Why do "No. 600" doctors get more and more "food"?

14.08.2022

Number of this text: 4719, the reading time is about 8 minutes older

Guide: In recent years, people's demand for psychological and mental health has become more and more prominent, and "No. 600" has also been "out of the circle". Also began to surge.

Author | First Financial Money Children's Heart

For a long time in the past, Shanghai "No. 600 Wanping South Road" is a taboo name, which is the location of the Shanghai Mental Health Center.

However, in recent years, people's demand for psychological and mental health has become more and more prominent, and "No. 600" has also been "out of the circle". Start surge.

From "Talking about the Change 600" to "Gate Ting Ruo City"

Wang Yong, director of the outpatient department of the Shanghai Mental Health Center, told the First Financial Reporter that since the end of May, the hospital in the gate of Wanping South Road in the hospital will have a long queue every day, and there will be more vehicles on the weekend. When the patient is reduced, the patient is reduced.

According to Wang Yong, as of the end of July, the hospital's hospitalization and outpatient service services have basically returned to about 70%before the epidemic. The needs of Asian specialized services such as children, elderly, sleeping, and special services such as high -end psychotherapy have increased significantly. Due to prevention and control needs, the service provision model and new technology application have also been put forward.

Wang Yong has the tenth year of the "600" outpatient department, and has experienced the changes of the mental health industry in China. He told the First Financial reporter that in the past, many people went to the center of mental health, and they were always afraid that they would be mistaken for "mental illness", and they were worried that they would leave records, enter files, affect jobs, and so on.

"Everyone knows that medical resources in Shanghai are the most abundant, and the phenomenon of incurable people to see a doctor is also many, but there are not many people who have been to see a doctor in the past." Wang Yong told the first financial reporter, "Even if there is, it often looks like doing it. 'Underground work', I am afraid of being known by others.

According to him, in recent years, the people at the mental health center have increased significantly, and many hospital cadres and experts will also find him, hoping to solve some emotional and sleep problems; there are also some parents who plan to plan for him to solve the child's psychology. The social status of psychiatrists and psychotherapists has also been improved.

"We are glad to see this change, and psychological health is more and more valued by the public." Wang Yong told the First Financial reporter, "It's not all about the consultation, but mental illness and psychological problems In recent years, the incidence has increased, which will have a huge impact on individuals, families and society. "

王勇长期研究抑郁障碍和睡眠障碍，从他近期的接诊情况来看，与疫情相关的以下几类的患者明显增多，主要包括：原有疾病恶化或者复发、情绪障碍（例如孤独无助、 Boring and boring, pessimistic despair, self -blame, inferiority, irritability, and excitement such as emotional changes), neuropathic disorders (such as suspicious symptoms, anxiety symptoms, obsessive symptoms, etc.) Sleep rhythm disorders such as dreams, wake up, and upside down day and night) and stimulus disorder.

“疫情对任何人而言都是一种重大应激事件，尤其是整个社会层面都出现了很多变化，人们因此出现一些心理问题是非常正常的。”他告诉第一财经记者，“随着医疗The continuous development of technology and the improvement of the level of diagnosis and treatment, in most cases, patients can get rid of the pain by treatment. "

"Internet Red Secretary" claims to be a little "Versailles"

Speaking of "No. 600", he must mention a person. He is Xie Bin, secretary of the Party Committee of the Shanghai Mental Health Center. Xie Bin once became a "No. 600 Internet celebrity" for "controlling the soul's desire for freedom".

During this year's epidemic situation, Xie Bin also said, "Do not have the guilt of life during isolation" and "even if you can't scribble at home life", which closes the distance between psychological health professional services and ordinary public needs Essence

Xie Bin has been working in "No. 600" since he graduated. Although he is from Sichuan, he has deep feelings for Shanghai. The biggest relaxation he is working every day is to run along the Huangpu River on the night.

In the past three years, the pressure of medical staff has been under great pressure, not only to face patients, but also to adjust their mentality. As the leader of such a team, Xie Bin said he was somewhat "Versailles."

"I am full of confidence in the" Versailles "of our employees' mental health. Our hospital also attaches more importance to creating a harmonious working environment and does not give people too much pressure." Xie Bin told the First Financial reporter, " "Our hospital's cultural construction emphasizes the overall ability. With such an overall mentality, we can avoid 'inner volumes' as much as possible."

Xie Bin said that as a mental and psychological professionals, they basically have long -term professional training and can distinguish the work from the living area. "We are relatively easier to perceive our emotions and other issues. We know a lot of self -adjustment methods, including when you can't get out, doctors who take the initiative to seek accompaniment do treatment for themselves, and even use drugs for treatment." He told the first told first. Financial reporter.

