Belcher J R, DeForge B R
School of Social Work, University of Maryland at Baltimore 21201, USA.
J Ment Health Adm. 1995 Summer;22(3):286-92. doi: 10.1007/BF02521124.
The diversion of people with severe mental illness into the private sector is examined. The purpose of the diversion system is to reduce the number of admissions to the state hospitals by diverting patients into the private hospitals, which may offer more diverse treatment to these patients. Insurance is highlighted as an important factor in diverting patients from state hospitals. When the diversion system fails and the patient is transferred from the private sector to the state hospitals, continuity of care is disrupted. The failure of the diversion is more costly not only to the patient but to the federal and state governments as well. Policy issues such as cost to the mental health system and continuity of care are discussed.
对将严重精神疾病患者转入私立部门的情况进行了研究。分流系统的目的是通过将患者转入私立医院来减少国家医院的入院人数，私立医院可能会为这些患者提供更多样化的治疗。保险被视为将患者从国家医院分流的一个重要因素。当分流系统失效且患者从私立部门转至国家医院时，医疗的连续性就会中断。分流失败不仅对患者，而且对联邦和州政府来说成本都更高。文中还讨论了诸如精神卫生系统成本和医疗连续性等政策问题。
