Moss K R
Law School, Staffordshire University, Stoke-on-Trent.
Med Sci Law. 2000 Jul;40(3):216-22. doi: 10.1177/002580240004000305.
To date there has been no research carried out in respect of the contribution being made by the independent sector to medium-secure psychiatric care. There are also no published studies comparing the provision of the independent sector with that of the public sector. As such this is a neglected field of study. This paper examines the characteristics of patients admitted to one independent medium-secure psychiatric hospital and two regional secure units in terms of their demographic characteristics, source, detention under the Mental Health Act, 1983, psychiatric diagnosis, criminal history and discharge. The results of the study are tested for their significance using the chi-square distribution. There is discussion of how the independent sector may be providing a service either unavailable within the National Health Service or for which the National Health Service is unsuitable in terms of patients either requiring medium- to long-term hospital care in conditions of security or those who cannot live independently and therefore require 'asylum', which is no longer an option within the National Health Service. In this sense, the independent sector could be seen as meeting a national need by acting as a 'safety valve' for National Health Service facilities.
迄今为止，尚未有关于独立部门对中等安全级别的精神科护理所做贡献的研究。也没有已发表的研究对独立部门和公共部门的服务提供情况进行比较。因此，这是一个被忽视的研究领域。本文从人口统计学特征、来源、依据1983年《精神健康法》的拘留情况、精神科诊断、犯罪史和出院情况等方面，研究了一家独立的中等安全级别的精神病医院和两个地区安全机构收治患者的特征。使用卡方分布对研究结果的显著性进行了检验。文中讨论了独立部门如何可能在提供一种国民医疗服务体系（NHS）内无法获得的服务，或者对于那些需要在安全条件下接受中长期住院护理的患者，或那些无法独立生活因而需要“庇护”（而这在NHS内已不再是一种选择）的患者而言，国民医疗服务体系并不适合的服务。从这个意义上说，独立部门可被视为通过充当国民医疗服务体系设施的“安全阀”来满足国家需求。
