Chojnowski Janusz, Załuska Maria
Oddział Psychiatrii Szpitala Ogólnego im. W. Ginela w Grajewie.
IV Klinika Psychiatrii IPiN w Szpitalu Bielańskim w Warszawie.
Psychiatr Pol. 2016;50(2):431-43. doi: 10.12740/PP/35378.
The world literature is reporting economic destabilisation of psychiatric wards in general hospitals related to the new rules of financing (managed care). The aim of this paper is to analyse the literature on psychiatric wards in general hospitals, and to know the opinions of psychiatrists employed in these wards in Poland regarding organisational model and the stability of these wards.
The 18-items Likert-type questionnaire was send to 83 psychiatric wards in Poland and published on the website psychiatria.pl.
50 psychiatrists from psychiatric wards in general hospitals in 11 provinces had responded. The prevailing number of respondents positively assessed: the organisational model of the ward, implications for therapy arising from its location in the general hospital and the relationships with colleges of other specialties. However, they assessed negatively: the working conditions, stability of employment, the mode of treating the psychiatrists by the management of the hospital, and the interest of the authorities in these wards. The majority of respondents (72%) prefer to work in integrated stationary/ambulatory services, and postulates (86% of respondents) that the psychiatric wards in general hospitals should be guaranteed permanent status in the mental health system.
The psychiatrists employed in the psychiatric wards in general hospitals in Poland evaluate this organisational model positively. However, the destabilisation of economic foundations of these wards reported in the world literature was also reflected in the results of a survey conducted in Poland. There is a need to develop standards for the organisation and financing departments of psychiatry in general hospitals providing them stable status in the healthcare system in Poland.
世界文献报道了综合医院精神科病房因新的融资规则（管理式医疗）而出现经济不稳定的情况。本文旨在分析关于综合医院精神科病房的文献，并了解波兰这些病房中受雇的精神科医生对组织模式和这些病房稳定性的看法。
一份包含18个条目的李克特式问卷被发送至波兰的83个精神科病房，并发布在网站psychiatria.pl上。
来自11个省份综合医院精神科病房的50名精神科医生做出了回应。大多数受访者对以下方面给予了积极评价：病房的组织模式、因其位于综合医院而对治疗产生的影响以及与其他专科科室的关系。然而，他们对以下方面给予了负面评价：工作条件、就业稳定性、医院管理层对待精神科医生的方式以及当局对这些病房的关注。大多数受访者（72%）更倾向于在综合的住院/门诊服务机构工作，并且多数人（86%的受访者）提出综合医院的精神科病房应在心理健康系统中获得永久地位。
波兰综合医院精神科病房中受雇的精神科医生对这种组织模式给予了积极评价。然而，世界文献中报道的这些病房经济基础的不稳定也反映在波兰进行的一项调查结果中。有必要为综合医院精神科的组织和融资部门制定标准，使其在波兰医疗保健系统中获得稳定地位。
