Hacke W
Psychiatr Prax. 1978 Aug;5(3):188-94.
This article tries to describe the problems, difficulties and setbacks experienced by patients, doctors, psychologists or social workers when looking for a public health insurance body competent to bear the cost, as well as for a vacancy in a suitable hospital or institution where appropriate therapy can be effected. The case history of a female heroin addict was chosen as a model example to show that the simultaneous activities by a variety of offices or bodies is rarely crowned with succes. The author surveys several other cases where similar protacted mechanisms of decision to be arrive at by bodies who might be requested to bear the cost interfered with the therapy in patients addicted to alcohol and/or drugs. A suggestion is presented aiming at arriving at a decision in minimum time and according to a compact pattern.
本文试图描述患者、医生、心理学家或社会工作者在寻找有能力承担费用的公共医疗保险机构,以及在合适的医院或机构中寻找可进行适当治疗的空缺职位时所遇到的问题、困难和挫折。选取了一名女性海洛因成瘾者的病史作为典型例子,以表明多个部门或机构同时开展活动很少能取得成功。作者还审视了其他一些案例,在这些案例中,可能被要求承担费用的机构做出类似的冗长决策机制,干扰了酗酒和/或吸毒患者的治疗。本文提出了一项建议,旨在以最短的时间并按照紧凑的模式做出决策。