2016年,宝安区政府,深圳,中国为其管辖范围内所有非登记的患有严重精神障碍(SMD)的永久居民启动了免费药物治疗计划,努力减少间歇性药物或非药物引起的复发。自成立以来,尚未对该计划的参与进行分析。本研究旨在评估2016年至2020年非SMD注册永久居民参与该计划的情况,并探讨其影响因素。
这是一项对宝安区3760名非登记永久性SMD居民的回顾性横断面研究,深圳,中国(答复率:78.64%)。数据来自两个来源:2020年的深圳市精神病信息系统和2016年至2020年的免费用药计划管理档案。我们采用描述性统计数据来分析非注册永久患者中免费药物计划的参与率。采用Logistic回归分析探讨影响患者参与项目的因素。
非注册永久病人的免费用药计划参与率呈上升趋势,从2016年的28.83%上升到2020年的58.32%。在以下患者亚组中记录了较高的参与率:年龄在30至39岁之间的患者(63.11%),高中/中专学生(62.33%),来自农村地区的人(61.62%),生活在贫困中的人(67.79%),患有分裂情感障碍的人(72.26%),SMD少于5年(59.89%),和有精神病家族史的人(71.23%)。物流回归分析表明,年龄,患者-监护人关系,居住地,财务状况,疾病的类型,病程和家族史是影响患者决定参加免费用药计划的主要因素。
免费药物治疗计划的参与率稳步提高,表明该计划已逐渐被SMD非注册永久居民接受和认可。然而,近一半的患者尚未加入该计划。为了进一步提高参与率,应该特别注意经济上有保障的病人,20岁以下,没有监护人,智力残疾或患有SMD超过5年。
In 2016, the government of Bao\'an District, Shenzhen,
China launched a free medication program for all non-registered permanent residents with severe mental disorders (SMD) within its jurisdiction, in efforts to reduce the relapse caused by intermittent medication or non-medication. Participation in the program has not been analyzed since its inauguration. This study aimed to evaluate the participation of non-registered permanent residents with SMD in the program from 2016 to 2020 and to explore its influencing factors.
This is a retrospective cross-sectional study of 3760 non-registered permanent residents with SMD in Bao\'an District, Shenzhen,
China (response rate: 78.64%). Data have been obtained from two sources: the Shenzhen Information System for Psychosis in 2020 and the free medication program\'s management files from 2016 to 2020. We employ descriptive statistics to analyze the participation rate of the free medication program among non-registered permanent patients. Logistic regression analysis is used to explore the factors affecting the patients\' participation in the program.
The participation rate of the free medication program among non-registered permanent patients has shown an upward trend, rising from 28.83% in 2016 to 58.32% in 2020. High participation rates have been registered among the following patient subgroups: those aged between 30 and 39 (63.11%), those with high school/technical secondary school (62.33%), those from rural areas (61.62%), those living in poverty (67.79%), those suffering schizoaffective disorder (72.26%), those having SMD for less than 5 years (59.89%), and those with family history of mental illness (71.23%).Logistics regression analysis shows that age, patient-guardian relationship, place of residence, financial condition, types of disease, duration of illness and family history are the main factors affecting the patients\' decision to participate in the free medication program.
The steadily increasing participation rate of the free medication program indicates that the program has been gradually accepted and recognized by non-registered permanent residents with SMD. However, nearly half of the patients have yet to join the program. To further raise the participation rate, special attention should be given to patients who are financially secure, aged below 20, without guardians, intellectually disabled or suffering SMD for over 5 years.