Deinstitutionalisation — from Hospital Closure to Service Development
Deinstitutionalisation — from Hospital Closure to Service Development
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非机构化——从医院关闭到服务发展
DOI：
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发表时间：
1989
影响因子：
10.5
通讯作者：
P. Bebbington
中科院分区：
文献类型：
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作者：
G. Thornicroft;P. Bebbington
在试点试验中，单独研究了为严重精神病患者提供的地方非机构形式的全面服务的必要组成部分，但没有在针对特定人群的综合方案中进行研究。报告的结果至少与传统的长期医院护理一样有利，但替代性服务的费用并不低。个案经理制度可使正式和非正式的服务互相协调，以满足长期病患者的个别需要。综合方案不佳将使出院病人处于不利地位。
The necessary components of a comprehensive service of local non-institutional forms of care for the seriously mentally ill have been researched separately in pilot trials, but not within integrated programmes for defined populations. Reported outcomes are at least as favourable as for traditional long-term hospital care, but alternative provisions are no less costly. A case manager system may allow co-ordinated formal and informal services to meet the individual needs of chronically ill patients. Poorly integrated programmes will expose discharged patients to disadvantages.