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目的 分析2014年全国严重精神障碍患者管理治疗情况,为政府相关部门制定精神卫生政策及精神卫生专业机构开展服务提供参考.方法 采用描述性分析方法对2011年8月1日至2014年12月31日全国及各省(市、自治区)使用国家严重精神障碍信息系统的情况及患者一般状态和登记、管理、治疗情况等进行分析.结果 截至2014年底,全国2 727个县(95.58％)使用国家严重精神障碍信息系统,全国在册患者4297363例,在册率0.317％(4297363/1355168600);在管患者3168556例(管理率73.73％,3168556/4297363),规范管理患者1537125例(规范管理率35.77％,1537125/4297363);服药患者1505635例(服药率47.52％,1505635/3168556),规律服药患者770 192例(规律服药率24.31％,770192/3168556).结论 严重精神障碍患者管理治疗工作已在全国范围内开展并取得效果,规范管理和服药治疗等环节需进一步提高.“,”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 2727 counties which using the information system to register patients with psychosis in China,and 4297363 patients were registered,registered rate was 0.317％ (4297363/1355168600).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％ (3168556/4297363),regular follow up rate was 35.77％ (1537125/4297363).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％ (1505635/3168556)and taking medication regularly rate was 24.31％ (770192/3168556).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.