中国全科医学2024，Vol.27Issue(21)：2651-2656,6.DOI:10.12114/j.issn.1007-9572.2023.0620
医务社工在出院准备工作中的介入空间与现实挑战
Intervention Space and Realistic Challenge of Medical Social Workers in Discharge Preparation Work
摘要
Abstract
Background Discharge preparation can help patients smoothly transition from one health care environment to another.In the medical institutions of foreign countries,discharge preparation is one of the main responsibilities of medical social workers.However,in China,there is currently relatively little involvement of social workers in discharge preparation.Objective To understand the intervention space and realistic challenges faced by medical social workers in the field of discharge preparation,and provide reference basis for improving social work in discharge preparation.Methods Using purposive sampling method from March to June 2023,based on a multidisciplinary perspective,adopt the qualitative interview method to conduct in-depth interviews with 20 medical personnel(including doctors,nurses,medical social workers,and medical management personnel).The interview data is organized and analyzed using Nvivo 12.0 software and the Colaizzi seven step analysis method.Results Medical social workers mainly carry out psychological and social assessments,develop professional service plans,provide social work interventions,and conduct follow-up in the field of discharge preparation services.While accumulating some local practical experience,they also face many realistic challenges,including insufficient access to social resources,multiple obstacles to the linkage between hospital and community,the lack of a standardized mechanism,inadequate interdisciplinary collaboration,a shortage of human resources for social workers,the need to improve their comprehensive abilities.Conclusion Promote the development of social work services for discharge preparation in China,by advocating for the construction of the social policy system and mechanism,building a multidisciplinary cooperation platform for hospitals,promoting the comprehensive capacity building of medical social workers.关键词
社会工作者/出院准备/多学科合作/介入空间/现实挑战Key words
Social workers/Discharge preparation/Multidisciplinary cooperation/Intervention space/Realistic challenge分类
医药卫生引用本文复制引用
孙振军,朱慧敏..医务社工在出院准备工作中的介入空间与现实挑战[J].中国全科医学,2024,27(21):2651-2656,6.基金项目
上海申康医院发展中心临床科技创新项目(SHDC12021636) （SHDC12021636）
上海交通大学文科科研创新培育项目(WKCX2021) （WKCX2021）
上海九院医院管理研究项目(YGA202305) （YGA202305）
