Status and equity of mental health resources allocation in Shanghai Municipality
FAN Xin1,2,3, GUO Yanping1,4, ZHAO Yajuan1, LI Xu1, CAI Jun1, XIE Bin1
1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China; 2. Shanghai Municipal Center for Mental Disease Prevention and Control, Shanghai 200040, China; 3. China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai 200030, China; 4. Shanghai Psychological Service Association, Shanghai 200030, China
Abstract：Objective To analyze the current status and equity of mental health resources allocation in Shanghai Municipality, so as to provide data supports to formulate mental health action plans and relevant policies. Methods The data pertaining to mental health institutions, actual beds opened, certified or assistant psychiatrists and registered nurses was collected from the Survey of the Current Status on Mental Health Resources in Shanghai Municipality in 2020. The equity of mental health resources allocated by population and geographical area in Shanghai Municipality was evaluated with Lorenz curve and Gini coefficient. Results There were 96 mental health institutions, 15 060 actual beds opened, 257 certified or assistant psychiatrists and 2 887 registered nurses in Shanghai Municipality in 2020, with a physician-to-nurse ratio of 1∶2.30. The greatest numbers of actual beds opened in the department of psychiatrics, the number of certified or assistant psychiatrists and the number of registered nurses per 10 000 residents and per km2 were all found the central urban areas. The numbers of actual beds opened in the department of psychiatrics, the number of certified or assistant psychiatrists and the number of registered nurses per 10 000 residents were 6.06 beds, 0.51 physicians and 1.16 nurses, with Gini coefficients of 0.36, 0.42 and 0.44, respectively, and the numbers of actual beds opened in the department of psychiatrics, the number of certified or assistant psychiatrists and the number of registered nurses per km2 were 2.38 beds, 0.20 physicians and 0.46 nurses, with Gini coefficients of 0.72, 0.76 and 0.75, respectively. Conclusions There was a gross equity in mental health resources allocated by population and geographical area in Shanghai Municipality in 2020, which showed an improvement as compared to 2015. The equity in mental health resources allocated by geographical area was lower than that by population in Shanghai Municipality.
范鑫, 郭延萍, 赵雅娟, 李煦, 蔡军, 谢斌. 上海市精神卫生资源配置现状及公平性分析[J]. 预防医学, 2022, 34(4): 429-432.
FAN Xin, GUO Yanping, ZHAO Yajuan, LI Xu, CAI Jun, XIE Bin. Status and equity of mental health resources allocation in Shanghai Municipality. Preventive Medicine, 2022, 34(4): 429-432.
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