Pattison S, Armitage P
J Med Ethics. 1986 Sep;12(3):136-42. doi: 10.1136/jme.12.3.136.
Scant consideration has been given to the ethical implications of the policy of closing down psychiatric hospitals in favour of community care. The recent adherents of this policy in government have been enthusiastic in encouraging its implementation. This paper has three sections: a brief resumé of the history and principles of community care for the mentally ill; a discussion on the merits and de-merits of psychiatric care in the hospital and in the community; and an outline of some preliminary categories for ethical analysis.
对于关闭精神病院以支持社区护理政策的伦理影响，人们考虑甚少。政府中该政策的近期支持者一直热衷于推动其实施。本文分为三个部分：对精神病患者社区护理的历史和原则的简要概述；关于医院和社区精神科护理优缺点的讨论；以及一些伦理分析初步类别的概述。
