Shortage of psychiatric "doctor" how to solve?

09:41:07 March 28, 2016

Source: journal of science and technology

In recent years, China's serious mental disorders due to the increasing number of patients, but on the other hand, has the professional qualifications of psychiatrists are very scarce. Please pay attention to --

On the two sessions this year, a pediatrician shortage has become the hot topic. According to statistics, thousands of children in our country only 0.62 a pediatrician. In fact, the more severe than pediatricians drought is a psychiatrist, on average every 100000 people in China only 1.49 psychiatrists.

To solve the shortage of psychiatrists in the recently ended "in 2016, general medicine education and basic medical service development international BBS", formally announced the formation of wenzhou medical university institute of psychiatry.

Eye optical hospital affiliated to wenzhou medical college, dean of esmebaby said, alleviate the shortage of psychiatrists, must solve the problem of the source of talent training, the lack of what is going to focus on cultivating what, this is also the responsibility ".

Mental health problems facing global 1/4 population

Some time ago, had published monograph of hundreds of thousands of words 18 historiography wizards chia-wen Lin because of depression and suicide focused on making the public on the depression and other mental illnesses. Released by the world health organization's "mental health atlas 2014, according to one out of every 10 people in the world is mental disorders; One out of every four people may face mental health problems. According to the WHO estimate at the beginning of this century, there are about 450 million people worldwide suffer from mental illness, accounting for almost 11% of the global burden of disease, among the top of the all the burden of disease.

In our country, mental illness prevalence rate rise is also very obvious. According to statistics, major psychiatric morbidity rates from the 1950 s to 2.7 ‰, 5.4 ‰ of the 70 s and 80 s 11.4 ‰, 13.47 ‰, in the 90 s to 2012, the incidence rate is as high as 17.5%, the country about 18 million people with mental illness. Mental illness in China has accounted for 20% in the total burden of disease, ranking the first.

According to the WHO, in 2020, the disease burden of mental illness in China will rise to a quarter of the total burden. Especially along with the social economic development, industrialization, urbanization and speed up the pace of life, competition, etc., mental disorder prevalence is increasing, becoming a major factor restricting the development of social progress and harmony.

Former director of the Peking University institute of mental health and spirit of university's medical school's first dean professor yu xin wen said that mental illness is closely connected with the body disease, such as impaired lung function, such as cardiovascular disease, thyroid function is low, at least 15% of the body disease is caused by mental illness.

Our spirit of medical practitioners "scarcity"

In recent years, China's serious mental disorders due to the increasing number of patients, but on the other hand, has the professional qualifications of psychiatrists are very scarce.

According to the state development planning commission in 2015's statistics show that more than 20000, the existing psychiatrists and two-thirds of the county not psychiatrists; Average every 100000 people in China have 1.49 psychiatrists, with the international average, 100000 people have a psychiatrist, compared to 3.96 people spirit to a serious shortage of medical personnel in our country, and even lower than some developing countries. Such as in European and American countries per capita a professional psychiatrist calculation, the proportion of the existing professional psychiatric doctors in China should be 200-3 million.

Wen said the university's professor Lv Fan, at present, the country only qiqihar medical college, central south university xiangya school of medicine and so on one of the few medical colleges and universities is equipped with the professional, fostering the spirit of the medical talent scale far cannot satisfy the actual demand, leading to mental health industry output "source" and "congenital" talent shortage; By resident standardization training, on the other hand, professional staff engaged in psychiatry, increased the gap between supply and demand.

"Due to reasons such as concept and professional attributes, mental health has been walk very difficult, caused a grave shortage of psychiatrists in China." Qiqihar medical school dean Liu Ji said.

"At present, our country only 65% of the patients with schizophrenia, 10% less than 30% of the patients with depression and severe alzheimer's patients get mental health services." Yu xin said.

Strengthen in urgent need of talented person training

Psychiatry "talent shortage", leading to mental health services to a serious shortage of resources and service ability, make mental health services in China is facing severe challenges. In November 2014, the ministry of education, health and family planning commission and state administration of traditional Chinese medicine and so on six departments issued "about psychiatry synergy's opinions on deepening the reform of clinical medical personnel training, colleges and universities in conditional region and, explore held () in the direction of pediatrics clinical medicine, clinical medicine (such as spiritual medicine direction) professional, strengthen pediatrics and psychiatry in urgent need of talented person cultivation.

Lv Fan, said wen an established first in zhejiang province institute of psychiatry, adopted with wenzhou corning hospital "marriage" "mixed ownership". Corning hospital as mental medical college hospital designated teaching or practice for its clinical teaching tasks, etc.; Corning hospital will also establish "corning psychiatry scholarship" to reward excellent students and so on.

Corning hospital, wenzhou has become the country's largest collection of medical treatment, teaching, scientific research, prevention, rehabilitation, health care and other functions in one of the third rate of mental health specialist hospital group, among the countries clinical key specialty (psychiatry) and zhejiang province key characteristic discipline (behavioral medicine, clinical psychology) the construction unit.

"If you want to build a mental health specialist hospital, need more than ten years, patients and society, etc. Through joint ventures, directional cultivating methods such as, as soon as possible for the society more cultivated the spirit of high quality medical talents, let more patients get treatment and service." Lv Fan said.