Capdevielle Delphine, Ritchie Karen
Br J Psychiatry. 2008 Mar;192(3):164-5. doi: 10.1192/bjp.bp.107.044719.
The politics of shortening hospital stays for people with psychosis has been questioned by a number of studies. Hospital practice in the meantime remains highly variable and the research evidence increasingly difficult to interpret given different conceptualisations of what constitutes effective treatment. In the absence of clearer guidelines from researchers in this area, decisions about duration of hospitalisation risk being driven by economic rather than clinical considerations.
多项研究对缩短精神病患者住院时间的政策提出了质疑。与此同时,医院的做法仍然差异很大,而且鉴于对有效治疗构成要素的不同概念理解,研究证据越来越难以解读。由于该领域的研究人员没有更明确的指导方针,住院时长的决策可能由经济而非临床因素驱动。