1989年以来捷克共和国和斯洛伐克共和国精神卫生政策的发展

Q1 Social Sciences

Central European Journal of Public Policy Pub Date : 2016-05-01 DOI:10.1515/cejpp-2016-0022

K. Dobiášová, Eva Tušková, Pavla Hanušová, Olga Angelovská, M. Ježková

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引用次数: 3

摘要

本文旨在描述1990年后两国精神卫生保健政策发展中的关键事件，并确定精神卫生保健领域制度设置停滞或渐进式变化的主要原因。运用历史制度主义的框架来解释精神卫生保健改革的过程。该解释表明，缺乏政治兴趣，加上机构护理的传统，导致两国精神科护理的可得性差，住院设施网络过时，社区护理设施严重缺乏。尽管斯洛伐克共和国在政府一级通过了国家方案，但它仍在努力执行。捷克共和国正在进行的改革尝试可能会带来一些变化，这要归功于对精神卫生保健系统的战略治理的新方法和改革促进者使用的分层机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Development of Mental Health Policies in the Czech Republic and Slovak Republic since 1989

Abstract The article aims to describe the key events in the development of mental health care policies after 1990 in the two countries and identify the main reasons for stagnation or incremental changes to the institutional setting in the field of mental health care. The process of mental health care reform is explained using the framework of historical institutionalism. The explanation shows that the lack of political interest in combination with the tradition of institutional care resulted in poor availability of psychiatric care, outdated network of inpatient facilities and critical lack of community care facilities in both countries. Even though Slovak Republic adopted national programme at the governmental level, it still struggles with its implementation. The ongoing reform attempt in the Czech Republic may bring some change, thanks to a new approach towards strategic governance of the mental health care system and the mechanism of layering that the promoters of the reform use.

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来源期刊

Central European Journal of Public Policy Social Sciences-Law

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

37 weeks

期刊介绍： The Central European Journal of Public Policy (CEJPP) is an open-access, multidisciplinary, peer-reviewed journal with primary focus upon analytical, theoretical and methodological articles in the field of public policy. The journal does not have article processing charges (APCs) nor article submission charges. The aim of the CEJPP is to provide academic scholars and professionals in different policy fields with the latest theoretical and methodological advancements in public policy supported by sound empirical research. The CEJPP addresses all topics of public policy including social services and healthcare, environmental protection, education, labour market, immigration, security, public financing and budgeting, administrative reform, performance measurements, governance and others. It attempts to find a balance between description, explanation and evaluation of public policies and encourages a wide range of social science approaches, both qualitative and quantitative. Although the journal focuses primarily upon Central Europe, relevant contributions from other geographical areas are also welcomed in order to enhance public policy research in Central Europe.