Analysis and prospect of free medication for severe mental disorders in Beijing
10.3969/j.issn.1006-2483.2021.05.004
- VernacularTitle:北京市严重精神障碍患者免费服药现况分析及展望大气污染物对盐城市常住居民死亡影响的时间序列研究
- Author:
Yun CHEN
1
,
2
,
3
;
Qingzhi HUANG
1
,
2
,
3
;
Ying XYU
1
,
2
,
3
;
Bin LI
1
,
2
,
3
;
Rui XI
1
,
2
,
3
;
Xiaohu HAN
1
,
2
,
3
;
Yu ZHAO
1
,
2
,
3
;
Keyue FU
1
,
2
,
3
Author Information
1. The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China
2. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China
3. Beijing Institute of Mental Health，Beijing 100069, China
- Publication Type:Journal Article
- Keywords:
Mental disorders;
Free medication;
Community service
- From:
Journal of Public Health and Preventive Medicine
2020;32(5):15-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the situation and changing trend of free medication service in Beijing from 2013 to 2020, and to propose policies and service improvement measures. Methods A retrospective survey was conducted in Beijing to collect and analyze the service subjects, service process, drug catalog, fiscal investment and patient participation of free medication in each district in recent years. Results Among the 16 districts of Beijing, 81.25% of the districts included the patients listed in Item (2) of Paragraph 2 of Article 30 of the Mental Health Law into the scope of free medication, and 75% of the districts broke the restriction that the service targets were registered residents in Beijing. 56.25% of the districts provided a variety of free medication modes, and 81.25% of the districts provided a mode of nearby community service. The catalog of free medications in various areas was still based on the Beijing catalog, and only 18.75% of the districts supplemented the list. In 2020, the total investment of free medicines and subsidies was 88.3768 million RMB, and the per capita investment was 1 616.02 RMB. The total cost showed an increasing trend year by year. From 2013 to 2020, the difference of per capita annual financial investment in drugs and subsidies was statistically significant (F=9.248, P<0.001). The per capita cost basically showed an increasing trend year by year except for individual years. In 2020, 54,688 patients participated in the free medication service in Beijing, and the participation rate was 67.23%. From 2013 to 2020, the difference of annual participation rate of patients was statistically significant (χ2=37098.759, P<0.001), and the number and proportion of patients increased year by year. Conclusion The practice of the district level has proved feasible to expand the scope of free medication service and to optimize the service process, which should be paid more attention in the future. With the continuous advancement of policies and services, the level of patient participation in various areas will tend to be relatively balanced after rising year by year.
