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Treatment dropout of patients in National Continuing Management and Intervention Program for Psychoses in Guangdong Province from 2006 to 2009: Implication for mental health service reform in China
Ma, Ning1; Liu, Jin1; Wang, Xun1; Gan, Yu-Wen2; Ma, Hong1; Ng, Chee H.3,4; Jia, Fu-Jun5; Yu, Xin1
关键词China healthcare reform mental health service patient dropout psychotic disorder
刊名ASIA-PACIFIC PSYCHIATRY
2012-09-01
DOI10.1111/j.1758-5872.2011.00172.x
4期:3页:181-188
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Psychiatry
研究领域[WOS]Psychiatry
关键词[WOS]SCHIZOPHRENIC-PATIENTS ; MEDICATION COMPLIANCE ; PSYCHIATRIC-SERVICES ; OUTCOME MEASURES ; NON-ATTENDANCE ; CASE-REGISTER ; LEAVE CARE ; QUALITY ; SYSTEM
英文摘要

Introduction In 2005, China commenced its mental health reform by establishing a national program to move from a hospital-based service model to an integrated hospital and community treatment model for psychoses, adopting the key principles of and provisions for continuity of care, treatment accessibility and equitable mental health care. This paper reports the rate and associated factors of treatment dropout for patients with psychoses in the national program in Guangdong Province from 2006 to 2009. Methods Adult patients with psychoses followed-up in two demonstration sites in Guangdong Province were grouped as treatment dropout if they were lost to follow-up for three consecutive months. Dropout rate was estimated, and associated factors were explored with multifactor binary logistic regression analysis. Results Of 1,386 patients followed up from 2006 to 2009, 73 patients (5.29%) dropped out (five deceased patients were excluded). Poor adherence to medication, having no medication, and having worse global clinical outcome contributed to increased risk of dropout by 12.765 (P?=?0.0017), 7.400 (P?=?0.0063) and 6.385 times (P?=?0.0207), respectively. When course of illness increased by five years, the risk of dropout increased by 1.322 times (P?=?0.0031). Discussion Treatment dropout rate for patients with psychoses in Guangdong Province appears to be low. Implications for mental health service reform in China include assertive follow-up for patients with history of poor adherence with treatment, free medications to poor patients to increase access to appropriate and affordable treatment, and active psychoeducation for patients with poor insight and their families.

语种英语
WOS记录号WOS:000307946300005
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65940
专题北京大学精神卫生研究所
作者单位1.Third Peoples Hosp Jiangmen, Jiangmen, Peoples R China
2.Univ Melbourne, Dept Psychiat, Melbourne, Vic 3010, Australia
3.Guangdong Mental Hlth Res Inst, Guangzhou, Guangdong, Peoples R China
4.Peking Univ, Inst Mental Hlth, Beijing 100191, Peoples R China
5.Univ Melbourne, St Vincents Mental Hlth, Melbourne, Vic 3010, Australia
推荐引用方式
GB/T 7714
Ma, Ning,Liu, Jin,Wang, Xun,et al. Treatment dropout of patients in National Continuing Management and Intervention Program for Psychoses in Guangdong Province from 2006 to 2009: Implication for mental health service reform in China[J]. ASIA-PACIFIC PSYCHIATRY,2012,4(3):181-188.
APA Ma, Ning.,Liu, Jin.,Wang, Xun.,Gan, Yu-Wen.,Ma, Hong.,...&Yu, Xin.(2012).Treatment dropout of patients in National Continuing Management and Intervention Program for Psychoses in Guangdong Province from 2006 to 2009: Implication for mental health service reform in China.ASIA-PACIFIC PSYCHIATRY,4(3),181-188.
MLA Ma, Ning,et al."Treatment dropout of patients in National Continuing Management and Intervention Program for Psychoses in Guangdong Province from 2006 to 2009: Implication for mental health service reform in China".ASIA-PACIFIC PSYCHIATRY 4.3(2012):181-188.
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