上海市嘉定区贫困精神病人药物治疗情况调查报告

The evaluation of free medication policy for psychotic patients in poverty in Shanghai Jiading district.

目的调查了解社区精神病人免费服药情况。方法通过对400名社区贫困精神病人随访,比较实行免费药物治疗前后的2年(2004年和2005年)中,在服药依从性、病情稳定情况、劳动能力以及因病所致的经济损失情况的变化,分析实行免费服药后的效果。结果在400例患者中能按医嘱服药的人数从前1年的270例,提高到346例,增加了22%;同时间断服药的患者从前1年的98例,减少到37例,下降了62%;不服药的患者从前1年的32例,减少到17例,不服药率下降了47%。复发率下降了10%。无劳动力的患者下降了4%。误工费用和因病所花费的门诊医药费的损失下降了91%。结论精神病患者需要正规的药物治疗和康复治疗。尤其是贫困精神病患者,更需要政府提供有效和必要的帮助。

Objective： To investigate the effectiveness of free medication policy for patients with psychotic disorders in poverty in the community. Methods： The research included 400 patients with psychotic disorders in poverty level in the community and compared the changes such as antipsychotic therapy compliance, state of the illness , labor ability and ecnomic loss before and after the free medication policy implemented in 2004 and 2005, to evaluate the effectiveness of the policy. Results： The study showed patients who followed doctors＇ prescription increased from 270 to 346 by 22% , whereas patients who discontinued treatment decreased from 98 cases to 37 cases by 62% ,and patients with treatment refusal decreased from 32 to 17 by 47%. At the same time,the relapse rate declined by 10% ,the disabled patient rate declined by 4% with more patients recovered back to the community, the disease cost and loss from out -of- work declined by 91%. Conclusion：Psychotic patients need standard medication treatment and rehabilitation therapy especially those in poverty,the government should provide more necessary and effective treatment resources for this specific population.