Summergrad P
Inpatient Psychiatric Service, Massachusetts General Hospital, Harvard Medical School, Boston 02114.
Gen Hosp Psychiatry. 1994 Jan;16(1):20-31. doi: 10.1016/0163-8343(94)90083-3.
The medical-psychiatric unit concept has been the most important influence in the development of general hospital inpatient psychiatry in the last decade. This concept and style of unit organization is reviewed in the context of the history of general hospital inpatient psychiatry. It is suggested that elements of the medical-psychiatry unit model will become more important in the organization of general hospital psychiatric units. Modifications of the medical psychiatry unit concept are suggested to take into account the heterogeneity of many general hospital inpatient services. Implications of these factors are discussed in the context of unit design, models of staff organization, and the formation of networks of care.
在过去十年中，医疗-精神科单元概念对综合医院住院精神科的发展产生了最重要的影响。本文在综合医院住院精神科历史的背景下，对这种单元组织的概念和模式进行了回顾。研究表明，医疗-精神科单元模式的要素在综合医院精神科单元的组织中将变得更加重要。为考虑到许多综合医院住院服务的异质性，建议对医疗-精神科单元概念进行修改。在单元设计、 staff组织模式和护理网络形成的背景下，讨论了这些因素的影响。 （注：原文中“staff”未翻译，推测可能是有拼写错误，正常应为“staff”，译为“员工”或“工作人员” ）
