摘要
本文全面介绍了"中央补助地方重性精神疾病管理治疗项目"实施7年来的主要内容和效果。该项目以崭新的"医院社区一体化"服务模式覆盖了全国160个市(州)的680个区县,实际覆盖人口3.3亿。共登记建档了28万例重性精神病患者,随访20万例次,提供免费药物治疗累计9.4万例次,免费收治患者1.24万人次。2006年1月至2011年4月的统计显示,随访患者病情维持稳定的比例从基线的67.0%增加到第5年的90.7%;所管患者的肇事率从基线的4.8%下降到0.5%;肇祸率从基线时的1.5%下降到0。同时将精神卫生服务半径从医院外展至平均74公里,培训多功能服务团队人员38.2万人、52.5万人次。其中专科医生1万人,占我国精神科医师的50%;约7万人参与686,其中精神专科医护人员与其他参与人员之比为1∶7.25,7年来间接地将精神卫生服务队伍扩大了7倍。
This paper comprehensively describes the main contents and outcomes of National Continuing Management and Intervention Program for Psychoses （686 Program） which has been developed for seven years. With a new hospital-community integrated service model, this program has actually covered 0. 33 billion general population in 680 districts/counties, 160 cities. Above 280000 patients suffering from psychoses were registered, 200000 person-times received regular follow-up, 94000 person-times received free medication, and 12400 person-times were given a subsidy for hospitalization. The statistic results of five consecutive years （From January 2006 to April 2011 ） showed that the proportion of followed up patients in stable condition increased from a baseline of 67.0% to 90. 7% in the fifth year; the rate of violating social security regulations declined from 4. 8% to 0. 5%, while that committing crimes reduced from 1.5% to 0. Meanwhile, the radius of mental health care out- reached to an average of 74 kilometers from the hospitals. About 382000 persons and 525000 person times were trained as members of multi-functional team, in which 10000 were psychiatrists that accounting for half of all psychiatrists in China. Currently, above 70000 persons are participating in 686 Program, including psychiatric personnel and other medical personnel in the ratio of 1 ： 7.25, which means mental health service team nationwide has been enlarged to 7 times during the past seven years.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2011年第10期725-728,共4页
Chinese Mental Health Journal
