Public Mental Health
Management and services for psychosis in People's Republic of China in 2015
Xiamin Wu, Ning Ma, Liying Wang, Shubin Zhang, Xun Wang, Wufang Zhang, Lili Guan, Lelai Yi, Hong Ma, Xin Yu, Bin Wang
Published 2017-08-05
Cite as Chin J Psychiatry, 2017, 50(4): 302-307. DOI: 10.3760/cma.j.issn.1006-7884.2017.04.013
Abstract
ObjectiveTo analyze the management and treatment situation for patients with psychosis in China in 2015, and compare with those in 2014, in order to provide a reference for policy making and services delivering.
MethodsDescriptive method was used to analyze the system usage and registration, management and treatment situation of the patients with psychosis, using the data obtained from"National Information System for Psychosis"in China and all provinces (including municipalities and autonomous regions), date traced from 1st August 2011 to 31st December 2015. Comparison and analysis were performed on the data in 2014 and 2015.
ResultsBy the end of 2015, the information system was adapted by 2 774 districts/counties, accounting for 97.20% of the total county-level administrative areas (2 774/2 854), higher than that of 95.58% in 2014. There were 52 000 registered users in the system; 4 921 505 patients were registered, and registered rate was 0.361% (4 921 505/1 362 466 686). In 2015, 4 252 022 patients were provided with follow-up services by primary health care staff, and the management rate was 86.40% (4 252 022/4 921 505). 2 211 835 patients were followed up regularly, with the management rate of 44.94% (2 211 835/4 921 505). Moreover, 2 071 111 patients were treated by taking antipsychotics, with the medication-taking rate of 48.71% (2 071 111/4 252 022), and 1 293 133 patients took medication regularly, with the regular medication-taking rate of 30.41% (1 293 133/4 252 022); 2 547 824 patients were in stable condition and the stable disease rate was 61.31% (2 547 824/4 155 963).Compared with 2014, the registered rate, management rate, regular management rate, medication rate and regular medication rate were in an increasing trend, with the increase rates of 13.91%, 17.18%, 25.65%, 2.51%, 25.12% respectively; the stable disease rate in the patients at home were in a decreasing trend, down by 9.36%.
ConclusionIn 2015, the coverage of the information system was expanded. The number of registered patients was sustainably growing. The level of patient management and medicine-taking were improved, and the duration of untreated psychosis was shortened. However, the conditions of illness should be further controlled.
Key words:
Mental disorders; Community mental health services; Information system
Contributor Information
Xiamin Wu
Department of Public Mental Health, Peking University Six Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing 100191, China
Ning Ma
Liying Wang
Shubin Zhang
Xun Wang
Wufang Zhang
Lili Guan
Lelai Yi
Hong Ma
Xin Yu
Bin Wang