"The chronic patient": in search of a title.
"The chronic patient": in search of a title.
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“慢性病患者”：寻找一个标题。
DOI：
10.1176/ps.43.9.867
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发表时间：
1992
期刊：
影响因子：
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通讯作者：
L. L. Bachrach
中科院分区：
文献类型：
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作者：
L. L. Bachrach
1976年，我写了第一版的《去机构化：分析性评论-社会学视角》(1)，这是一本专著，试图整理和概念化与实施一种新的病人护理哲学有关的许多问题。从那时起，去机构化的各种表现形式，包括它与精神病患者无家可归的关系，一直是我的主要学术重点。我在1976年讨论过的问题还没有完全解决，新的严重问题又出现了。事实上，许多患者也获得了实质性的好处，但这并没有减少这些问题。随着去机构化的发展，与服务提供相关的新概念和实践出现了，越来越多的文献继续对其影响进行分类和评估。可以说，本专栏《慢性病人》的主要目的是提供一种记录和传播新的病人护理策略及其基础概念的方法。变化也影响了与去机构化相关的语言。像“拓展”这样的词，
In 1976 I wrote the first edition of Deinstitutionalization: An Analytical Revie-wandSociologicalPerspective(1), a monograph that sought to sort out and conceptualize the many issues related to implementing a new philosophy of patient care. Since then, deinstitutionalization in its various manifestations, including its relationship to homelessness among mentally ill persons, has remained my major academic focus. The problems I discussed in 1976 have not been fully resolved, and serious new issues have arisen (2). The fact that substantial benefits have also accrued to many patients does not diminish those problems. As deinstitutionalization has evolved, new concepts and practices associated with service delivery have emerged, and a growing literature continues to catalog and assess their impact. It might be said that the major purpose of this column, The Chronic Patient, is to provide a means for documenting and disseminating new patient care strategies and the concepts underlying them. Change has also affected the language associated with deinstitutionalization. Words like “outreach,”