[精神科医院病床功能分离情况向学会会员的调查报告]。

Saburo Matsubara, Nobuo Anzai, Junichiro Ota, Tetsuro Ohmori, Akira Kodaka, Shigeki Sato, Iwao Sano, Kunitoshi Hatou, Masahiko Mikuni, Yoshio Yamanouchi, Akira Yoshizumi, Yoshifumi Watanabe
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摘要

2014年,日本厚生劳动省公布了精神病院政策指南。我们对“日本精神病学和神经病学学会”的成员进行了一项关于该指南印象的调查,特别是关于“精神病院病床的功能分化”。该协会的主页上公布了9个问题。2015年5月1日至30日,网站共更正了862个问题(5.3%)。答案的归属:在精神病院工作的医生(70.9%),精神科诊所(20%),其他(9.1%)。“在改善精神科社区治疗中,应在制衡的原则下逐步减少精神科床位”、“改善康复期治疗功能”和“对重症和慢性期患者的充分治疗”等问题的回答均超过80%。超过55%的回答同意的问题是“减少慢性相床以改善急性相床的功能”。“慢性期患者的精神症状评估应由第三方完成”和“社交技能治疗设施应设在社区”的问题(近47%)超过对立面。我们可以了解成员们对精神病学革命的看法。
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[The Report of the Survey to the Members of the Society about the Functional Dissociation of the Psychiatric Hospital beds].

In 2014, Japanese Ministry of Health, Labour and Welfare published the guideline on the policy of the psychiatric hospitals. We executed a survey to the members of "The Japanese Society of Psychiatry and Neurology" about the impression of this guideline, especially about "The functional differentiation of psychiatric hospital beds". Nine questions were notified on the home page of the society. 862 answers (5.3% of the members) were corrected by website from 1st to 30th of May in 2015. Attribution of the answers : doctors working at the psychiatric hospitals (70.9%), the psychiatric clinics (20%), the others (9.1%). The questions which more than 80% of the answers agreed were "The reduction of the psychiatric beds should be stepwise under the rule of check & balance in the improvement of the psychiatric community treatment", "Improve the function of the recovery phase treatment" and "The adequate treat- ment for the patients of the severe and chronic phases". The questions more than 55% of the answers agreed were "The reduction of the chronic phase beds for the improvement of the function of the acute phase beds". The questions which opposites exceeded (almost 47%) were "The assessment of the psychiatric symptoms in the patients of the chronic phase should be done by the third party" and "The facility for social skill treatment should be placed in the community". We could know the mind of the members about the revolution of the psychiatric.

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