Deinstitutionalization in Europe: two recent examples from Germany and Hungary.
Deinstitutionalization has made possible the development of modern community psychiatric services, however radical decrease in the number of hospital beds may result in a reduction in the overall standard of psychiatric care and disruptions in service delivery. The authors present an example of deinstitutionalisation in Hungary, which led to serious difficulties in the provision of healthcare in the field of psychiatry, contrasted with a case from Germany serving as an example of an alternative solution.
Stubnya
Gusztáv
G
Semmelweis University, Ullöi street 26. HUN-1085 Budapest, Hungary. strat_foig@rekhiv.sote.hu
Nagy
Zoltán
Z
Lammers
Claas-Hinrich
CH
Rihmer
Zoltán
Z
Bitter
István
I
D003431:Cross-Cultural Comparison; D003688:Deinstitutionalization / Q000639:trends*; D003695:Delivery of Health Care / Q000639:trends*; D005544:Forecasting; D005858:Germany; D006271:Health Facility Closure / Q000639:trends; D006297:Health Services Accessibility / Q000639:trends*; D006301:Health Services Needs and Demand / Q000639:trends; D006742:Hospital Bed Capacity; D006754:Hospital Restructuring / Q000639:trends; D006778:Hospitals, Psychiatric / Q000639:trends; D006801:Humans; D006814:Hungary; D001523:Mental Disorders / Q000534:rehabilitation*; D011787:Quality of Health Care / Q000639:trends