Dorwart R A
Harvard Medical School, Cambridge, Massachusetts.
Hosp Community Psychiatry. 1988 Mar;39(3):287-91. doi: 10.1176/ps.39.3.287.
The Cambridge-Somerville unit of the Massachusetts state hospital system, which was studied by the author in 1977, was resurveyed to examine changes in the clinical characteristics of the patient population between 1977 and 1987. Although the number of patients in the hospital remained almost the same, there were striking increases in the percentages of male patients and of patients on involuntary legal status. There was a decrease in the number of patients who had hospital stays of 30 days or less or of more than five years and an increase in the number of patients staying between one and 12 months. These findings demonstrate that the effects of deinstitutionalization continue long after trends toward reduction of census have stabilized.
作者于1977年对马萨诸塞州医院系统的剑桥 - 萨默维尔分院进行了研究，之后又对其进行了重新调查，以考察1977年至1987年间患者群体临床特征的变化。尽管医院患者数量几乎保持不变，但男性患者和非自愿法定住院患者的比例显著增加。住院30天及以内或超过五年的患者数量减少，住院一至十二个月的患者数量增加。这些发现表明，去机构化的影响在人口普查减少趋势稳定很久之后仍在持续。
