Turner R, Roberts G
University Hospital, Queen's Medical Centre, Nottingham.
Br J Psychiatry. 1992 Jan;160:103-7. doi: 10.1192/bjp.160.1.103.
"The philosophy of Community Care has resulted in the closure of several mental hospitals in this country. The ethos of the Worcester Development Project saw the closure of St Wulstan's and Powick Hospitals, and their replacement by a community-based service. This paper briefly describes the outcome of a three-year retrospective study completed in 1988 following the closure of both hospitals. The findings provide a comparison of the two hospitals, including details of the destination of all the patients. It is suggested that the term 'hospital replacement' might be preferable to 'hospital closure'." "The Worcester Development Project began in 1968 when the Department of Health and Social Security brought together the Worcester and Kidderminster Hospital Management Committee and the County Council in a co-ordinated joint planning venture. Powick Hospital was chosen as the location for testing the hypothesis that closing a mental hospital and replacing it with general hospital psychiatric units, supported by a variety of community facilities, would provide a more economical and better service. This paper describes the outcome of this unique opportunity to study the problems involved in closing a mental hospital and its replacement with other facilities."
社区护理理念导致该国多家精神病院关闭。伍斯特发展项目的理念促使圣伍尔斯坦医院和波威克医院关闭，并被社区服务所取代。本文简要介绍了1988年在两家医院关闭后完成的一项为期三年的回顾性研究的结果。研究结果对两家医院进行了比较，包括所有患者的去向细节。有人认为，“医院替代”一词可能比“医院关闭”更可取。“伍斯特发展项目始于1968年，当时卫生和社会保障部将伍斯特和基德明斯特医院管理委员会与郡议会召集在一起，进行协调的联合规划项目。波威克医院被选为测试以下假设的地点：关闭一家精神病院，并用综合医院的精神科病房取代，同时辅以各种社区设施，将提供更经济、更好的服务。本文描述了这一独特机会的研究结果，该机会旨在研究关闭一家精神病院并用其他设施取代它所涉及的问题。
