基于健康管理的社区卫生服务机构精神病患者康复研究

目的加强社区卫生服务机构精神病患者康复和健康管理，了解上海市社区卫生服务机构精神病患者康复现状。方法研究2007年上海市201家社区卫生服务中心精神病患者康复的防治网络、患病情况、社区的病患分类、评价成本和效益等。结果上海市社区卫生服务中心精神科面积仅占建筑面积的0．23％，几乎没有专职精神科医生，精神卫生经费总投入平均每年10．49万元。上海市社区卫生服务中心精神分裂症发病比例最高，为49．69％，防治后精神分裂症和情感障碍缓解率最高，为76．17％和75．52％。结论应加强和完善社区精神卫生服务健康体系的建设；注意多种形式的社区康复和健康工作；完善社区精神疾病健康管理人员保障制度。

Rehabilication research of mentally ill in community health service organization based on health management

Objective To evaluate the present rehabilitation status of mentally ill patients at community health service centers in Shanghai. Method Investigation on mental disorder network, present prevalence, community disease classification, and cost - effect assessment was conducted in 201 health service centers in Shanghai in 2007. Result Working condition, staff - member constitution, and finical investment were unoptimistic. However, the community health service centers consider the outcomes of community rehabilitation and management were satisfactory. Conclusion It should be necessary to facilitate the development of community mental health service system, achieve various community rehabilitation and health care, and improve social security system of community healtheare providers.