概括
芬兰 芬兰 芬兰 芬兰
科学领域:
- 精神病学是一个精神病学.
- 公共卫生政策 公共卫生政策
- 医疗保健系统转型 医疗保健系统转型
背景情况:
- 芬兰的精神病系统迅速从机构转向以社区为基础的护理.
- 这一转变被20世纪90年代初严重的经济衰退所加速.
研究的目的:
- 审查芬兰精神病治疗系统的转型.
- 评估非制度化和基于社区的方法的结果.
主要方法:
- 对国家文件,学术论文和科学文献 (1984-2018) 的叙事综述.
- 2019年与主要专家的采访.
主要成果:
- 现在,市政当局是精神病医疗服务的主要提供者,重点是门诊.
- 尽管人口增长,精神病医院病床的数量显著减少.
- 门诊服务在2017年达到芬兰人口的4%,访问量为225万次.
- 脱机构化并没有导致严重精神障碍患者无家可归或死亡率增加.
结论:
- 精神病患者通常受益于基于社区的护理模式.
- 然而,社区护理的发展优先考虑了资源分配,而不是战略规划和治疗方法.
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