Biomaterial Database

Reforming the state hospital in a unified care system. 1982

H R Spiro

Without reform and linkage to unified care system, state hospitals may become overcrowded and underfunded during the coming decades. The author delineates ten epidemiologic, demographic, and systemic factors that point to increases in episodes of chronic illness which are most likely to end in state hospitalization. General hospitals, nursing homes, and community-based programs are compared as possible substitutes for state hospitals. Finally the author recommends twelve internal reforms to strengthen the state hospital system as an integral part of the chronic care network.

UI	MeSH Term	Description	Entries
D009735	Nursing Homes	Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.	Homes, Nursing,Nursing Home
D011567	Psychiatric Department, Hospital	Hospital department responsible for the organization and administration of psychiatric services.	Hospital Psychiatric Department,Psychiatric Departments, Hospital,Department, Hospital Psychiatric,Departments, Hospital Psychiatric,Hospital Psychiatric Departments
D003156	Community Mental Health Services	Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.	Community Mental Health Service,Mental Health Services, Community,Assertive Community Treatment,Health Services, Community Mental,Services, Community Mental Health,Services, Mental Health Community,Community Treatment, Assertive,Treatment, Assertive Community
D003363	Cost Control	The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)	Cost Containment,Containment, Cost,Containments, Cost,Control, Cost,Controls, Cost,Cost Containments,Cost Controls
D003688	Deinstitutionalization	The practice of caring for individuals in the community, rather than in an institutional environment with resultant effects on the individual, the individual's family, the community, and the health care system.	Deinstitutionalized Persons,Deinstitutionalized Person,Person, Deinstitutionalized,Persons, Deinstitutionalized
D005544	Forecasting	The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology.	Futurology,Projections and Predictions,Future,Predictions and Projections
D006769	Hospitals, General	Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.	General Hospital,General Hospitals,Hospital, General
D006778	Hospitals, Psychiatric	Special hospitals which provide care to the mentally ill patient.	Mental Hospitals,Hospitals, Mental,Mental Institutions,Psychiatric Hospitals,Hospital, Mental,Hospital, Psychiatric,Institution, Mental,Institutions, Mental,Mental Hospital,Mental Institution,Psychiatric Hospital
D006779	Hospitals, Public	Hospitals controlled by various types of government, i.e., city, county, district, state or federal.	Public Hospitals,Hospital, Public,Public Hospital
D006783	Hospitals, State	Hospitals controlled by agencies and departments of the state government.	State Hospitals,Hospital, State,State Hospital