White D M
Lancet. 1975 Jan 4;1(7897):27-9. doi: 10.1016/s0140-6736(75)92383-1.
The meaning of community care, as at present organised for the elderly mentally ill, is examined critically. It is argued that often the phrase is used to conceal the deficiencies of traditional institutional facilities, for which community care is apt to be regarded as a cheap substitute. It is suggested that it would be beneficial to have available true community care, capable of providing a full-time service to patients in their own homes, in preference to institutional facilities. Though such a scheme would benefit patients, it would have implications for the community discordant with present official attitudes.
本文对当前为老年精神病患者所组织的社区护理的意义进行了批判性审视。有人认为，这个词常常被用来掩盖传统机构设施的不足，而社区护理往往被视为一种廉价的替代方案。有人建议，提供真正的社区护理，能够在患者家中为他们提供全职服务，而不是机构设施，这将是有益的。尽管这样的方案会使患者受益，但它会对社区产生一些与当前官方态度不一致的影响。
