Caton C L
Am J Psychiatry. 1982 Jul;139(7):856-61. doi: 10.1176/ajp.139.7.856.
Brief hospitalization policies have accompanied the deinstitutionalization movement, yet length of inpatient stay in facilities under state and local administration remains quite varied. A 1-year study of 119 chronic schizophrenic patients hospitalization in New York City between 1977 and 1979 revealed that length of inpatient stay bore no relationship to subsequent hospitalization, treatment compliance, or clinical or social functioning in the community. Rather, a patient's postdischarge experiences with treatment and significant others in the community were critical in determining subsequent use of inpatient services. This finding points to the need for wider application of briefer hospitalization policies for the dischargeable chronic schizophrenic patient.
短期住院政策伴随着去机构化运动,但由州和地方管理的机构中的住院时间仍有很大差异。一项对1977年至1979年间在纽约市住院的119名慢性精神分裂症患者进行的为期一年的研究表明,住院时间与随后的住院治疗、治疗依从性或社区中的临床或社会功能无关。相反,患者出院后在社区中接受治疗的经历以及与重要他人的关系对于决定随后住院服务的使用至关重要。这一发现表明,对于可出院的慢性精神分裂症患者,需要更广泛地应用短期住院政策。