Zhao Xudong, Liu Liang, Hu Chengping, Chen Fazhan, Sun Xirong
Pudong New Area Mental Health Center, Shanghai, China.
Department of Clinical Psychology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Int J Health Plann Manage. 2017 Jul;32(3):363-371. doi: 10.1002/hpm.2437. Epub 2017 Jun 22.
It has been nearly 40 years since the reform and opening up of Mainland China. The mental health services system has developed rapidly as a part of the profound socioeconomic changes that ensued. However, its development has not been as substantial as other areas of medical care. For the current qualitative systematic review, we searched databases, including China Biology Medicine disc, Weipu, China National Knowledge Infrastructure, Wanfang digital periodical full text data, China's important newspaper full text database, China Statistical Yearbook database, etc. The content of primary research, literature, and policy papers about the evolution and development of Chinese mental health services was systemically reviewed and analysed by using thematic analysis. Two main themes relative to the necessity and feasibility of reforming the current mental health services system emerged. We discuss 5 corresponding subthemes under the umbrella of the necessity of improving the current treatment, rehabilitation, prevention, and service systems and 7 requirements for the feasibility of reforming the current system. We conclude that as the development of the Chinese economy and the spirit of humanistic care continue, the improvement and reformation of the mental health services system are both necessary and feasible.
中国大陆改革开放至今已近40年。作为随之而来的深刻社会经济变革的一部分，心理健康服务体系发展迅速。然而，其发展程度不及医疗保健的其他领域。对于本次定性系统评价，我们检索了多个数据库，包括中国生物医学光盘数据库、维普、中国知网、万方数字化期刊全文数据库、中国重要报纸全文数据库、中国统计年鉴数据库等。运用主题分析法，对关于中国心理健康服务演变与发展的原始研究、文献及政策文件内容进行了系统回顾与分析。出现了与改革当前心理健康服务体系的必要性和可行性相关的两个主要主题。我们在改善当前治疗、康复、预防和服务体系的必要性这一主题下讨论了5个相应的子主题，以及改革当前体系可行性的7项要求。我们得出结论，随着中国经济的发展和人文关怀精神的延续，心理健康服务体系的完善与改革既必要又可行。
