|本期目录/Table of Contents|

[1]卢楚虹,曾娟,谢颖,等.深圳市宝安区严重精神障碍患者药费减免政策的效果评估[J].慢性病学杂志,2018,(8):999-1001.
　LU Chu-hong*,ZENG Juan,XIE Ying,et al.Evaluation of the effect of drug fee reduction policy for severe mental disorders in Baoan district, Shenzhen[J].,2018,(8):999-1001.
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深圳市宝安区严重精神障碍患者药费减免政策的效果评估(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2018年8期
页码:
999-1001
栏目:
论　著
出版日期:
2018-08-31

文章信息/Info

Title:
Evaluation of the effect of drug fee reduction policy for severe mental disorders in Baoan district, Shenzhen
作者:
卢楚虹1;  曾娟1;  谢颖1;  朱玮1;  黄伙娣1;  吕剑锋1;  钟健湖2;  张泉水1
1. 广东省深圳市宝安区慢性病防治院，广东深圳518101； 2. 深圳市宝安区松岗人民医院红星社区健康服务中心，广东深圳518000
Author(s):
LU Chu-hong*;  ZENG Juan;  XIE Ying;  ZHU Wei;  HUANG Huo-di;  LV Jian-feng;  ZHONG Jian-hu;  ZHANG Quan-shui
*Shenzhen Baoan district Chronic Disease Hospital, Shenzhen, Guangdong 518101, China Corresponding author: ZHANG Quan-shui, E-mail: 76504584@qq.com
关键词:
严重精神障碍; 宝安区; 药费减免; 效果评估
Keywords:
Severe mental disorders;  Baoan district;  Drug fee reduction;  Effect evaluation
分类号:
R749.3
DOI:
-
摘要:
目的探讨药费减免政策对社区严重精神障碍患者生活与治疗的影响，为政府修订和制定政策提供可靠 的依据。方法选取2017 年3—4 月深圳市宝安区303 例严重精神障碍患者实施药费减免，并于药费减免前后采 用自制调查表，比较患者在服药依从性、自我感受治疗费用负担、危险度评估及病情稳定性的变化，评估药费减 免对患者疾病负担的影响，评价药费减免政策的效果。结果严重精神障碍患者在药费减免1年后，服药依从性 较药费减免前明显提高，差异有统计学意义（P<0.01）。自我感受治疗费用负担较前减轻，差异有统计学意义 （P<0.01）。服药方式以自行服药和他人督促服药为主，药费减免前后差异无统计学意义（P>0.05）。未规律服药 原因中担心服药影响智力或认为取药不方便人数较前均有所下降，但差异无统计学意义（P>0.05）。药费减免 1年后危险度评估分级较前明显下降，差异有统计学意义（P<0.05）。病情稳定人数较药费减免前明显增加，基本 稳定和不稳定患者明显减少，差异有统计学意义（P<0.01）。结论药费减免政策能吸引患者纳入社区管理，减 轻患者家庭经济负担，促进患者坚持服药，是严重精神障碍患者获得有效康复途径之一。
Abstract:
Objective To explore the effect of drug fee reduction policy on the disease of community patients with severe mental disorders. Methods A total of 303 patients with severe mental disorders in Baoan district of Shenzhen were recruited, and a self-made questionnaire was used before and after the drug fee reduction policy to compare the patients' compliance, the cost burden of self- feeling for treatment, risk assessment and the change of the disease stability. The effect of drug fee reduction policy on the disease burden of the patients was evaluated. Methods After 1 years of drug fee reduction, the compliance of medication was significantly higher than that before （P<0.01） , and the cost burden of self-feeling for treatment was less than that before （P<0.01） . There was no significant difference in the way of taking medicine by oneself and the others to urge to take the medicine （P> 0.05） . The degree of risk assessment was significantly lower than before （P<0.05） , and the number of stable patients increased significantly （P<0.05） . Conclusions The drug fee reduction policy can attract patients into community management, reduce the patients family economic burden, and promote patients adherence to medication adherence. The drug fee reduction policy is one of rehabilitative wayfor the patients with severe mental disorders.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目：深圳市宝安区2017 年医疗卫生基础研究项目（2017JD068） 作者简介：卢楚虹，硕士，公卫医师，研究方向：精神卫生流行病学 通信作者：张泉水，E-mail：76504584@qq.com
更新日期/Last Update: 2018-08-30