医务社会工作跨专业合作中的角色共识与角色实践

社会工作与管理 ›› 2024, Vol. 24 ›› Issue (2): 32-42.

医务社会工作跨专业合作中的角色共识与角色实践

赵芳¹, 孔春燕¹, 何龙韬²

1. 复旦大学社会发展与公共政策学院，上海，200433;
2. 西南财经大学社会发展研究院，四川成都，611130

收稿日期:2023-12-28 出版日期:2024-03-15 发布日期:2024-03-15
作者简介:赵芳(1971-),女,汉族,教授,博士;主要研究方向:社会工作伦理,儿童家庭社会工作,健康社会工作。
基金资助:
中国社会工作联合会医务社会工作专业委员会2023年重点课题“中国医务社会工作发展方式研究”(D01)。

Role Consensus and Role Practice of Cross-Professional Cooperation in Medical Social Work

ZHAO Fang¹, KONG Chunyan¹, HE Longtao²

1. School of Social Development and Public Policy, Fudan University, Shanghai, 200433, China;
2. Research Institute of Social Development, Southwestern University of Finance and Economics, Chengdu, Sichuan, 611130, China

Received:2023-12-28 Online:2024-03-15 Published:2024-03-15

摘要/Abstract

摘要： 随着医务社会工作的发展，医护人员、患者和家属已经对其形成了具有一定共性的角色期待，跨专业合作因此成为可能。然而，医务社会工作在跨学科团队中面临的核心问题仍然是角色共识不足，角色实践与角色期待差距明显，难以深度融入医疗体系。文章通过2023年在上海、湖北和广东三地开展问卷调查和对某市6家医院医务社会工作部2022年的年终总结报告进行分析发现，推动医务社会工作跨专业合作发展需要同时克服外生性障碍和内生性缺陷，医务社会工作自身的专业发展是跨专业合作的核心基础，而突破瓶颈的内生性路径在于制度化知识的生产和临床技术的自主性发展。

关键词: 医务社会工作, 跨专业合作, 角色共识, 角色实践

Abstract: With the restoration and development of medical social work in mainland China, stakeholders including healthcare professionals, patients, and their families have developed certain shared expectations regarding the roles of medical social workers, which facilitated the foundation for cross-professional collaboration. However, medical social workers continue to encounter challenges within interdisciplinary teams, mainly due to a lack of consensus on their roles, along with a lack of external support and intrinsic professional development in role practices. The present study consists of a questionnaire survey in Shanghai, Hubei and Guangdong in 2023 (the first step) and an analysis of annual reports of six hospitals in a city in 2022 (the second step). It is found that the practice development of cross-professional collaboration in medical social work requires overcoming both extrinsic obstacles and intrinsic deficiencies. The professional development of medical social work itself is regarded as the cornerstone of cross-professional collaboration, and the endogenous path to break through the bottleneck involves the production of institutionalized knowledge and the independent development of clinical technology.

Key words: medical social work, cross-professional cooperation, role consensus, role practice

中图分类号:

C916

赵芳, 孔春燕, 何龙韬. 医务社会工作跨专业合作中的角色共识与角色实践[J]. 社会工作与管理, 2024, 24(2): 32-42.

ZHAO Fang, KONG Chunyan, HE Longtao. Role Consensus and Role Practice of Cross-Professional Cooperation in Medical Social Work[J]. SOCIAL WORK AND MANAGEMENT, 2024, 24(2): 32-42.

