Shulman K, Arie T
Department of Psychiatry, University of Toronto, Ontario.
Can J Psychiatry. 1991 Apr;36(3):169-75. doi: 10.1177/070674379103600303.
As an important step in health care planning for the elderly, a systematic descriptive study of ten psychogeriatric services was undertaken in the United Kingdom. A definite trend emerged of a reduction in the number of hospital beds as community services developed. Health authorities tended to establish a clinical base in general hospitals rather than in mental hospitals. The recent effect of the rapid growth of the private nursing home sector is also described. Some rough guidelines are provided for the basic resources needed to establish a comprehensive service including one assessment bed and one day place per 1,000 elderly persons; the number of long-stay beds depends on the number of places available in the private sector. While the Canadian health care system differs in some fundamental ways from that in the UK, the principles and guidelines derived from the UK experience may be applied to meet the psychiatric needs of the elderly in Canada.
作为老年人医疗保健规划的重要一步，英国对十项老年精神科服务进行了系统的描述性研究。随着社区服务的发展，出现了医院病床数量减少的明确趋势。卫生当局倾向于在综合医院而非精神病院建立临床基地。还描述了私人疗养院部门快速增长的近期影响。提供了一些粗略的指导方针，用于建立综合服务所需的基本资源，包括每1000名老年人配备一张评估床位和一个日间照料床位；长期护理床位的数量取决于私营部门可提供的床位数量。虽然加拿大的医疗保健系统在一些基本方面与英国不同，但从英国经验中得出的原则和指导方针可用于满足加拿大老年人的精神科需求。
