School of Public Health, Capital Medical University, Beijing, China.
Research Center for Capital Health Management and Policy, Beijing, China.
Front Public Health. 2021 Nov 19;9:779563. doi: 10.3389/fpubh.2021.779563. eCollection 2021.
Severe mental disorders (SMD) impose a heavy burden on individuals, society, and the country. Under the background of deinstitutionalization, more and more patients return to the community, and the community psychiatric management physicians (CPMP) play an essential role in this process. Long-acting injection (LAI) is an important way to improve compliance and reduce re-hospitalization. Some districts in Beijing have implemented the policy of free LAI. This article aims to find out the willingness of CPMP to preferentially recommend LAI and provide suggestions for follow-up promotion. All CPMP in 16 districts of Beijing were surveyed. A self-made electronic questionnaire was used to investigate the willingness to recommend LAI in priority. Descriptive statistics, Chi-square test, and logistic regression were used to analyze the data. The willingness of CPMP to preferentially recommend LAI is up to 80%. Participants aged 40-49, female, with higher self-evaluation of psychiatric management knowledge, managing patients who have used LAI in the past, and working in communities with the free LAI policy have higher willingness to recommend LAI in priority. CPMP in Beijing have a positive attitude toward LAI, and most of them have the willingness to recommend LAI to the patients in priority. The recommendation willingness is the basis of prescription decision-making. Therefore, the coverage of free LAI policy should be further expanded in the future to improve the recommendation willingness and thus improve the injection rate of LAI.
严重精神障碍(SMD)给个人、社会和国家带来了沉重的负担。在去机构化的背景下,越来越多的患者回到社区,社区精神科管理医师(CPMP)在这一过程中发挥着重要作用。长效注射(LAI)是提高依从性和降低再住院率的重要途径。北京的一些区已经实施了 LAI 免费政策。本文旨在了解 CPMP 优先推荐 LAI 的意愿,并为后续推广提供建议。
对北京市 16 个区的所有 CPMP 进行了调查。使用自制的电子问卷调查 CPMP 优先推荐 LAI 的意愿。采用描述性统计、卡方检验和逻辑回归对数据进行分析。
CPMP 优先推荐 LAI 的意愿高达 80%。年龄在 40-49 岁、女性、自我评估精神病管理知识较高、管理过使用过 LAI 的患者、所在社区有 LAI 免费政策的 CPMP 更愿意优先推荐 LAI。
北京的 CPMP 对 LAI 持积极态度,大多数人愿意优先向患者推荐 LAI。推荐意愿是处方决策的基础。因此,未来应进一步扩大 LAI 免费政策的覆盖范围,以提高推荐意愿,从而提高 LAI 的注射率。