Academician Lu Lin: It is of great significance to set up a national mental illness medical center

Text ｜ Lu Lin (Academician of the Chinese Academy of Sciences, Dean of the Sixth Hospital of Peking University, President of Shandong Medical University)

A few days ago, the National Health and Health Commission website issued the "Notice of the National Health and Health Commission on the Establishment of the National Mental Disease Medical Center" and decided to set up a national mental illness medical center in Beijing, Shanghai and Hunan Province.

my country's spiritual health discipline started late. Although the country has attached great importance to and the promotion of government departments at all levels in the past ten years, the public's awareness of mental and mental health has gradually increased, and there is still a certain gap with the countries that have developed earlier in the world.

In response to the continuous increase in psychiatric obstacles in my country, uneven distribution of mental sanitation resources, and the prevention of mental disorders facing many dilemma, the setting of the National Mental Disease Medical Center is of great significance to the development of mental health.

The situation of psychological and psychological issues in my country is still severe

Since entering the 21st century, with the development of the economy and society and the change of people's lifestyle, the prevalence of mental disorders has shown an upward trend. The latest epidemiological survey shows that the lifelong prevalence of mental obstacles among adults in my country is as high as 16.6%, and it has a profound impact on public individuals, families, and society.

Mental illness will not only damage the patient's cognitive function, interfere with its normal emotions and behaviors, but also seriously affect the patient's social function.

Some mental illnesses with high disabled rate have caused heavy economic burden and care pressure on patients' families.

At the same time, some patients with severe mental disorders may also have the risk of accidents and calamities, causing major hidden dangers to social security and stability.

New coronary pneumonia is the worst public health incident in the 21st century. At present, there is still uncertainty in the trend of mutation and spread of new coronal virus, which is likely to continue for a long time, but one thing is certain that the impact of the new coronary pneumonia epidemic on people is very significant.

Around February 2020, surveys on the influence of the new crown pneumonia's epidemic on the public's mental health show that more than one -third of the medical staff, infected, and the public have symptoms such as anxiety, depression, acute stress, and insomnia.

Nowadays, the epidemic of new crown pneumonia has entered the third year. With the extension of the epidemic duration and the expansion of the scope, the source of stress is more diverse, including the psychological and psychological problems of patients during the process of infection and rehabilitation. The public occurs during the isolation period. Psychological symptoms, and the work and life changes caused by the epidemic may also cause psychological problems.

Evidence has shown that the incidence of mental illness such as anxiety, depression, insomnia, and post -trauma has increased further.

Early identification and early treatment of mental illness. However, unlike other physical diseases, the rate of consultation in my country is very low. More than 80%of patients with depression and anxiety disorder are not effectively treated. The reason may be multi -faceted.

First of all, the public's understanding of mental and psychological problems has misunderstandings. Many people often paint mental illness and aspirations and weak will. They believe that carrying one and carrying it.

Secondly, discrimination is also a major reason for the low diagnosis rate of mental disorders.

Many people are embarrassed to tell others when they have a sense of illness, and they are embarrassed to tell others, and they are unwilling to go to the hospital for treatment, which leads to delayed diseases and then cause serious consequences. Many people lack their understanding of mental illness. "Not good", so don't treat it.

In the end, the configuration of Chinese mental health medical institutions and personnel is still insufficient, especially in the grassroots and remote areas, the entire county or city may not find a psychiatrist. It cannot meet the actual needs of patients, and it also affects the patient's medical treatment in time.

Setting the medical center helps to solve the existing dilemma

The goal of the National Mental Disease Medical Center is to promote the expansion of high -quality medical resources and the balanced regional layout, effectively improve the medical and health service capabilities in the field of mental illness in my country, and further improve the medical and health service system.

On the one hand, with the support of the country and Beijing, Shanghai, and Hunan Province, the three north and south of the north and south can pass the multi -center coordinated working mechanism, with the sixth hospital of Peking University, Xiangya Second Hospital of Central South University, and Capital Medical Science University of the National Mental Disease Medical Center's main hospitals and sub -majors are led by the University of Pingfeng Hospital and Shanghai Psychiatric Health Center. Industry standards, creating a psychiatry highland, and driven the construction and development of the national mental illness.

