军队医院参与社会医疗保障工作的体会

国务院《关于建立城镇职工基本医疗保险制度的决定》出台以后 ,我们根据中国人民解放军总后勤部“关于军队医院要积极参与地方社会医疗制度改革”的要求 ,主动适应形势 ,积极参与此项工作的开展。1　领导重视 ,全体动员我院是战争年代成立的一所红军医院。在历史上的各个时期 ,     

Social Work Practice and Community Health

This paper describes the functions and roles performed by the author as a social worker in the Department of Community Medicine, Mount Sinai School of Medicine of the City University of New York. The material is presented within the context of current controversies in the health care field and the department's assumption of responsibility to help improve the health care delivery system. Examples are provided to illustrate ways in which social work practice can enhance the ability of an agency of institution to use its own resources to educate and encourage a community and attendant health delivery systems therein to identify needs and to work in partnership in order to solve some of the problems. Discussion of the philosophical and knowledge base from which specific principles and techniques emerge highlights the applicability of tis material to urban, nonurban, and rural areas.     

Social Work in Health Care

A structured multivariate practice model is proposed for improving social workers' capabilities to effectively satisfy patients' psychosocial needs. The model bases practice activities on an explicit theoretical framework. Using this approach may enhance the professional authority social work needs but which the biomedical framework of existing health care delivery systems frequently threatens: to autonomously make informed decisions to meet the psychosocial needs of populations at risk. The approach can also contribute to the development of an indigenous professional body of knowledge.     

The Challenges of Health Care Reform for Hospital Social Work in the United States

This article examines the potential impact of the Patient Protection and Affordable Care Act (ACA) of 2010 on the practice of hospital social work in the United States and its implications for social work education and training. It briefly traces the history of hospital social work, outlines some contemporary issues in the health care field, particularly those that create persistent health disparities, summarizes the major provisions of the Act that have implications for social work practice, and discusses how social workers in hospital settings might respond effectively to the changes produced by the legislation.     

Hospital Social Work Practice in Zimbabwe

This article examines hospital work practice in Zimbabwe based on a literature review. It argues that the country is emerging from a ten year economic and political crisis which has affected the lives of the majority of the population. The health and education sectors have been the hardest hit since teachers, doctors, nurses as well as social workers have left the country in large numbers. The article highlights the various roles played by social workers in hospitals in Zimbabwe and the challenges they face in their day to day work. Solutions to these challenges are also suggested.     

医院社会工作本土化的探索与实践

随着经济的发展,社会对医院社会工作逐渐重视。我院2011年成立了杏林医务社工部,从项目推进、个案工作、小组工作、社区工作几方面开展医务社会工作,探索符合患者需求的医务社工工作模式,为患者提供满意服务。     

Social Work and the New Integrative Hospital:

No abstract available for this article.     

Models and Methods in Hospital Social Work Supervision

This is the first qualitative study of the perceptions of hospital-based social work supervisees regarding their hospital supervision. Seventeen social workers were recruited using a national listserv and snowball sampling techniques. According to the perception of the clinical social workers participating in the study, hospital social work supervision is organizationally driven rather than worker-focused. Implications for social work education and research are discussed.     

医院开展医务社会工作的探讨

目的：通过对上海市某医院开展医务社工情况的了解,解析医务社工存在的问题以及解决的方法。方法采用文献查阅、深度访谈法,调研医务社工的常规工作、现状以及发展情况进行分析和探讨。结果社会工作部在开展各项公益慈善、志愿者服务等工作时都进展顺利,但在介入医患关系的干预时就遇到种种问题,存在许多困境。结论随着医院设立社工部的发展,医务社工在临床实践中必将遭遇前所未有的种种困难,针对困难找到恰当的解决途径,积极应对,必能对医院的发展起到实际作用。     

Social Work Practice in Health Care:

Social work practice in health care must change to better meet the needs of individuals and their families as the system of care changes from acute care focus to a community based focus and as individuals seek more active participation in their own care decisions. Practitioners and educators must renew their partnership to create a practice based on the needs of individuals to move most effectively through a more complex system of care and back home again. A paradigmatic shift can redefine social work in health care fur the future. Renewed leadership with vision is required.     

Hospital Social Work: Contemporary Roles and Professional Activities

Since its inception in the 1900s, hospital social work has been impacted by the ever changing hospital environment. The institution of Diagnostic Related Groups (DRGs), the era of reengineering, and the constant struggle toward health care reform make it necessary to evaluate and substantiate the value and efficacy of social workers in hospital settings. This study identifies current roles and activities carried out by social workers in acute hospital settings from across the nation in the aftermath of reengineering. Findings suggest the primary role of respondents in this study to be discharge planning with little to no involvement in practice research or income-generating activities.     

Our Community Hospital: The Evolution of a Rural Primary Care Hospital

In the next few years, Our Community Hospital, located in the small town of Scotland Neck, NC, will undergo a conversion through which it may serve as an appropriate model for similar small hospitals in distressed rural communities. With technical and grant assistance from the Office of Rural Health and Resource Development of the North Carolina Department of Human Resources, the hospital has begun to phase out almost all acute care services and will expand and strengthen its focus on primary care, emergency medical services, and services for elderly persons. This paper addresses four issues of greatest concern to hospital administrators, rural health professionals, academics, and rural residents interested in hospital conversions: (1) community involvement during the planning process; (2) the evolution of the program's structure; (3) financing for the project; and (4) the development of cooperation between state and federal governments, foundations, and private groups. This case study describes one possible course in addressing an acute health care problem facing rural America--the viability of rural hospitals.