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全国人大常委会:综合医院应开精神科门诊--亲稳网络舆情监控室
2012-10-24
十一届全国人大常委会第29次会议昨天上午在京举行第一次全体会议。根据议程,本次常委会会议继续审议精神卫生法草案、证券投资基金法修订草案,审议全国人大常委会关于修改监狱法等七部法律个别条款的决定草案、邮政法修正案草案等。
The first session of the 11th National People's Congress (NPC) 29 meeting held in Beijing yesterday morning the first plenary session.According to the agenda,The standing committee meeting continue to review the draft and health law spirit/Amendments to the securities investment funds,The National People's Congress standing committee on amending JianYuFa etc seven legal individual clause decision draft/Postal law amendment draft, etc.
精神卫生法草案此前已经常委会两次审议,提交本次常委会会议审议的草案三审稿增加了保障精神障碍患者财产安全的规定。针对我国精神卫生资源不足的状况,草案增加规定,要求综合性医疗机构应当开设精神科门诊或者心理治疗门诊,同时要求给予精神卫生工作人员适当津贴。
Mental health law draft had already standing committee two deliberation,Submitted to the standing committee for deliberation draft of three copy-editor increased security in patients with mental disorders property safety regulations.Aiming at the condition of mental health resources,Increase draft regulations,For comprehensive medical institutions shall offer psychiatric outpatient service or psychotherapy clinic,At the same time the requirement to give mental health workers appropriate allowance.
□焦点 - focus
综合医院应开精神科门诊 General hospital should open psychiatric outpatient service
据了解,目前我国的医疗机构在精神障碍预防、诊断、治疗方面的力量较弱,多数综合性医疗机构没有开设精神科门诊。
It is understood,At present our country medical institutions in the prevention of mental disorders/diagnosis/The power of the treatment is weak,Most comprehensive medical institutions not open psychiatric outpatient service.
全国人大法律委员会副主任委员洪虎表示,建议加强医疗机构的精神障碍防治能力建设。因此,草案三审稿增加规定:“综合性医疗机构应当按照国务院卫生行政部门的规定开设精神科门诊或者心理治疗门诊,提高精神障碍预防、诊断、治疗能力。”
Law committee of the National People's Congress vice director of HongHu said,Suggest to strengthen the prevention and control of medical institution's spirit obstacle ability construction.therefore,The draft three copy-editor increase provisions:"Comprehensive medical institutions shall, in accordance with the provisions of the administrative department of public health under the state council to open psychiatric outpatient service or psychotherapy clinic,Improve the prevention of mental disorders/diagnosis/Treatment ability."
【解读】北京回龙观医院副院长王绍礼表示,综合性医院开设精神科门诊是非常有必要的,从目前的医学模式来说,任何疾病的发生都和社会因素及心理因素有关。但目前综合性医院对精神疾病的认识不足,开设精神科门诊的主动性不强。北京市卫生局5年前就已经意识到综合性医院设立精神科和心理科的重要性,出台举措让包括回龙观医院、安定医院、北大六院在内的3家精神专科医院与6家综合性医院结对子,但效果并不理想。
[interpretation]Vice President of the Beijing huilongguan hospital WangShaoLi said,Comprehensive hospital open psychiatric outpatient service is very necessary,From the current for medical model,Any disease happens and social factors and psychological factors.But the present comprehensive hospital for lack of awareness of mental illness,Open psychiatric outpatient service initiative is not strong.The municipal bureau of health five years ago have been aware of comprehensive hospital set up psychiatric and the importance of science,Introduced measures let including huilongguan hospital/Stability hospital/North six yuan, the three mental hospitals and six comprehensive hospital antithetical couplet,But the effect is not ideal.
按照卫生局要求,精神专科医院应该指导对口医院的精神科建设,包括人才培养等内容,但现在能够做到的只是专科医院的医生到综合性医院出门诊。
According to the health requirements,Mental hospitals should guide of the psychiatric hospital construction,Including personnel training, etc,But now can do is specialized subject hospital doctor to a comprehensive hospital outpatient service.
王绍礼说,以北京为例,目前全市精神专科医院不论是数量还是布局都不尽合理,无法完全满足群众需求,如果综合性医院都能开设精神科门诊,将大大提升此类服务的覆盖范围。“精神障碍患者每月都要复查、取药,但我们医院在北五环,许多患者会感到不方便。”王绍礼说,城区和人口密集的新兴城区应更加重视精神科的建设和发展。
WangShaoLi said,For example Beijing,At present the city spirit specialized subject hospital both quantity and layout are reasonable,Unable to fully meet the masses demand,If comprehensive hospital can open psychiatric outpatient service,Will greatly improve this kind of service coverage."In patients with mental disorders should check every month/medicine,But our hospital in north rings,Many patients feel inconvenient."WangShaoLi said,City and densely populated emerging city should pay more attention to the construction and development of psychiatry.
