Rudas S
Psychiatr Prax. 1990 Nov;17(6):206-15.
On the basis of changes that occurred in Vienna, the implications of planned interventions into the total structure of the institutional psychiatric care is being investigated. By a simultaneous and concerted action in that 1.5 million city, the in-patient and out-patient areas have, with the aid of predefined goals, been regionalized and much improved in terms of equipment. The number of patients in the large mental hospitals dropped by 68.5 percent between 1976 and 1988. The new out-patient facilities were made use of by 1.09 percent of the population from 1980 to 1987. No serious negative developments have been recorded. The study shows that the defined goals have to a large extent been achieved. In spite of the evident backlog demand, the total costs of the institutional psychiatric care did not rise as much as the costs of the general in-patient medical care over the same period of time. Changes in psychiatric care are measurable, the influence of the institutions on "patient carriers" justifies the interest in care research.
基于维也纳发生的变化，正在对计划对机构性精神科护理整体结构进行的干预措施的影响进行调查。通过在那个拥有150万人口的城市采取同步且协调一致的行动，借助预先设定的目标，住院和门诊区域已实现区域化，并且在设备方面有了很大改善。1976年至1988年间，大型精神病院的患者数量下降了68.5%。1980年至1987年期间，新的门诊设施有1.09%的人口使用。未记录到严重的负面发展情况。研究表明，既定目标在很大程度上已经实现。尽管明显存在积压需求，但机构性精神科护理的总成本在同一时期内的增长幅度不及普通住院医疗护理的成本。精神科护理的变化是可衡量的，机构对“患者载体”的影响证明了对护理研究的关注是合理的。
