Leont'ev I L
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2004 Mar-Apr(2):36-8.
A need to amend the ideology of the psychiatric-care promotion in Russia is preconditioned by the medical-and-demographic, economic, legal, pharmacological as well as information-and-technological prerequisites. Main issues and tasks, arising in the reform before the bodies of state power, the psychiatric service and population were defined in the paper. Some priority trends of improving the psychiatric-care management in the Russian Federation were formulated within the context of a "new understanding" of the psychiatric-care protection by WHO, including staffing the system with high-skill ambulatory personnel; development of the chain of rehabilitation and of medical-and-social prevention; and a more comprehensive use of technologies substituting for inpatient facilities.
在俄罗斯,修正精神卫生保健推广理念的必要性是由医学人口学、经济、法律、药理学以及信息技术等前提条件所决定的。本文明确了国家权力机构、精神科服务机构和民众在改革过程中出现的主要问题及任务。在世界卫生组织对精神卫生保健保护的“新理解”背景下,制定了俄罗斯联邦改善精神卫生保健管理的一些优先趋势,包括为该系统配备高技能的门诊人员;发展康复链以及医疗和社会预防;更全面地利用替代住院设施的技术。