Treating alcohol-related problems within the Irish healthcare system, 1986–2007: An embedded disease model of treatment?
Treating alcohol-related problems within the Irish healthcare system, 1986–2007: An embedded disease model of treatment?
复制标题
治疗爱尔兰医疗保健系统内与酒精相关的问题，1986-2007：嵌入式疾病治疗模型？
DOI：
10.3109/09687637.2010.485590
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
B. Cullen
中科院分区：
文献类型：
--
作者：
B. Cullen
本文评估了1986-2007年期间爱尔兰酒精问题治疗政策的执行情况。在这一时期开始时，一项关于在精神卫生保健系统中治疗酒精的重大政策声明预示着根本的变化--实际上，它提议从当时占主导地位的酒精中毒疾病模式转变为注重公共卫生原则的模式。在该期间接近尾声时，又发表了一份声明，提出了一种相当乐观的说法，即许多预期的变化已经发生。本文采用了一种更具批判性的方法。利用精神卫生中心活动年度报告中的流行病学数据，以及最近开展的一项行动研究项目，该项目侧重于区域卫生当局内的成瘾治疗，文章强调，变化是缓慢的，疾病模式的一些主要原则仍然存在。
This article assesses the implementation of the policy on the treatment of alcohol problems in Ireland during the period 1986–2007. At the commencement of this period, a major policy statement in relation to the treatment of alcohol within the mental health care system presaged radical change – in effect it proposed a shift from the then dominant disease model of alcoholism to one that was focused on public health principles. Towards the end of the period, a further statement made the rather sanguine claim that many of the intended changes had taken place. This article adopts a more critical approach. Using epidemiological data from annual reports on the activities of mental health centres and also drawing from a recently conducted action-research project that focused on addiction treatment within a regional health authority, the article highlights that change has been slow and that some of the main tenets of the disease model remain in place.