基礎(chǔ)、中、高3個配置標準。(3)參與管理治療的工作人員共117人,折合EFT=17.02人,管理重性精神疾病患者的精神衛(wèi)生人力資源配置應(yīng)為EFT 14.18人/10萬人口。根據(jù)提供服務(wù)的內(nèi)容和頻率不同,得出基礎(chǔ)配置、中檔配置、高檔配置標準分別為每10萬人口EFT為9.17(醫(yī)院∶社區(qū)=3.80∶5.37)、14.18(醫(yī)院∶社區(qū)=4.50∶9.68)、20.51(醫(yī)院∶社區(qū)=4.80∶15.71)人。結(jié)論醫(yī)院社區(qū)一體化的管理治療模式能為患者提供更全面的服務(wù),培訓基層衛(wèi)生人員和村干部在一定程度上可滿足基礎(chǔ)精神衛(wèi)生服務(wù)。
[Abstract]:Objective to analyze the present situation of mental health human resources in the sample area, analyze the problems existing in its allocation, and explore the personnel qualifications and sources for the management and treatment of hospital community integrated mental disease patients in rural areas. Methods in July 2009, field investigation, in-depth interview and literature review were used to summarize the current situation of human resources in the management and treatment of major mental disorders at home and abroad. Form the standard technical process of management and treatment of mental illness and the standard design scheme of human resources allocation, and then conduct staffing and training in Hebei province, city, county, township and village level. 105 patients with unstable mental illness were treated with standard technical procedure for 6 months. The provincial level is responsible for both the city and the county level. The service items and working hours of each post are recorded by work analysis method, and the equivalent number of full-time workers is calculated. The EFT is one person working 8 h / d). The EFTs needed by hospitals and communities to provide different services and frequencies were calculated. Results 1) Psychiatrists and nurses, psychotherapists, social workers, occupational therapists were involved in community psychiatric management. In rural areas, the service may be provided by trained practising / assistant doctors, community nurses, village doctors and village cadres, etc.) the hospital community can provide divisional services, depending on the content and frequency of the services provided. Mental health services were divided into basic, medium, high 3 configuration criteria. 3) the total number of staff involved in the management of treatment was 117, equivalent to EFT=17.02. The mental health human resource allocation of the patients with severe mental illness should be 14.18 people / 100,000 population of EFT. According to the content and frequency of service, the basic allocation and mid-range allocation were obtained. The EFT per 100,000 population was 9.17 (hospital: 3.80: 5.37) 14.18 (hospital: community 4.50: 9.68). 20.51 (hospital: 4.80: 15.71). Conclusion the integrated management and treatment model of hospital community can provide more comprehensive services for patients. Basic health personnel and village cadres can be trained to a certain extent to meet the basic mental health services.
【作者單位】： 河北省精神衛(wèi)生中心;北京大學精神衛(wèi)生研究所 衛(wèi)生部精神衛(wèi)生學重點實驗室;上海交通大學附屬精神衛(wèi)生中心;
【基金】：2011年河北省醫(yī)學科學研究重點課題計劃(20110022)——重性精神疾病管理醫(yī)院-社區(qū)一體化模式的研究與實踐
【分類號】：R197.1
【正文快照】： 從2004年開始,精神衛(wèi)生被納入公共衛(wèi)生領(lǐng)域,成為中國政府改善農(nóng)村和城市初級衛(wèi)生保健的優(yōu)先領(lǐng)域[1]。河北省清苑縣作為首批中央補助地方經(jīng)費重性精神疾病管理治療項目(686項目)的60個示范區(qū)之一,通過6年的工作實踐,農(nóng)村精神衛(wèi)生服務(wù)工作取得了較好效果,醫(yī)院社區(qū)一體化服務(wù)模式

【相似文獻】

相關(guān)期刊論文 前1條

1 李明;趙宏斌;郭襄平;;重性精神病人家屬的負擔、需求與政策回應(yīng)——基于公共政策視角的分析[J];中國衛(wèi)生事業(yè)管理;2009年04期

相關(guān)碩士學位論文 前1條

1 李湘平;重性精神疾病患者特殊門診管理治療方式效果評價[D];中南大學;2013年

，

本文編號：1403726