□焦点 - focus
提高非专科医生鉴别能力 Improve FeiZhuanKe doctors identify ability
据了解,目前我国精神卫生资源不足,专业人员缺乏。统计数据显示,我国目前仅有约2万名注册的精神疾病类医师,每百万人口只有约15名精神疾病类医师提供服务。此外,我国平均每万人的精神科床位数是1.58张,而全球平均水平是每万人4.36张。
It is understood,At present our country mental health resources,Professionals lack of.Statistics show,At present in China, the only about 20000 registered mental disease kind physician,Every populations only about 15 mental disease class doctors to provide services.In addition,Our country average every ten thousand psychiatric bedspace is 1.58 zhang,But the global average of 4.36 in every ten thousand people zhang.
洪虎表示,目前我国精神障碍防治能力弱的另一个表现是,医务人员对精神障碍的识别能力不强,法律委员会经同有关部门研究,建议在草案中增加规定:医务人员发现就诊者可能患有精神障碍的,应当建议其到符合本法规定的医疗机构就诊。
HongHu said,At present our country mental disorder prevention ability weak another performance is,Medical staff to mentally handicapped recognition ability is not strong,The law committee with relevant departments to study,Suggest increase in the draft regulations:Medical researchers found that issued may be suffering from mental disorder,Should be advised its to in conformity with the provisions of a medical institution.
草案三审稿同时规定:县级以上人民政府卫生行政部门应当组织医务人员进行精神卫生知识培训,提高其识别精神障碍的能力。
The draft regulations three reviewing at the same time:The people's government at or above the county level public health administrative department shall organize medical personnel training knowledge of mental health,Improve the recognition ability of mental disorders.
【解读】王绍礼表示,许多患有精神疾病的患者并不知道自己的真正病因,往往会选择去综合性医院就诊,如果综合性医院的医生具备起码的精神疾病辨识能力和意识,可大大减少患者反复进行各项检查的负担。
[interpretation]WangShaoLi said,Many suffer from mental disease does not know his real etiology,Often can choose to comprehensive hospital,If comprehensive hospital doctor have at least mental disease recognition ability and consciousness,Can greatly reduce the patients with repeated the burden of the inspection.
“综合性医院神经内科开出的抗抑郁药物比我们精神专科医院多得多。”王绍礼举例说,较为常见的患抑郁症(在人群中的总发病率占4%至5%)和焦虑症的患者大多会挂综合性医院神经内科的号,但此类科室的医生往往没有治疗精神疾病的经验,治疗手段和诊疗效果即预防相关风险的能力都不具备,因此神经内科的医生亟须加强精神疾病识别判断能力的培训。
"Comprehensive hospital neurology department on antidepressant drugs than our spiritual more specialized subject hospital."WangShaoLi for example,More common depression(In the crowd overall incidence of 4% to 5%)And anxiety of patients mostly hung comprehensive hospital neurology department number,But such department doctors often do not have the experience of treating mental illness,Treatment means and diagnosis and treatment effect is related to the ability to prevent risks, does not have,Therefore neurology department doctor it is urgent to strengthen the mental disease recognition judgment ability training.
□焦点 - focus
精神科医护人员可享津贴 Psychiatric health care workers can enjoy allowance
洪虎说,目前精神卫生工作的突出问题之一是医务人员收入低、风险高,为稳定队伍,应当对精神卫生工作人员给予适当津贴。因此,法律委员会经同有关方面研究,建议在草案中增加规定:县级以上人民政府及其有关部门、医疗机构、康复机构应当按照规定给予精神卫生工作人员适当的津贴。
HongHu said,At present the work of mental health problems is one of the medical staff low income/High risk,To stabilize the team,Mental health workers should give appropriate allowance.therefore,The law committee with relevant research,Suggest increase in the draft regulations:The people's government at or above the county level and its relevant departments/Medical institutions/Rehabilitation institutions shall, in accordance with regulations give mental health workers appropriate allowance.
【解读】据回龙观医院统计,2006年至2011年间,该医院共流失医护人员111人,其中转向综合性医院的占63%,转向其他精神专科医院的占13.5%。而且,流失的主要是护理、医疗、医技等专门业务人员。据分析,人员流失的主要原因是收入低。目前,回龙观医院的职工人均收入仅相当于北京同级综合性医院的二分之一。
[interpretation]According to the huilongguan hospital statistics,Between 2006 and 2011,The hospital total loss medical staff 111 people,The comprehensive hospital to 63%,Turn to other mental hospitals accounted for 13.5%.and,Erosion is the main nursing/medical/Medical and other special business personnel.According to the analysis,Personnel loss is the main reason of the low income.At present,Huilongguan hospital worker per capita income is only one half of the comprehensive hospitals in Beijing.
