In March, everything grows, but the weather is warm and cold, and it is also a period of high incidence of mental illnesses such as depression and anxiety. Recently, at the National People's Congress and the National People's Congress, a number of representatives called for attention to mental health issues, and put forward a number of suggestions related to mental health such as "including depression in the medical insurance catalog", which quickly appeared on the hot search and gained the resonance and support of countless netizens.
95 million people with depression.
According to the World Health Organization, there are more than 3500 million people suffer from depression, and the rate of depression has increased by about 18% in the past decade. According to the 2022 National Blue Book on Depression, the number of people suffering from depression in China is about 95 million.
The risk of depression in adolescents cannot be ignored. According to the "Report on the Development of National Mental Health in China (2021-2022)" released by the Institute of Psychology of the Chinese Academy of Sciences in February 2023, the risk detection rate of depression among the respondents was 106%, and the risk detection rate of anxiety was 158%, of which the 18-24 age group has a depression risk detection rate of 241%, which is significantly higher than in other age groups. According to the "2022 Adolescent Mental Health Survey Report" released by the Institute of Psychology of the Chinese Academy of Sciences at the same time, 14Eight percent of the adolescents surveyed (aged 10-16 years) were at risk of depression to varying degrees.
Depression is really common and long-term**, and it's a really big expense. Some netizens commented. "Thinking that every minute was expensive, I stopped crying in front of the counselor. A depressed patient described it. It is reported that at present, the cost of psychological counseling in hospitals ranges from 500 to 800 yuan for half an hour, and some external psychological counseling institutions are as high as 3,000 yuan per hour. And the psychological cycle is usually several months long, which also means that patients have to pay a lot of money.
It is suggested that psychological counseling should be included in the medical insurance service project, and depression should be included in the list of special diseases and chronic diseases in the medical insurance, so as to reduce the burden of medical treatment for such groups and ensure medical compliance. Ran Ran, a representative of the National People's Congress and chairman of the Chongqing Writers Association, submitted a proposal on "increasing the care and assistance of nearly 100 million depressed patients" during the two sessions this year. It is urgent for the whole society to increase the care and assistance for patients with depression. Medical insurance measures for psychological counseling services should be improved.
There are more than 120,000 mental health enterprises.
Also concerned about mental health is Zhong Can, a deputy to the National People's Congress and director of the outpatient department of Guangxi Wuzhou Red Cross Hospital. She submitted a proposal entitled "Proposal on Integrating the "Psychological **" Project into the Scope of Medical Insurance Co-ordination at the Two Sessions last year, suggesting that the "Psychological" project should be included in the outpatient chronic disease co-ordination, and most of the mental illnesses that pose a small threat to others, such as depression, are mostly in the outpatient clinic**, therefore, they should be included in the overall scope of outpatient chronic diseases and paid by the medical insurance personal account**.
In response to Zhong Can's suggestion, the National Health Insurance Administration said that in 2021, the National Health Insurance Administration issued a list of national medical security benefits, further clarifying that medication maintenance for patients with severe mental illness can refer to hospitalization management and payment. The basic medical insurance implements territorial management, which is affected by the objective differences in local economic and social development and affordability, and the level of basic medical insurance financing and treatment varies from place to place, and the scope of diseases included in the outpatient chronic disease insurance is also different. "In the next step, we will guide the local government to do a good job in medical security, consolidate the level of hospitalization treatment, strengthen outpatient mutual aid security, gradually improve the level of outpatient security, improve the medical security and assistance system for major diseases, and better protect the medical insurance rights and interests of all kinds of insured people, including patients with mental illness. ”
Some experts in the field of mental health said that mental illness, represented by depression, usually has a long cycle and is easy to recur, and in addition to drugs, psychological counseling with a heavier economic burden is also indispensable, and the economic pressure on patients cannot be ignored.
The huge demand for mental health has also led to an overall increase in the number of registrations of related companies in this field. Enterprise survey data shows that there are currently 12 mental health-related enterprises in China150,000. From 2019 to 2023, the number of registered mental health-related enterprises in China will reach 2380,000, 1750,000, 1880,000, 3070,000, 1330,000. From a regional point of view, Guangdong has 1630,000 mental health-related enterprises, ranking first. Jiangsu and Shanghai exist 1060,000, 0820,000 mental health-related companies, ranking in the top three. After that, Shandong, Henan, Liaoning and other places. From the perspective of cities, Shanghai has 8,228 mental health-related enterprises, ranking first. Shenzhen followed closely behind, with 8,014 existing mental health-related enterprises, ranking second. There are 6,087 mental health-related enterprises in Guangzhou, ranking third. Since then, it has been Beijing, Changsha, Hefei and other places.
Southern + reporter Yan Huifang.
Author] Yan Huifang.
*] Southern Press Media Group Nanfang + client.