Adamowski Tomasz, Trypka Elzbieta
Katedra i Klinika Psychiatrii AM we Wrocławiu.
Psychiatr Pol. 2002 Nov-Dec;36(6 Suppl):369-76.
There is many changes in psychiatric service last years. In deinstitutionalization process arising new diversified and wide integrated psychiatric services. Traditional names lose significance for example: open or stationary care. Moreover the same names, have different meaning in different centers or countries. Because of that processes in year 1997 EPCAT group with funding from European Commission Biomed grant developed ESMS instrument by Sonia Johnson and Robert Kuhlmann, to modern description and classification of psychiatric services. Instrument is based on standardizing classification accessible services, with different care models in Europe. In this work authors presented structure of questionnaire and typical applications in catchment areas. That compatible with European standards of psychiatric service instrument, portray gaps in old standards system and indicate developmental trends new psychiatric health service in medical care. Instrument ESMS indicates another possibilities in service study area for example analysis and comparison individual service components and helps in planning local development of psychiatric care services.
近年来,精神科服务发生了许多变化。在去机构化过程中,出现了新的多样化且广泛整合的精神科服务。传统名称失去了意义,例如:开放式或住院式护理。此外,相同的名称在不同的中心或国家有不同的含义。由于这些情况,1997年,EPCAT小组在欧盟委员会生物医学基金的资助下,由索尼娅·约翰逊和罗伯特·库尔曼开发了ESMS工具,用于对精神科服务进行现代描述和分类。该工具基于对欧洲不同护理模式下可及服务的标准化分类。在这项工作中,作者介绍了问卷结构及其在服务区域的典型应用。它与欧洲精神科服务工具标准兼容,揭示了旧标准体系中的差距,并指出了医疗保健领域新精神科健康服务的发展趋势。ESMS工具在服务研究领域显示出其他可能性,例如分析和比较个体服务组成部分,并有助于规划当地精神科护理服务的发展。