Marcos L R, Gil R M
Am J Psychiatry. 1983 Jul;140(7):853-6. doi: 10.1176/ajp.140.7.853.
This study reports the process and outcome of a mental health policy change designed to relieve overcrowding in the 10 municipal adult psychiatric inpatient units in New York City. The authors describe the strategies used to achieve a limited change in admission policies and analyze the effect of this change on the municipal hospitals. Comparison of conditions before and after the policy change suggests its positive impact. Results are discussed in reference to the model of incrementalism in policy making, emphasizing the need for comprehensive rational planning, the training of mental health professionals in policy making, and further research on this important area of psychiatry.
本研究报告了一项旨在缓解纽约市10家市级成人精神病住院单元过度拥挤状况的心理健康政策变革的过程与结果。作者描述了为实现入院政策有限变革所采用的策略，并分析了这一变革对市级医院的影响。政策变革前后状况的对比表明了其积极影响。研究结果结合政策制定中的渐进主义模型进行了讨论，强调了全面理性规划的必要性、心理健康专业人员在政策制定方面的培训以及对精神病学这一重要领域的进一步研究。
