Fowler G
Hosp Community Psychiatry. 1980 Jan;31(1):41-5. doi: 10.1176/ps.31.1.41.
A one-day caseload survey was conducted in Los Angeles County's public inpatient facilities in order to estimate needs for alternatives to hospitalization. According to the primary therapists of each client in the caseload, 43 per cent of the inpatients could, on the day of the survey, be served in alternative programs. Responses to questions about the kinds of living arrangements and medical-diagnostic services needed in community programs for those clients showed a high need for residential care with close supervision or locked wards or both. The author concludes that while a significant number of inpatient days could be eliminated through the use of minimal-supervision alternatives, a large decrease in hospitalization could be expected only if more intensive community programs were implemented.
为了评估替代住院治疗的需求，在洛杉矶县的公立住院设施中进行了为期一天的病例量调查。根据病例量中每位患者的主要治疗师的说法，在调查当天，43%的住院患者可以在替代项目中接受治疗。针对这些患者在社区项目中所需的生活安排和医疗诊断服务类型的问题的回复显示，对有密切监督的寄宿护理或封闭病房或两者都有很高的需求。作者得出结论，虽然通过使用最低限度监督的替代方案可以消除大量的住院天数，但只有实施更强化的社区项目，才有望大幅减少住院治疗。
