中国心理卫生杂志2011，Vol.25Issue(10)：725-728,4.DOI:10.3969/j.issn.1000-6729.2011.10.002
中国精神卫生服务模式改革的重要方向:686模式
An important pathway of mental health service reform in China:introduction of 686 Program
马弘 1刘津 1何燕玲 2谢斌 2徐一峰 2郝伟 3唐宏宇 1张明园 2于欣1
作者信息
- 1. 北京大学精神卫生研究所,北京,100191
- 2. 上海交通大学医学院附属精神卫生中心,上海,200030
- 3. 中南大学湘雅二医院精神卫生研究所,长沙,410011
- 折叠
摘要
Abstract
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.关键词
686项目/重性精神疾病/管理治疗/服务模式Key words
686 Program/ psychoses/ management and treatment/ service model分类
医药卫生引用本文复制引用
马弘,刘津,何燕玲,谢斌,徐一峰,郝伟,唐宏宇,张明园,于欣..中国精神卫生服务模式改革的重要方向:686模式[J].中国心理卫生杂志,2011,25(10):725-728,4.
