严重精神障碍患者免费服药参与情况及财政投入分析

Participation Situation and Financial Investment of Free Medication for Patients With Severe Mental Disorders

目的探讨北京市严重精神障碍免费服药工作实施1年后患者参与情况及财政投入情况。方法在北京市16区的精神卫生专业人员中,选取具体负责本区2013—2015年严重精神障碍患者数据报表和免费服药项目经费执行的人员。采取回顾性研究方法,自制调查问卷,问卷内容包括2013年1月—2015年12月各区严重精神障碍患者数、免费服药服务参与患者数、财政经费支出数据。共发放问卷16份,全部收回,其中有效问卷16份,有效回收率为100%。结果北京市免费服药工作开展前(2013年)和开展后(2015年)参与免费服药患者比例间差异有统计学意义(P<0.05)。2013—2015年城区与郊区患者参与免费服药情况间差异均有统计学意义(P<0.05)。北京市免费服药工作开展前(2013年)和开展后(2015年)免费服药患者人均财政支出费用间差异有统计学意义(P<0.05)。2013—2015年城区与郊区免费服药患者人均财政支出费用间差异均无统计学意义(P>0.05)。结论通过北京市严重精神障碍免费服药工作的开展,患者参与免费服药比例明显升高,持续增长的财政投入为服务开展提供了保障。

Objective To explore the participation situation and financial investment of free medication for patients with severe mental disorders after one- year running in Beijing. Methods From the sixteen districts of Beijing of mental health professionals,we selected the specific person who responsible for data reports of severe mental disorders patients and funding implementation of free medication project in the area from 2013 to 2015. Using retrospective study method, the self- made questionnaire includes the number of serious mental disorder patients from January 2013 to December 2015, the number of patients participating free medication services, financial expenditure data. A total of 16 questionnaires were distributed and recovered all back,and 16 effective questionnaires were collected, with an effective recovery rate of 100%. Results Before（ 2013） and after（ 2015） carrying out the free medication in Beijing,there were significantly different in the percentage of patients participating free medication（ P〈0. 05）. From 2013 to 2015, there were significantly different in the participation situation of free medication between urban and suburban area（ P〈0. 05）. Before（ 2013） and after（ 2015） carrying out the free medication in Beijing,there were significantly different in per capita expenditure costs（ P〈0. 05）. From 2013 to 2015,there were not significantly different in per capita expenditure costs between urban and suburban area（ P〈0. 05）. Conclusion By the work of free medication for patients with severe mental disorders being carries out in Beijing, the percentage of patients participating free medication is significantly increased. Growing financial investment provides guarantee to the service developing.