Health times journalists found that some regional health insurance authorities had included depression in outpatient special cases, although there were still places where depression was not included in outpatient special cases. During the two sessions this year, a number of delegates, members of the political consultative council, referred to the “inclusion of depression into special outpatient diseases”
Go to the hospital at least once a month, get your medicine, and it costs not less than $2,000
In 2019, zhang yi was diagnosed with depression, and since then she has started to go to hospital and take medication. However, it was accompanied by a great deal of spending, as zhang told the health times reporter, the cost of a disease could not be prevented。
“when i was diagnosed as depressed, i had to take dorostine every day, because it was prescribed medicine, and every month i had to go to the hospital to pay for it. In addition to dolaustine drugs, there were a lot of auxiliary drugs together. It cost at least $2,000 a month to treat depression, and the doctor said i needed at least two years of medication.” zhang said to the press。
The high cost of regular medications, combined with nearly $100 a day, places a heavy burden on the depressed. According to zhang rui, “the hospital on our side says that depression is currently unable to apply for a special type of disease and cannot be reimbursed”
Prior to this, ms. Yuntao, lien yunang, jiangsu province, also left a message on the “people's daily health client's complaint board” that “i am a depressive person who needs a permanent drug to prevent an increase in the condition, such as trasherin, vlafassin, etc., although these drugs are in the national health care catalogue but are not affordable without reimbursement. The prescription of medicines at outpatient clinics is entirely self-financed and is expensive to take over the long term.”
Depression or will be the world's top disease burden
“in 2004, depression ranked third in the global burden of disease, and in 2012 it became the second largest disease burden in china, with depression projected by the world health organization to be the highest in the world by 2030!” on 28 april, the secretary-general of the party for the return of the dragon hospital in beijing and winner of the fourth national award for the health of the medical doctor and the distinguished builder yang vader spoke at the “thirteenth china forum on health, mental health: mental health promotion in the periphery of the epidemic”, co-sponsored by the people's daily health client, health times。
Mr. Yeung, secretary of the party of beijing to the longview hospital
“the treatment of depression requires early identification, early treatment!” however, at present, people suffering from depression still suffer from low rates of treatment, high rates of relapse, poor dependence, psychosocial functioning and failure to recover to pre-disease levels. The world association of psychiatry interviewed nearly 13,000 people in china in 2012, and found that more than 45 per cent chose not to be treated, even if they suffered from depression; even among those willing to be treated, only 18 per cent chose a professional psychiatry。
According to the world health organization (who), more than 54 million people in china suffer from depression, accounting for 4. 2 per cent of the total population, equivalent to four out of every 100 people in rio. Every year in china, the cost of absence from work, medical care and other expenses due to depression amounts to about rmb 49. 4 billion。
In march of this year, the white paper “the rising social and economic costs of depression: an understanding of the entire spectrum of diseases from the asia-pacific region” released survey data showing that less than half of the depression patients have been properly diagnosed, with up to 71 per cent of the depression patients having increased their symptoms due to lack of access to needed treatment。
Fukuo and lian yun harbour have included depression in outpatient special cases
During the two sessions this year, representatives of the national people's congress, li xiaoqin, vice-president of guangzhou university, stated that the survey had shown that the incidence of depression in our country had reached 2. 1 per cent in 2019 and showed an upward trend over the years, with more than 95 million people suffering from depression throughout the country becoming one of the “hard-hit areas” of mental health problems. However, the accessibility of treatment for depression is inadequate and interventions for key populations need to be strengthened。
Li xiaoqin stated that at present depression is not included in the chronic pathologies of health-care clinics and that psychological counselling is less covered. She recommended strengthening efforts to combat depression and improving the system of psychosocial services. (c) integrate depression prevention and treatment into trade union workers'services and encourage enterprises to include depression screening projects in the staff medical examination programme. In particular, she noted the need to refine social security measures to include depression and psychological counselling in chronic diseases at health clinics。
Yang vide mentioned that in 2011, a korean study included 1,17087 patients who had taken antidepressants after having been diagnosed as depression and followed them up for 18 months, showing that 85. 2 per cent of them had stopped treatment at an early stage (six months). “rehabilitating and helping people suffering from depression requires a concerted effort by doctors, nurses, therapists, pharmacists and patients and their families to form therapeutic alliances.”
In january 2018, the city of fukuzhou implemented a unified policy of health insurance for urban and rural residents, which no longer distinguishes between new farming unions and medical insurance for urban residents. For the first time, depression is included in the special outpatient diseases of urban and rural residents。
In response to a previous comment from ms. Tanya, the jiangsu provincial medical insurance board indicated that, as understood by the liangyun hong kong city health insurance board, depression has been included in the coverage of special cases (mental diseases) of basic health insurance clinics in liangun hong kong city, with no threshold and maximum payment, and that medical expenses incurred by participants in fixed specialized clinics (including emergency care, probation) or within the policy of hospitalization in specialized hospitals are covered by the health insurance fund as required。
Zhang rui told the health times reporter: “i also hope that we in shanxi will be able to integrate depression into the special kind of outpatient disease so that my monthly costs will be reduced by half.”
(operation:)