目前回龙观医院医护人员的津贴标准为每人每月30元,这个标准还是1985年制定的,由财政和医院各承担15元。这一标准已与现实水平不相符合。
At present huilongguan hospital medical staff allowance standard for every month 30 yuan,This standard was enacted in 1985,The financial and hospital each take 15 yuan.This standard has and realistic level is not consistent with.
在全国人大常委会法工委人员赴回龙观医院调研时,该院院长杨甫德提出建议,要求增加“精神卫生工作人员享受特殊岗位津贴”的规定。如今,草案三审稿采纳了这条建议。
In the National People's Congress (NPC) FaGongWei personnel to the huilongguan hospital when research,Hospital director YangFuDe Suggestions,To ask for an increase in"Mental health workers enjoy special post allowance"regulations.now,Reviewing the draft three adopted the suggestion.
对此,回龙观医院副院长王绍礼表示,与其他医生相比,精神科医生不仅仅是待遇低的问题,更严重的是,因服务对象都是精神障碍患者,生活不能自理,行为不能自控,医务人员时刻都承受着被攻击、被伤害的风险,还要防范患者随时可能出现的自伤、自杀等行为,如果政府能采取一定的岗位津贴,则是对这个行业和岗位的肯定,“津贴的金额可能不会太多,但这是一种精神上的鼓励和支持,意义重大。”
this,Vice President of the huilongguan hospital WangShaoLi said,Compared with other doctors,Psychiatrist is not only the problem of low treatment,More serious is,Because of the service object is in patients with mental disorders,The life cannot provide for oneself,Behavior can't control,Medical staff time under attack/The risk of being hurt,To prevent patients may occur at any time of the people/Suicide behavior such as,If the government can take certain post allowance,It is for this industry and the affirmation of the post,"The amount of subsidy may not too much,But this is a kind of spiritual encouragement and support,Is of great significance."
全国人大常委会委员程津培昨天在审议草案时表示,精神卫生工作人员属于高危行业,目前我国精神卫生的工作人员数量远远不能满足社会的需求,这种局面的出现,归根结底是愿意从事这个行业的人太少,而一个重要的原因是从事精神卫生人员的待遇普遍偏低。程津培表示,此次草案增加规定,要按照规定给予精神卫生工作人员适当的津贴,“我认为这个力度不够。我建议至少要规定不低于当地医院同级别医护人员平均的收入水平。”
The standing committee of the National People's Congress ChengJinPei yesterday in the draft deliberation said,Mental health workers belong to high-risk industry,At present our country mental health staff number far cannot satisfy the needs of the community,The emergence of this situation,In the final analysis, it is willing to engaged in this industry too little,And an important reason is engaged in mental health personnel treatment generally very low.ChengJinPei said,The draft regulations increase,According to the regulations, make mental health workers appropriate allowance,"I think this is not strong enough.I suggest that at least shall not lower than the local hospital level medical personnel with average income level."
□焦点 - focus
患者财产安全不应受侵犯 Patients property safety should not be infringed upon
为更全面地保护精神障碍患者的合法权益,草案还增加了保障精神障碍患者财产安全的规定。
For a more comprehensive to protect the lawful rights and interests of patients with mental disorders,It also increases the security in patients with mental disorders property safety regulations.
在进行二次审议时,草案规定,精神障碍患者的人格尊严、人身安全不受侵犯。有常委会委员提出,为更全面地保护精神障碍患者的合法权益,建议增加保障精神障碍患者的财产安全的规定。因此,三审稿件规定:精神障碍患者的人格尊严、人身和财产安全不受侵犯。
In the second,Draft regulation,The personal dignity of the patients with mental disorders/The personal safety shall not be infringed upon.The standing committee are put forward,For a more comprehensive to protect the lawful rights and interests of patients with mental disorders,Suggest increase security in patients with mental disorders property safety regulations.therefore,SanShen manuscript provisions:The personal dignity of the patients with mental disorders/The personal and property safety shall not be infringed upon.
【解读】长期关注精神障碍患者权益保护的公益律师黄雪涛表示,精神障碍患者的财产被侵害的情况时常发生,需要引起重视。草案三审稿将财产权增入法条也说明了这一点。
[interpretation]Long-term focus on patients with mental disorders of the protection of the rights of public law HuangXueTao said,The property of the patients with mental disorders of the injured situation often happen,Need to bring to the attention.The draft property three reviewing will increase into the law also showed this point.
黄雪涛认为,公民的民事权利一般包括人身权和财产权,精神障碍患者的民事权利应该与普通公民的权利一致,因此其财产权理应受到保障。
HuangXueTao think,Citizens' civil rights generally includes personal right and property right,In patients with mental disorders for civil rights and common citizens' rights should be consistent,Therefore its property rights should be ensured.
