Dencker K, Gottfries C G
Department of Psychiatry and Neurochemistry, Gothenburg University, Sweden.
Soc Psychiatry Psychiatr Epidemiol. 1991 Aug;26(4):162-7.
A political decision to decentralize psychiatric care in a county in Sweden was arrived at in October 1984. This will lead to the closure of the only large psychiatric hospital in the area, which will be replaced by three smaller units. The long-term care in the hospital will cease completely and be replaced by district-based psychiatric services. All patients in the hospital's long-term unit were studied over one year at an early stage of deinstitutionalization. The results showed that 12% of patients were discharged during that year, mostly to other institutions, only 2 patients to their homes. Twenty-five per cent died, and one-year mortality was 40% for patients with severely impaired ADL functioning. The demented patients deteriorated significantly in ADL functioning.
1984年10月，瑞典某县做出了一项将精神科护理去中心化的政治决定。这将导致该地区唯一一家大型精神病院关闭，取而代之的是三个较小的单位。医院的长期护理将完全停止，由基于地区的精神科服务取代。在去机构化的早期阶段，对医院长期病房的所有患者进行了为期一年的研究。结果显示，当年12%的患者出院，大多转到了其他机构，只有2名患者回到家中。25%的患者死亡，日常生活活动功能严重受损的患者一年死亡率为40%。痴呆患者的日常生活活动功能显著恶化。
