Häfner H
Wien Klin Wochenschr Suppl. 1986;170:10-7.
The changes in psychiatric service concern the realm of psychiatric hospitals, the ambulant services, and the complementary services for chronic patients. Influencing factors are the number of patients and the incidence of illnesses and their fluctuations, the available possibilities of therapy and provision and their changes, social changes, influences of the spirit of the age, and political and financial factors. The change in all these areas is briefly presented. There exist relevant figures in the literature. They are critically discussed. The quality of psychiatric services has been altered several times. The change concerns also the patients, in which general factors are to be mentioned like higher longevity, an increased number of chronic patients, aging of the population and the resulting increase in the incidence of psychiatric disturbances.
精神科服务的变化涉及精神病医院、门诊服务以及慢性病患者的辅助服务领域。影响因素包括患者数量、疾病发病率及其波动情况、可用的治疗和供给可能性及其变化、社会变革、时代精神的影响以及政治和财政因素。简要介绍了所有这些领域的变化。文献中有相关数据。对这些数据进行了批判性讨论。精神科服务的质量已经多次改变。这种变化也涉及患者，其中要提及一些一般因素，如寿命延长、慢性病患者数量增加、人口老龄化以及由此导致的精神障碍发病率上升。