她认为,精神障碍患者是权利容易受到侵犯的一类人群,因此除了在原则上加以重视之外,更应该为其提供在权利受到侵犯后有效的司法救济便利。
She thinks,In patients with mental disorders is vulnerable to infringe upon the rights of the crowd,Therefore, in principle, more attention should be paid in addition to outside,More should be to provide in right after the invasion of effective judicial relief convenience.
□焦点 - focus
家庭成员互相关爱入法条 Family members to love each other into law
草案三审稿明确了家庭在精神障碍预防和患者看护方面的责任。草案规定,家庭成员之间应当相互关爱、创造良好、和睦的家庭环境,提高精神障碍预防意识;发现家庭成员可能患有精神障碍的,应当帮助其及时就诊,照顾其生活,做好看护管理。
The draft three copy-editor has been clear about the family in patients with mental disorders in the prevention and nursing of responsibility.Draft regulation,Between family members should love each other/To create a good/Harmony home environment,Improve the mental disorder prevention consciousness;Found that family members may be suffering from mental disorder,Should help the prompt medical attention,Take care of its life,Do nursing management.
【解读】在草案进行前两次审议期间,常委会组成人员提出,家庭关系在精神障碍的预防、治疗、康复等方面都发挥着重要作用,家庭关系是否和谐,对家庭成员尤其是儿童的心理健康有着很大影响。
[interpretation]In the draft for the first two times during the deliberation,The standing committee component members put forward,Family relationship in mental disorder of prevention/treatment/Rehabilitation, etc play an important role,Family relationship is harmonious,To family members, especially children's mental health has a great influence.
其中,全国人大常委会委员陈骏曾表示,对精神病患者或者精神障碍患者,对他们的治疗、恢复、康复,除了社会责任外,家庭责任非常关键。现在很多家庭对精神障碍不了解,甚至有精神障碍的人在身边家人都不知道,应该增加家庭责任的内容。
the,The standing committee of the National People's Congress ChenJunCeng said,For psychiatric patients or patients with mental disorders,For their treatment/recovery/rehabilitation,In addition to the social responsibility,Family responsibility is very key.Now many families to mental disorder don't understand,There is even mentally handicapped people around family all don't know,Should increase the content of the family responsibilities.
冯长根委员也在审议时表示,营造良好的家庭环境对于预防精神上的疾病很有帮助。现在在极端的情况下,家庭容不得患有精神障碍的病人,往往把病人赶到社会上。当然这样的极端事发生了,政府是有相应的责任的,但是家庭就是最初的、最重要的预防单位。
FengChangGen committee also said in the review,Build a good family environment to prevent mental disease to have the help very much.Now in extreme cases,Family let not suffering from mental disorder patients,Often the patient to the society.Of course this extreme happened,The government is a corresponding responsibility,But the family is the original/The most important prevention unit.
世卫组织公布的数据显示,全球约有4.5亿精神健康障碍患者,每40秒就有一人死于自杀,精神障碍已成为严重而又耗资巨大的全球性问题。
The world health organization figures showed,Global about 450 million mental health disorders,Every 40 seconds one person died of suicide,Mental disorders has become serious and the huge cost of global issues.
□委员建议 - members suggest
大力发展精神卫生专业社工 Vigorously develop mental health professional social work
全国人大常委会委员龚学平认为,应在精神卫生法草案中加入大力发展精神卫生专业社会工作者的相关法条。龚学平认为,目前我国正快速地进入老龄化社会,而家庭结构的“倒三角型”社会也越来越严重,过去传统的由家人负责照料精神障碍患者的模式将面临重大的挑战。当前
The standing committee of the National People's Congress GongXuePing think,Should be in mental health legislation in the draft to join vigorously develop mental health professional social workers related law.GongXuePing think,At present our country is quickly into the aging society,And family structure"Nabla type"Society is also more and more serious,In the past the traditional family is responsible for the care of the patients with mental disorders pattern will face great challenge.The current
和以后,由基层政府和社会提供精神卫生专业社会工作者将会逐步成为管理和照料精神障碍患者的一个主要的形式。
And later,The grassroots government and society to provide mental health professional social workers will gradually become management and care for patients with mental disorders in the form of a major.
他举例称,在西方国家,精神卫生专业社会工作者往往是整个服务体系当中最庞大的队伍。比如说美国,精神卫生专业社工师的人数已经超过了精神科医生、护士人数之和。而目前我国精神卫生专业社工队伍还没有真正形成。
He said, for example,In western countries,Mental health professional social workers often is the whole service system, the most large team.For instance the United States,Mental health professional social work division has exceeded the number of psychiatrists/The nurse the sum of the number of.At present, mental health professional social work team has not had a real formation.
本版采写本报记者孙乾 李秋萌
This SunQian LiQiuMeng concludes our reporter
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