Howat J
Br J Psychiatry. 1979 Jul;135:42-51. doi: 10.1192/bjp.135.1.42.
The post-war development of psychiatric services in Nottingham, with their reduction in the number of beds and marked increase in in-patient turnover and day patient and out-patient attendances, represents a close approximation to the proposals of the 1962 Hospital Plan. These changes were achieved by redeployment of existing resources. A fifteen-year attrition study of 1960 long-stay in-patients shows a high rate of discharge, especially for males. The reasons for these findings and some implications are discussed.
诺丁汉战后精神科服务的发展,包括床位数量减少、住院患者周转率显著提高以及日间患者和门诊就诊人数增加,与1962年医院规划的提议非常接近。这些变化是通过重新调配现有资源实现的。一项针对1960年长期住院患者的为期15年的减员研究显示出院率很高,尤其是男性患者。本文讨论了这些研究结果的原因及一些影响。