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首页> 外文期刊>BMC Psychiatry >Participation in a free medication program among non-registered permanent residents with severe mental disorders in Bao’an district, Shenzhen, China and its influencing factors
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Participation in a free medication program among non-registered permanent residents with severe mental disorders in Bao’an district, Shenzhen, China and its influencing factors

机译：参与未注册的永久性居民的自由药物计划，具有贫民窟，深圳，中国宝安区及其影响因素严重精神障碍

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In 2016, the government of Bao’an District, Shenzhen, China launched a free medication program for all non-registered permanent residents with severe mental disorders (SMD) within its jurisdiction, in efforts to reduce the relapse caused by intermittent medication or non-medication. Participation in the program has not been analyzed since its inauguration. This study aimed to evaluate the participation of non-registered permanent residents with SMD in the program from 2016 to 2020 and to explore its influencing factors. This is a retrospective cross-sectional study of 3760 non-registered permanent residents with SMD in Bao’an District, Shenzhen, China (response rate: 78.64%). Data have been obtained from two sources: the Shenzhen Information System for Psychosis in 2020 and the free medication program’s management files from 2016 to 2020. We employ descriptive statistics to analyze the participation rate of the free medication program among non-registered permanent patients. Logistic regression analysis is used to explore the factors affecting the patients’ participation in the program. The participation rate of the free medication program among non-registered permanent patients has shown an upward trend, rising from 28.83% in 2016 to 58.32% in 2020. High participation rates have been registered among the following patient subgroups: those aged between 30 and 39 (63.11%), those with high school/technical secondary school (62.33%), those from rural areas (61.62%), those living in poverty (67.79%), those suffering schizoaffective disorder (72.26%), those having SMD for less than 5?years (59.89%), and those with family history of mental illness (71.23%).Logistics regression analysis shows that age, patient-guardian relationship, place of residence, financial condition, types of disease, duration of illness and family history are the main factors affecting the patients’ decision to participate in the free medication program. The steadily increasing participation rate of the free medication program indicates that the program has been gradually accepted and recognized by non-registered permanent residents with SMD. However, nearly half of the patients have yet to join the program. To further raise the participation rate, special attention should be given to patients who are financially secure, aged below 20, without guardians, intellectually disabled or suffering SMD for over 5?years.
机译：2016年，深圳市宝安区政府为其管辖范围内的所有非注册永久居民（SMD）的所有非注册永久居民发起了免费药物计划，以减少由间歇药物或非间歇性造成的复发药物。自成立以来，尚未分析该计划的参与。本研究旨在评估2016年至2020年方案中非注册的永久居民与SMD的参与，并探讨其影响因素。这是中国深圳宝安区3760名非注册永久居民的回顾性横截面研究（回应率：78.64％）。已经从两个来源获得了数据：2020年的精神病信息系统和2016年的免费药物计划的管理文件，从2016年到2020年。我们采用了描述性统计分析了非注册永久性患者之间的免费药物计划的参与率。 Logistic回归分析用于探索影响患者参与该计划的因素。非注册永久性患者的自由药物计划的参与率表现出上升趋势，2016年的28.83％升至2020年的58.32％。以下患者亚组中的高度参与率已经注册：年龄在30至39期之间的参与率（63.11％），高中/技术中学的人（62.33％），农村地区（61.62％），居住的人（67.79％），那些患有SchizoAfferceive疾病（72.26％），那些具有SMD的人超过5年（59.89％）和有科学疾病家族史的人（71.23％）。物流回归分析表明，年龄，病人 - 守护者关系，居住地，财务状况，疾病类型，疾病类型，疾病持续时间历史是影响患者决定参加免费药物计划的主要因素。自由药物计划的稳步增加参与率表明该计划已被非注册的永久居民逐步接受和认可，具有SMD。然而，近一半的患者尚未加入该计划。为了进一步提高参与率，应特别注意经济上安全的患者，低于20，没有监护人，智力残疾或患SMD超过5年。

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