文章摘要
马东阳,周金平,邢晓萍,等.免费服用利培酮对首发精神分裂症病人干预的成本-效果分析[J].安徽医药,2019,23(3):621-624.
免费服用利培酮对首发精神分裂症病人干预的成本-效果分析
Free resperidone for fist-episode schizophrenic patients:analysis of cost and effectiveness
投稿时间:2017-08-15  
DOI:
中文关键词: 在传统的常规门诊基础上,对首发精神分裂症病人进行免费的利培酮和社区干预等服务措施,可以显著改善病人的病情,是一种经济有效的干预措施。 关键词:首发精神分裂症  免费服药  成本-效果评价
英文关键词: Fist-episode schizophrenia  Resperidone  Analysis of cost and effectiveness
基金项目:上海市浦东新区南汇精神卫生中心科研项目(pdnj2014-04);第四轮上海市公共卫生三年行动计划项目(GWIV-6))免费服用利培酮对首发精神分裂症病人干预的成本-效果分析马东阳1,周金平1,邢晓萍1,蔡军2,董永海3 (1.上海市浦东新区南汇精神卫生中心,上海 201300;2.上海交通大学医学院附属精神卫生中心防治科,上海 200030;3.江西省疾病预防控制中心,江西 南昌 330029)
作者单位
马东阳 上海市浦东新区南汇精神卫生中心,上海 201300 
周金平 上海市浦东新区南汇精神卫生中心,上海 201300 
邢晓萍 上海市浦东新区南汇精神卫生中心,上海 201300 
蔡军 上海交通大学医学院附属精神卫生中心防治科,上海 200030 
董永海 江西省疾病预防控制中心,江西 南昌 330029 
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中文摘要:
      目的 探讨免费服用利培酮对首发精神分裂症病人的成本-效果。 方法 选取2014年10月至2015年5月上海市浦东某社区重性精神病规范化管理的首发精神分裂症病人100例,采用随机数字表法均分为干预组和对照组各50例。对照组给予常规门诊服务和自费购买利培酮;干预组除接受常规门诊服务外,还接受免费的利培酮和社区随访等服务;随访观察周期为1年。采用自制成本调查表、大体评定量表(GAS)对两组的成本-效果进行评价。 结果 干预前,干预组和对照组的GAS评分、病情情况差异无统计学意义。经1年干预后,两组的成本差异无统计学意义,干预组的GAS评分和病情控制率高于对照组。分别以GAS评分和控制率为干预效果进行成本-效果评价,发现干预组的平均成本-效果比均低于对照组;增量成本-效果(△C/△E)分别为30.89元和8.58元。
英文摘要:
      Objective To explore the cost and effectiveness of free resperidone in patients with first-episode schizophrenia. Methods 100 first-episode schizophrenic patients,who were managed with severe mental disorder in the communities of Pudong aera,Shanghai,were selected from October 2014 to May 2015.The subjects were randomly divided into the intervention group (50 cases) and the control group (50 cases).The control groups were given regular outpatient service and self-paying risperidone.In addition to regular outpatient service,the intervention groups received free risperidone and community follow-up.The follow-up period was one year.The cost-effectiveness of the two groups was evaluated by using the self-made cost questionnaires and the Global Assessment Scale (GAS). Results There were no significant differences in GAS score and severity of illness between the two groups.After 1 year of intervention,the average cost between the two groups was not significantly different,and the GAS score and control rate of disease in the intervention group were higher than those in the control group.The indices of cost and effectiveness of the intervention were evaluated by GAS score and control rate of disease,respectively.In this study,we found the cost and effectiveness was lower in the intervention group than that in the control group.The incremental cost-effectiveness was 30.89RMB,8.58RMB,respectively. Conclusion The intervention,which was performed by free risperidone and community follow-up in addition of the traditional routine outpatient service,could significantly improve the patient's condition.Thus,this intervention is an economic and effective measure for schizophrenia.
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