Cotton P G, Bené-Kociemba A, Roses S
Am J Psychiatry. 1980 Feb;137(2):230-3. doi: 10.1176/ajp.137.2.230.
The authors investigated the marked decline in the number of patients transferred from an inpatient service of a general hospital to a state hospital during a 30-month period. The major reasons for transfer were unmanageable behavior, high risk of suicide or homicide, administrative considerations, and unremitting or deteriorating course. They found that administrative concern about three factors--the many problems of patients likely to be transferred, staff anxiety, and the relationship between the general hospital and state hospital units--can facilitate the decline in the number of patients transferred to a state hospital.
作者调查了一家综合医院住院部在30个月期间转至一家州立医院的患者数量显著下降的情况。转院的主要原因包括行为难以管控、自杀或杀人风险高、行政因素以及病情持续或恶化。他们发现，行政部门对三个因素的关注——可能转院患者的诸多问题、工作人员的焦虑以及综合医院与州立医院各科室之间的关系——会促使转至州立医院的患者数量下降。
