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[社区精神病学中的协调与规划。汉诺威14年经验:介于精神病学调查建议与专家委员会建议之间(1976 - 1989年)]

[Coordination and planning in community psychiatry. 14-year-experience in Hannover between the recommendations of the Psychiatric Inquiry and the Expert Commission (1976-1989)].

作者信息

Elgeti H, Machleidt W

机构信息

Psychiatrische Poliklinik II der Medizinischen Hochschule Hannover.

出版信息

Offentl Gesundheitswes. 1990 Dec;52(12):681-90.

PMID:2149442
Abstract

Against the background of the model pattern conceived in West Germany in 1975 on the basis of the so-called "Psychiatrie-Enquête" and in 1988 on recommendations made by a committee of experts, the article describes and discusses the history, composition, manner of working, thematic scope and the results of the coordination round table concerning psychiatric care under community council auspices. This model has been realised in Hanover since 1976 as part of the segmentation of psychiatric care according to community districts. The study aims at stimulating suggestions for a general solution regarding coordination- and planning of communal psychiatric care and how to translate these suggestions into reality, both on a scientific basis and with due reference to the realities of the prevailing circumstances. This can help to avoid developments in a wrong direction and also to avoid delays that may arise in solving this core problem of sociopsychiatric reform.

摘要

本文以1975年在西德根据所谓的“精神病学调查”构想的模式为背景,并基于专家委员会在1988年提出的建议,描述并讨论了在社区委员会主持下的精神科护理协调圆桌会议的历史、组成、工作方式、主题范围和结果。自1976年以来,该模式已在汉诺威实现,作为按社区划分精神科护理的一部分。该研究旨在激发关于社区精神科护理协调与规划的总体解决方案的建议,以及如何在科学基础上并适当参考当前实际情况将这些建议变为现实。这有助于避免朝着错误方向发展,也有助于避免在解决社会精神病学改革这一核心问题时可能出现的延误。

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