Anderson J, Dayson D, Wills W, Gooch C, Margolius O, O'Driscoll C, Leff J
Department of Psychological Medicine, University of Otago, New Zealand.
Br J Psychiatry Suppl. 1993 Apr(19):45-56.
The first prospective, controlled study of a large, long-stay, in-patient population as their hospital services were reprovided in the community is reported. Two-hundred-and-seventy-eight patients were matched individually with similar patients who remained in hospital. Clinical and social outcomes over a one-year follow-up are presented for the first three years of the reprovision process. Compared with matches, the leavers at follow-up had more diverse social networks that contained a higher proportion of contacts named as friends. The care facilities in the community allowed more opportunities for patient autonomy than the hospitals across all aspects of the environments measured. At follow-up, more leavers than matches wanted to remain in their current placement, while fewer leavers than matches said there was nothing they liked about their current placement. More leavers than matches found their medication helpful.
本文报告了第一项针对大量长期住院患者群体的前瞻性对照研究，这些患者的医院服务在社区中重新提供。278名患者与留在医院的类似患者进行了个体匹配。报告了重新提供服务过程的前三年中为期一年的随访期间的临床和社会结果。与匹配患者相比，随访时出院的患者社交网络更多样化，其中被称为朋友的联系人比例更高。在所测量的环境的各个方面，社区中的护理设施比医院为患者自主提供了更多机会。随访时，想留在当前安置点的出院患者比匹配患者更多，而表示对当前安置点没有任何喜欢之处的出院患者比匹配患者更少。认为药物有帮助的出院患者比匹配患者更多。
