Hansen V
Institute of Community Medicine, University of Tromsø, Norway.
Acta Psychiatr Scand. 1987 Aug;76(2):121-8. doi: 10.1111/j.1600-0447.1987.tb02873.x.
The organization of a psychiatric specialist service integrated in primary care is described. One of the aims was to replace admissions to the mental hospital with consultation and treatment within primary care. An 18% reduction of admissions was achieved over a 2-year period. The staff at the local mental hospital to a large extent controlled the number of admissions. Lack of cooperation from part of the staff made a greater reduction of admissions difficult. It is argued that in order to achieve a true shift from institutional to community psychiatry, the use of the hospital beds should be monitored from the community level.
本文描述了一项整合于初级保健中的精神科专科服务的组织情况。其目标之一是用初级保健中的咨询和治疗取代精神病院住院治疗。在两年时间里实现了住院人数减少18%。当地精神病院的工作人员在很大程度上控制着住院人数。部分工作人员缺乏合作使得进一步大幅减少住院人数变得困难。有人认为，为了实现从机构精神病学向社区精神病学的真正转变，应从社区层面监测医院病床的使用情况。
