门诊普通患者与贫困免费患者用药调查分析

Medication investigation for common patients and poor free patients

目的:了解我院门诊患者中普通患者与贫困免费患者用药治疗情况,为放开贫困患者免费治疗药物提供参考依据。方法:随机抽取1个月我院门诊就诊的全部病例,填写自行设计的调查表,调查内容包括用药情况、门诊费用、治疗依从性等。结果:普通门诊患者使用第二代新型抗精神病药物的比例,使用SSRIs类新型抗抑郁药比例均高于贫困免费患者;贫困免费患者定期复诊率高于普通门诊患者;普通门诊患者费用明显高于贫困免费患者。结论:放开贫困患者免费服药的药物品种,增加免费服药救助经费,使贫困患者能得到更适合自己病情的个体化治疗。

Objective ：To investigate medication situations for common patients and poor free patients of mental health center of Jinshan district in order to provide a reference basis to expand the free drugs for the poor patients. Methods ：The patients visiting men- tal health center of Jinshan district in a month were randomly selected and filled out the self - designed questionnaire including medica- tion situation, medical expense, treatment compliance, and so on. Results： The proportions of the second generation of new antipsy- chotic drugs and SSRIs type new antidepressafits for the common patients were higher than those for the poor free patients. The rate of regular return visit of the poor free patients was higher than that of the common patients ; however, the medical expense of the common patients was obviously higher than that of the poor free patients. Conclusions ： The poor free patients can obtain the suitable individual treatment through expanding the drug varieties and increasing funds for free medical care.