摘要
目的调查分析北京市2015—2017年严重精神障碍患者免费服药参与及财政投入情况。方法回顾性分析北京市16个区2015—2017年严重精神障碍患者数据报表并调查免费服药项目经费执行人员。自制调查问卷,内容包括2015—2017年间患者免费服药参与情况(包括严重精神障碍患者数及参与免费服药患者数、患者户籍分布、患者病种分布)和财政投入情况(包括人均财政支出、财政投入费用及药品费用、专项管理费用、专项宣传费用、其他费用)。结果共发放问卷16份,有效问卷回收率为100%。(1)2015—2017年登记管理的严重精神障碍患者年增长率分别为12.38%和14.80%;参与免费服药患者年增长率分别为25.09%和22.87%。2016年免费服药参与率高于2015年,2017年免费服药参与率高于2016年(P<0.01)。(2)2015—2017年参与免费服药患者中北京市户籍者所占比例分别为99.93%、99.73%、99.84%;北京市户籍患者中6类疾病者所占比例分别为93.76%、97.15%、96.96%。(3)2015—2017年,城区与郊区严重精神障碍患者免费服药参与率均呈逐年上升趋势;郊区严重精神障碍患者免费服药参与率高于城区(P<0.05)。(4)2015—2017年,免费服药患者财政支出总费用年增长率分别为40.22%和20.18%;人均财政支出费用年增长率分别为12.10%和-21.84%。2015—2017年间及其城区与郊区免费服药患者人均财政支出费用比较,差异均无统计学意义(P>0.05)。(5)2015—2017年,在财政投入费用中药品费用比例分别为98.78%、92.38%、94.12%;专项管理费用比例分别为0、0.30%、0.64%;专项宣传费用比例分别为0.36%、0.10%、0.04%。结论2015—2017年,北京市参与免费服药的严重精神障碍患者以北京市户籍居民及6类疾病为主,城区与郊区严重精神障碍患者免费服药参与率均呈逐年上升趋势,且郊区高于城区;各区财政支出总费用逐年增加,但人均财政支出费用趋于平稳,宣传�
Objective To investigate the free medication participation status and fiscal investment in patients with severe mental disorders from 2015 to 2017 in Beijing.Methods Data reports of patients with severe mental disorders in the 16 districts of Beijing from 2015 to 2017 were retrospectively analyzed,and executive staff of free medication project funds were surveyed.Self-made questionnaire was used to collect the free medication participation status(including number of patients with severe mental disorder,the number of patients participating free medication services,household registration distribution,disease types)and fiscal investment(including per capita expenditure,regional financial input,expenditureon medicines,management cost,promotion cost and other cost).Results A total of 16 questionnaires were distributed and recovered all back,with an effective recovery rate of 100%.(1)From 2015 to 2017,the annual growth rate of registered and managed patients with severe mental disorders was 12.38%and 14.80%,respectively,and the annual growth rate of patients participating free medication services was 25.09%and 22.87%,respectively.Participation rate of free medication services in 2016 was statistically significantly higher than that in 2015,and participation rate of free medication services in 2017 was statistically significantly higher than that in 2016(P<0.01).(2)From 2015 to 2017,99.93%,99.73%and 99.84%of patients with Beijing residency participated in free medication services,meanwhile proportion of the six kinds of mental disorders was 93.76%,97.15%and 96.96%in patients with Beijing residency,respectively.(3)From 2015 to 2017,participation rate of free medication services in patients with severe mental disorders in urban and suburban areas increased year by year,and participation rate of free medication services in patients with severe mental disorders in suburban areas was statistically significantly higher than that in urban areas(P<0.05).(4)From 2015 to 2017,the total annual expenditure of free medication servic
作者
陈云
李斌
黄庆之
周芯蕾
王星月
闫芳
CHEN Yun;LI Bin;HUANG Qingzhi;ZHOU Xinlei;WANG Xingyue;YAN Fang(Beijing Anding Hospital Affiliated to Capital Medical University,The National Clinical Research Center for Mental Disorders,Beijing Key Laboratory for Diagnosis and Treatment of Mental Disorders,Beijing 100088,China;Capital Medical University,Advanced Innovation Center for Human Brain Protection,Beijing 100069,China Corresponding author:YAN Fang,E-mail:cyfox1977@126.com)
出处
《实用心脑肺血管病杂志》
2019年第2期57-61,共5页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
精神障碍
免费医疗
病人参与
财政投入
Mental disorders
Uncompensated care
Patient participation
Fiscal investment
