上海市闵行区社区精神卫生防治人力资源配置现状及优化对策OA

Objective To analyze the current status and regional differences of community mental health workforce allocation in Minhang District,Shanghai,and to propose optimization strategies.Methods Annual sta-tistical data from community health service centers in the district from 2020 to 2024,along with self-designed sur-vey forms,were collected to establish a database.Statistical analysis was performed using R software.Results From 2020 to 2024,the total number of mental health staff ranged from 514 to 603,with a low proportion of full-time staff(2.21％-3.69％)and the majority being part-time.The workforce was mainly composed of clinical(38.13％-41.40％)and nursing(35.66％-37.96％)professionals,while public health and psychology per-sonnel were scarce.The proportion of staff with a bachelor's degree or above increased to 75.22％(P=0.024),and those engaged in mental health prevention for ≥6 years increased significantly(33.22％→60.11％,P＜0.001).Significant difference in professional composition was observed between the northern and southern regions(P＜0.001),with the northern region having slightly higher proportions of public health and other professionals.In 2024,21 full-time mental health doctors corresponded to an average of 30.33 family doctors and 32.62 village/community committees,indicating notable service pressure in some communities.Conclusions The community mental health prevention and treatment workforce in Minhang District of Shanghai is insufficient and unevenly dis-tributed,necessitating improvements in allocation and service capacity.