In addition, "No. 600" also has a professional mechanism to ensure the psychological health of the professionals, such as psychological counseling and treatment personnel with regular supervision mechanisms, and accepting analysis and guidance of experienced peers, including handling their own psychological distress. He told the First Financial reporter that in order to meet more diversified psychological needs, the industry is currently carrying out "long -distance psychotherapy" led by senior experts, especially for new fields such as psychoanalysis and dynamic family treatment.

"This is an emerging high -end service form. It is mainly aimed at improving psychological functions such as improving its own personality defects, or high requirements for psychological rehabilitation effects after depression and other illnesses, and pay more attention to privacy protection. The crowd of the charging standard was carried out. "Xie Bin introduced to the First Financial reporter.

In recent years, "No. 600" has come out. In addition to the hot -selling moon cakes and coffee, various e -commerce platforms are selling cultural and creative products related to "No. 600", such as T -shirts and "Democracy Considering" tea tank Wait, there are true or false, but no matter what, "No. 600" has become a cultural symbol of Shanghai, which is also proud of Xie Bin. He attributed this phenomenon to a wave of transformations of the hospital 6 years ago.

"Since 2016, Shanghai mental health services have begun to experience the transformation of mental health services. Traditional psychiatric hospitals are the main force of this wave of transformation and the most strong fortress. The society has more needs and higher requirements for us. "Xie Bin told the First Financial reporter," As a service provider, we used to be used to the door to the door and were used to the door to look at the service target with the guardian. Now, we need to turn around and stand on the perspective of the service object. What kind of psychological health services? Especially people who grew up in the Internet era, these people who grew up playing Douyin, the glory of the king, and virtual reality, we have to try to understand what the psychological health services in their eyes are like. "

The new crown's "illness" has not been eliminated

On August 14, 10 medical care from the Shanghai Mental Health Center departed to Sanya to resist. The mental health of patients and doctors has always been the heavy responsibility of "No. 600" in the new crown epidemic.

After living in Shanghai's return to normal, Xie Bin has repeatedly called for the society to give the new crown recovery person's care and respect, relieve "psychological preparation", and eliminate their "illness".

In his opinion, not only major infectious diseases, any natural disasters, such as war, floods, and earthquakes, as long as the scope is wide enough and the influence is long enough, it may lead to the rise in psychological problems in the crowd.

"These major events are generally due to sudden psychological stimuli, which leads to emotional problems such as panic and anxiety; in the chronic period, the changes in the environment, daily life, and the uncertainty of the future, hopeless helplessness, etc. Anxiety and depression, even irritability, irritability, and impulse. Some people may take risks and cause self -harm or violent attacks. "Xie Bin said.

Chen Jun, director of the experience and intelligent medical department of the Shanghai Mental Health Center, told the First Financial Reporter that due to the long -term discrimination and "illness" of mental illness, in order to allow the people to understand and accept "Psychology" is also called "Psychiatric Psychology", "Hearts", "Psychological Counseling Department" and so on.

"Although there are different names, the purpose is to not discriminate against the disease, let alone discriminate against patients." Chen Jun told the first financial reporter.

Chen Jun has worked for "No. 600" for more than 20 years, and has already paid attention to discrimination against patients with mental disorders. He went to the disaster area for post -disaster psychological reconstruction during the Wenchuan earthquake; in the early days of the new crown epidemic, Chen Jun also went to the Shanghai Public Health Center isolation area for support; during this Shanghai epidemic, Chen Jun supported the Shanghai Sixth Hospital Essence

A rich life experience gave him a deeper thinking than others, especially the social and cultural phenomenon of "discrimination". "Unlike other catastrophic events, the epidemic of infectious diseases often cuts the trust between people, leading to tearing of society."

For example, Chen Junju said that in the outpatient clinic of the new crown rehabilitation, he clearly felt some confusion of the new crown recovery. For example, an old man who had a severe recovery before he talked to him. Since he returned home, his neighbors saw him hiding, causing him to hardly go out, including the family who had basically couldn't go out. Essence

Chen Jun told the first financial reporter: "In fact, this discrimination is not only aimed at viruses and patients, but even everything related to this will be implicated."

In the process of responding to the intervention of the new crisis, Chen Jun had fighting side by side with front -line medical staff, but in the "big white", he really appeared in a closed isolation ward and would still suffer a strange vision. "Some people don't understand. Seeing us' big white" even emotional excitement, thinking that we are 'harmful', may carry the virus, rather do not need our help. "Chen Jun told the First Financial reporter somehow.

