Management and services for psychosis in People's Republic of China in 2014

Abstract

Objective To report management and treatment situation for patients with psychosis in China in 2014, in order to provide a reference for making policy and delivering services. Methods Descriptive method was used to analyze the system usage and the demographic characteristics, register, management and treatment situation of the patients with psychosis using the data from 1st August 2011 to 31st December 2014 obtained from National Information System for Psychosis. Results By the end of 2014, there were 2 727 counties which using the information system to register patients with psychosis in China, and 4 297 363 patients were registered, registered rate was 0.317% (4 297 363/1 355 168 600 ). In 2014, primary health care staff provided follow up services for 3 168 556 patients, and 1 537 125 patients were followed up regularly (at least once per 3 months), follow up rate was 73.73% (3 168 556/4 297 363 ), regular follow up rate was 35.77% (1 537 125/4 297 363 ). Moreover, 1 505 635 patients were treated by taking antipsychotics, 770 192 patients took medication regularly (according to prescription), taking medication rate was 47.52% (1 505 635/3 168 556) and taking medication regularly rate was 24.31% (770 192/3 168 556). Conclusions Management and services for people with psychosis provided all over the country and achieve a certain progress in recent years in China. Increasing the rate of regular follow-up service and antipsychotics taking for patients with psychosis should be considered next step. Key words: Mental disorders; Community mental health services; Information system