On the other hand, it is also more important. The National Mental Disease Medical Center and the National Medical Center Medical Center of the National Psychological Diseases are coordinated to form a national psychiatric disease prevention and control system for upper and lower and regional collaboration. The promotion on the field and the network of psychiatry and the ability of the psychiatry talent team has gradually promoted the reasonable layout and balanced development of psychiatry and health resources in my country, and effectively improved the medical services and disciplines of psychiatry medicine in my country.

The main hospital has a deep accumulation of work in the clinical medicine of psychiatry, and has previously undertaken tasks such as urgency of mental illness and difficulty in mental illness.

It is designated as the main hospital in the construction of the National Mental Disease Medical Center, which is not only affirmed by these hospitals' previous work ability and achievements, but also provided it with an opportunity to further improve the level of mental illness diagnosis and treatment service. Taking the Sixth Hospital of Peking University as an example, in the future, the national mental illness medical center will be built from the following aspects.

First, further improve the level of medical services. Formulate the guidelines and industry specifications of mental illness and heart and body diseases, promote and popularize appropriate technologies, and improve the main common disease diagnosis and treatment capabilities of psychiatric specialties; strengthen cooperation with comprehensive hospital departments and community medical institutions, improve the diagnosis and treatment of multiple diseases and difficult critical diseases. Ability; open up a specialized diagnosis and treatment platform, and vigorously develop the Asian specialist diagnosis and treatment system for mental obstacles of children, elderly, and different ages; improve humanized management, centered on patient safety, and realize the first -class service environment and service level of psychiatry diagnosis and treatment, strengthen Appointment and referral, improve the efficiency of diagnosis and treatment, and improve the medical experience.

Secondly, build a platform for scientific research and transformation. The complicated cause of mental disorders and a long course of illness, so new technologies for developing early prevention, early identification and early intervention are essential. By establishing a large sample psychological disorder queue and a national big database platform, integrating advanced technologies such as large data and artificial intelligence, and developing psychiatric risk prediction and diagnostic models, thereby achieving individualized treatment; building a psychiatric research ward, formulating and international international The management and application of medical ethics in line, the guidance documents such as the establishment, maintenance and application of international standardized database electronics, maintenance and application of electronics, and conducting standardized and standardized multi -central clinical research, transforming clinical scientific research results to clinical application, strengthening international cooperation exchanges, enhancing international academic academic academics Influence.

Third, strengthen medical resources and talent training. Call for the treatment of psychiatrists and nursing staff, and fundamentally solve the problem of fatigue facing the psychiatric medical talent team. At the same time, in response to the lack of ability of psychiatric medical and health personnel, actively carry out the construction of a professional training system. In the future, through the establishment of demonstration -level psychiatric teacher ability training centers, multi -point radiation psychiatric network online remote education centers, formulating national psychiatric specialist training standards, etc., to cultivate outstanding talents for the country, comprehensively enhance my country's overall spiritual spirit Medical diagnosis and treatment service level.

Finally, bearing public health services. Provide consultation and data support for the policy formulation of government departments, actively promote the introduction of national psychological and psychological policies and regulations, promote the construction of the national psychiatry medical grading diagnosis and treatment service network and management operating mechanism, effectively protect the legitimate rights and interests of patients, eliminate social prejudice, build and improve Smart health service system.

The setting of the State Centers for Psychiatric Medicine is an important measure for the country to improve the level of psychiatric medical diagnosis and treatment and develop psychological health.

The establishment of a national mental illness medical center in Beijing, Shanghai, and Hunan Province is only the beginning of the development of the national psychological and mental health of my country. Effectively improve the level of psychiatry in my country, form a new situation of comprehensive improvement of the consultation rate, cure rate, and rehabilitation rate of mental illness, and help more patients return to society as soon as possible.

"China Science News" (2022-08-30, the first edition of the main news)

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