He emphasized that people should prevent two viruses, one is the new coronary virus and the other is our psychological virus. Only from a scientific perspective to understand the disease and the disease can we really defeat the virus and usher in the psychological reconstruction after the epidemic.

Children's spiritual doctor is still scarce

Xie Bin told the first financial reporter that there are many new situations to face the mental health work under the epidemic. "Some needs are not serious problems that truly meet the diagnostic standards. Help may only be in exchange for listening; for example, the emotional and behavioral problems of children and adolescents increased significantly during the epidemic period, which was unexpected." He said. Because the psychiatric service resource allocation of psychiatry (children and adolescents) is much less than adult psychiatry, the demand in this regard has increased significantly, which makes the hospital's medical staff and beds look particularly nervous. Xie Bin introduced that "No. 600" originally had only 20 beds in children and young wards. In July this year, a 34 -bedroom child and small ward was newly opened in the Minhang hospital area, which was still in short supply.

Cheng Wenhong, who has more than 20 years of employment experience, is now the director of children and adolescents of the Shanghai Mental Health Center. She told the First Financial reporter that when she chose a psychiatric industry, many college students were more taboo about this discipline.

"I have always felt that this field is very important, and let everyone understand it." Cheng Wenhong told the first financial reporter, "In the past ten years, I clearly feel that with the progress of society, the development of the Internet, young people are more and more willing to accept. People who are willing to take the initiative to accept psychological counseling, the number of people proposed to their parents has continued to increase, and even elementary school students. Their acceptance and openness of mental health services are significantly higher than their parents. "

Cheng Wenhong once met an old man and repeatedly came to the hospital to "inquire", and he was not assured that his granddaughter came to psychological consultation, fearing that he would be misunderstood and discriminated against the school. "After the child came to the doctor, he happily told his classmates in the school that he had a psychologist. Later, the old man introduced another little patient to come to the doctor." She told the first financial reporter.

Since the beginning of this round of epidemic, she has also received consultation from many parents, and a large part is about some problems encountered by children in the process of learning at home. "Parents are very anxious. For example, due to the lack of supervision of school teachers, children can't learn at home and have" difficulties in learning "." She told First Financial reporter.

Recently, some hospitals have recently opened a similar "learning difficulties" clinic. In this regard, Cheng Wenhong said that learning difficulties are only a appearance, and there are various reasons behind it. "Clinically, the difficulty of learning in a broad sense refers to various mental symptoms, behavioral emotional problems, etc. The learning function is affected, and the narrow sense refers to the learning skills related to brain dysfunction. This is a long -term clinical problem." Explanation to the First Financial Reporter said.

Cheng Wenhong emphasized that for children and adolescents with difficulties in learning, they need to find the symptoms behind the appearance and give treatment. Parents cannot have inappropriate expectations for this report.

Children and adolescent doctors like Cheng Wenhong are extremely scarce in China. According to a data published in "Liu Ye Dao" in 2019, the number of doctors in the young psychiatry of children in my country does not exceed 500! Not only that, most of the domestic high -quality child and young psychiatrists do concentrate in large and third -tier cities in the first- and second -tier cities.

Xie Bin explained to the First Financial reporter the reason why the number of qualified children and the spiritual doctor was so scarce. He said: "One is because the children's psychiatrist has always belonged to small subjects and has not received much attention and training. The second is that the environmental environment is not good. More. "

Xie Bin quoted the latest data saying that although the young psychiatrists in my country have grown to thousands of people, it is still a lot of money compared with the huge demand, and so far, only less than 6%of the psychiatric hospitals have been hospitalized with hospitalization. The psychiatric department of the ward is lower than the 12%opening ratio of the elderly! "Specialist hospitals do not have related departments, and other hospitals are even more disappeared." Xie Bin told First Financial reporter.

First Financial reporter learned that even Shanghai has only a pediatrics or children's psychological clinic, but the number is very small. For example Wait.

Relevant children's hospitals told the First Financial Reporter: "The children's guarantee department is also biased for health care, mainly depending on outpatient clinics. Most of them are in consultation. Combining children's growth and development, there is no surgery, inspection, and can not be used casually. The benefits are low."

谢斌对第一财经记者表示：“现在批准用于儿少的特色诊疗项目少，那么开展科研也较为困难，晋升等方面就受到一定限制，职业发展存在天花板。”他强调，作为一种以Help people live in occupations, and it is also very important to cultivate a sense of occupational identity, professional honor and achievement.

According to Cheng Wenhong's observation, this phenomenon is improving in recent years, and more and more psychiatrists are also interested in children and young sciences, especially among some graduated medical students, boys are willing to engage in child and young psychiatrists and psychotherapists People also started to be more.

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