Herz M I
Hosp Community Psychiatry. 1979 Feb;30(2):117-21. doi: 10.1176/ps.30.2.117.
In recent years there has been a significant decrease in the length of hospital stays for psychiatric patients. The author examines whether the shorter stays are justified by results of controlled studies and, if so, what is the most appropriate hospital milieu for short-term units. He summarizes several studies supporting his opinion that short-term hospitalization is usually indicated for the majority of patients, provided that continuity of care is ensured and that supervised living arrangements are available for patients who require them. He believes a medical-model milieu with a clear structure and delineation of roles is most appropriate for short-term in-patient units.
近年来，精神科患者的住院时间显著缩短。作者研究了这种较短的住院时间是否能由对照研究的结果来证明其合理性，如果可以，那么对于短期病房来说，最合适的医院环境是什么。他总结了几项研究，支持他的观点，即对于大多数患者来说，短期住院通常是合适的，前提是要确保护理的连续性，并且为有需要的患者提供有监督的生活安排。他认为，具有明确结构和角色划分的医疗模式环境最适合短期住院病房。
