Mental health services reform in Japan
Mental health services reform in Japan
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DOI：
10.1093/hrp/7.4.208
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发表时间：
1999-11-01
影响因子：
3.8
通讯作者：
Sederer, LI
中科院分区：
文献类型：
--
作者：
Ito, H;Sederer, LI
经济和社会压力正促使日本对其心理健康服务进行改革。传统上，日本的精神病服务一直是监禁性的。补偿主要是按服务收费，并有鼓励住院治疗的奖励措施。改革措施开始促进“正常化”的概念，在这种概念中，精神病患者被视为残疾人，就像身体残疾人一样。本文概述了日本精神卫生服务的现状，总结了政策困境，并提出了干预的优先领域。
Economic and social pressures are driving Japan to reform its mental health services. Traditionally, psychiatric services in Japan have been custodial. Reimbursement has been principally fee-for-service, with incentives that encourage hospital-based care. Reform measures are beginning to promote the concept of "normalization," in which the mentally ill are seen to be disabled, like persons with physical disabilities, New practices including deinstitutionalization, differentiation of services, revisions in payment, and quality assessment are being introduced. This article provides an overview of the current status of Japanese mental health services, summarizes policy dilemmas, and Identifies priority areas for intervention.