Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (6): 107-113.doi: 10.6040/j.issn.1671-7554.0.2021.1237

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Long-acting injectable application in patients with schizophrenia in communities of three provinces: current status and problems

LI Jiabo1,2, OUYANG Jiangfeng3, YANG Ding1,2, GAO Jing1,2, SUN Qiang1,2   

  1. 1. Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan 250012, Shandong, China;
    3. Zhucheng Center for Disease Control and Prevention, Zhucheng 262200, Shandong, China
  • Published:2022-06-17

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Abstract: Objective To analyze the current status and problems of long-acting injectable(LAI)application in patients with schizophrenia in communities of three provinces, so as to provide reference for promoting its application and promotion. Methods Purpose sampling was used to select Yunfu, Chengdu and Linyi according to the principle of maximum differentiation. Data were obtained through interviews with various stakeholders.Thematic framework approach was adopted for analysis, and nonparametric test was used to compare the frequency differences of common concerns among the three sample areas. Results The three sample areas were comparable in the acceptance degree, injection qualification and support policies of LAI, but there were differences in the application scope, inclusion criteria, injection location, capital guarantee and participating departments.There were also problems in the application of LAI in patients with schizophrenia in communities, such as limitations in cognitive and treatment concept, insufficient access to treatment, insufficient funding sustainability, inadequate involvement and collaboration of departments, and so on. Conclusion The sample areas have both similarities and differences in the current status of LAI application in patients with schizophrenia in communities. For the existing problems, the following measures are necessary: strengthen publicity and communication; provide LAI for patients as soon as possible; implement a more reasonable injection scheme according to local conditions; reduce injection prices; formulate and implement reasonable medical insurance policies; give full play to the organization and coordination role of relevant government departments.

Key words: Long-acting injectable, Communities, Schizophrenia, Comparative study

CLC Number: 

  • R749.3
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