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据统计全市15岁以上居民各类精神病患病率达16.39‰;全市精神科病床8 560张,平均0.66张/千人;其床位使用率平均为110.04%,一般市、区(县)级精神卫生中心出院病人平均住院天数为200天左右。目前,本市精神科主要问题是布局不合理,各区县精神科病床分布相差甚大,每千人口平均床位相差38倍;精神病人平均住院时间长;人员、设施配备不到位。精神科床位发展应以政府防治为主,社会办康复为辅;明确各精神科机构功能定位,缩短住院天数;加强执业准入监管和质量控制,合理规划布局。
According to statistics, the prevalence rate of various types of mental illness among residents over the age of 15 in the city reached 16.39 per thousand; 8 560 psychiatric beds in the city, with an average of 0.66 per thousand people; the bed occupancy rate averaged 110.04%. The average length of hospital stay for discharged patients from district (county) level mental health centers was about 200 days. At present, the main problem of the city’s psychiatric department is the unreasonable layout. The distribution of psychiatric beds varies greatly among the districts and counties, with an average difference of 38-fold between beds per 1,000 population; the average length of stay for mental patients is long; personnel and facilities are not well equipped. The development of psychiatric beds should be based on government prevention and control, supplemented by social rehabilitation, clear functional positioning of various psychiatric institutions, and shorten the number of hospital stays; strengthen supervision and control of practice admission, quality control, and rational planning and layout.