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Professional characteristics, numbers, distribution and training of China's mental health workforce from 2000 to 2020: a scoping review

作者:Meng Sun, Hongling Zhou, Yue Li, Jiali Wang, Wenjuan Yang, Yi Gong, Jiahuan Xu, Jiawen Zhang, Xin-Hu Yang, Marlys Bueber, Michael R. Phillips, Liang Zhou · 发表于:The Lancet Regional Health - Western Pacific · 年份:2024 · DOI:10.1016/j.lanwpc.2023.100992 · 被引用次数:24 · 研究领域:Mental Health Treatment and Access、Employment and Welfare Studies、Health disparities and outcomes

Over the last 20 years, the numbers, types, distribution, and qualifications of mental health professionals in China have changed dramatically. However, there has been no systematic attempt to collect information about this transformation in the human resources available to provide mental health services-information that needs to be regularly updated to improve the country's coordination of these services. This scoping review compiles current details about China's mental health workforce and identifies critical gaps in available research and reporting. We reviewed all relevant studies and reports published between 1 January 2000 and 30 June 2021 in two English-language and four Chinese-language databases, the website of China's National Health Commission, and national and provincial health services yearbooks. In addition to summarising data from government yearbooks, we integrated relevant results from 82 peer-reviewed publications and two government reports. From 2000 to 2020, the number of psychiatrists in the country increased by 139%, and the number of psychiatric nurses increased by 340%. However, the much higher ratio of mental health professionals per 100,000 population and the better quality of training of mental health professionals in urban, eastern provinces compared to rural, western provinces has not changed. Progress has been made in standardising the training of psychiatrists, but there are no standardised training programs for psychiatric nurses, clinical psyc...