Management and services for psychosis in People's Republic of China in 2015
10.3760/cma.j.issn.1006-7884.2017.04.013
- VernacularTitle:2015年全国严重精神障碍患者管理治疗现状分析
- Author:
Xiamin WU
1
;
Ning MA
;
Liying WANG
;
Shubin ZHANG
;
Xun WANG
;
Wufang ZHANG
;
Lili GUAN
;
Lelai YI
;
Hong MA
;
Xin YU
;
Bin WANG
Author Information
1. 100191,北京大学第六医院公共卫生事业部北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学)
- Publication Type:Journal Article
- Keywords:
Mental disorders;
Community mental health services;
Information system
- From:
Chinese Journal of Psychiatry
2017;50(4):302-307
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the management and treatment situation for patients with psychosis in China in 2015, and compare with those in 2014, in order to provide a reference for policy making and services delivering. Methods Descriptive method was used to analyze the system usage and registration, management and treatment situation of the patients with psychosis, using the data obtained from"National Information System for Psychosis"in China and all provinces (including municipalities and autonomous regions), date traced from 1st August 2011 to 31st December 2015. Comparison and analysis were performed on the data in 2014 and 2015. Results By the end of 2015, the information system was adapted by 2774 districts/counties, accounting for 97.20% of the total county-level administrative areas (2774/2854), higher than that of 95.58% in 2014. There were 52000 registered users in the system;4921505 patients were registered, and registered rate was 0.361% (4921505/1362466686). In 2015, 4252022 patients were provided with follow-up services by primary health care staff, and the management rate was 86.40% (4252022/4921505). 2211835 patients were followed up regularly, with the management rate of 44.94% (2211835/4921505). Moreover, 2071111 patients were treated by taking antipsychotics, with the medication-taking rate of 48.71% (2071111/4252022), and 1293133 patients took medication regularly, with the regular medication-taking rate of 30.41% (1293133/4252022);2547824 patients were in stable condition and the stable disease rate was 61.31%(2547824/4155963). Compared with 2014, the registered rate, management rate, regular management rate, medication rate and regular medication rate were in an increasing trend, with the increase rates of 13.91%, 17.18%, 25.65%, 2.51%, 25.12%respectively;the stable disease rate in the patients at home were in a decreasing trend, down by 9.36%. Conclusion In 2015, the coverage of the information system was expanded. The number of registered patients was sustainably growing. The level of patient management and medicine-taking were improved, and the duration of untreated psychosis was shortened. However, the conditions of illness should be further controlled.
