Spiro H R
Hosp Community Psychiatry. 1982 Sep;33(9):722-8. doi: 10.1176/ps.33.9.722.
Without reform and linkage to unified care system, state hospitals may become overcrowded and underfunded during the coming decades. The author delineates ten epidemiologic, demographic, and systemic factors that point to increases in episodes of chronic illness which are most likely to end in state hospitalization. General hospitals, nursing homes, and community-based programs are compared as possible substitutes for state hospitals. Finally the author recommends twelve internal reforms to strengthen the state hospital system as an integral part of the chronic care network.
如果不进行改革并与统一的医疗体系相联系，在未来几十年里，公立医院可能会变得过度拥挤且资金不足。作者阐述了十个流行病学、人口统计学和系统性因素，这些因素表明慢性病发作次数将会增加，而这些慢性病很可能最终导致患者入住公立医院。文章将综合医院、疗养院和社区项目作为公立医院可能的替代方案进行了比较。最后，作者建议进行十二项内部改革，以加强公立医院系统，使其成为长期护理网络的一个组成部分。