参考文献

[1] BARTLETT H M. Medical social work: a study of current aims and methods in medical social case work [M]. Chicago: American Association of Medical Social Workers, 1934: 99.
[2] CANNON I M. Social work in hospital: a contribution to progressive medicine [M]. New York: Russell Sage Foundation, 1932: 14-15.
[3] DOBROF J. DRGs and social worker’s role in discharge planning[J]. Social work in health care, 1992, 16(2): 37-54
[4] CLAIBORNE N, VANDENBURGH H. Social workers’ role in disease management[J]. Health & social work, 2001, 26(4): 217-225
[5] 刘永宁, 张卫国. 医疗模式转型中团队医疗的理念和实践[J]. 医学与哲学, 2016(5): 90-93
[6] 傅文瑶, 庄一渝. ICU护士跨专业合作的影响因素及干预研究进展[J]. 中华急危重症护理杂志, 2022(2): 168-172
[7] GEHLERT S, BROWNE T. 健康社会工作手册[M]. 季庆英, 译. 北京: 北京大学医学出版社, 2023: 10-16, 20-50.
[8] 王佳欣, 赵亚利. 国内外医疗团队合作评估工具系统综述[J]. 中国全科医学, 2023(31): 3951-3962
[9] STEIN J, PAYNE C, METHVIN A, et al. Reorganizing a hospital ward as an accountable care unit[J]. Journal of hospital medicine, 2015, 10(1): 36-40
[10] 相林, 刘清波, 顾晗昕, 等. 加拿大Baycrest跨专业合作老年护理模式对我国的启示[J]. 中华护理教育, 2019(7): 558-560
[11] 齐建, 王志中, 姚尚满, 等. 跨学科合作医疗实践中医务社会工作整合模式建构研究[J]. 中国卫生事业管理, 2021(4): 256-259
[12] MANNSAKER I K-R, VAGAN A. Strengthening the relationships between different parties: boundary-spanning competencies in hospital social work[J]. Qualitative social work, 2023, DOI: 10.1177114733250231167821.
[13] ORCHARD C, PEDERSON L L, READ E, et al. Assessment of Interprofessional Team Collaboration Scale (AITCS): further testing and instrument revision[J]. Journal of continuing education in the health professions, 2018, 38(1): 11-18
[14] COOTES H, HEINSCH M, BROSNAN C. Jack of all trades and master of none? exploring social work’s epistemic contribution to team-based health care[J]. The British journal of social work, 2022, 52(1): 256-273
[15] 林思恒, 冯皓. 重症监护中医务社工的角色与任务[J]. 医学与哲学, 2021(24): 58-62
[16] 赵晓芳. 医务社会工作在医疗服务体系中的角色、困境与破解路径——北京C基金会的案例研究[J]. 兰州学刊, 2023(11): 116-129
[17] 萧易忻. 双向运动下医务社工协调医患冲突的角色定位——中国台湾地区案例的借鉴[J]. 社会工作与管理, 2017(3): 12-18
[18] HARTMAN-SHEA K, HAHN A P, FRITZ KRAUS J, et al. The role of the social worker in the adult critical care unit: a systematic review of the literature[J]. Social work in health care, 2011, 50(2): 143-157
[19] 席婷婷, 齐少杰. 医务社会工作的基本意涵、角色定位与实务体系[J]. 中国卫生事业管理, 2020(5): 397-400
[20] ABRAMSON J S, MIZRAHI T. Examining social worker-physician collaboration: an application of grounded theory methods[M]//RIESSMAN C K. Qualitative studies in social work research. Thousand Oaks: Sage Publications, 1994: 28-48.
[21] MIZRAHI T, ABRAMSON J S. Collaboration between social workers and physicians: perspectives on a shared case[J]. Social work in health care, 2000, 31(3): 1-24
[22] JOSEPH M V, CONRAD A P. Social work influence on interdisciplinary ethical decision making in health care settings[J]. Health & social work, 1989, 14(1): 22-30
[23] PETERSON E B, CHOU W Y S, FALISI A, et al. The role of medical social workers in cancer clinical trial teams: a group case study of multidisciplinary perspectives[J]. Social work in health care, 2018, 57(8): 688-704
[24] 杨卿, 齐建, 闫智楠, 等. 医疗场域内医务社会工作整合服务的社会性优势和实践路径探析[J]. 中国医学伦理学, 2023(8): 859-865
[25] COWLES L A, LEFCOWITZ M J. Interdisciplinary expectations of the medical social worker in the hospital setting[J]. Health & social work, 1992, 17(1): 57-65
[26] 侯建州. 管理主义效应下的医务社会工作: 医疗临床的观察[J]. 台湾社区工作与社区研究学刊, 2022(3): 1-44
[27] 吕佳蓉, 萧至邦. 从急诊医疗团队医护人员及医务社会工作观点——探讨急诊医疗团队中社会工作者之角色[J]. 社会发展研究学刊, 2016(17): 48-77
[28] 郭永松. 医务社会工作职能及其在我国的发展[J]. 医学与哲学(人文社会医学版), 2009(6): 29-31
[29] 李青, 谭卫华, 王云. 出院计划中的医务社会工作服务: 角色定位、价值优势与实践方向[J]. 福建医科大学学报(社会科学版), 2022(6): 15-19, 86
[30] 吴任慰. 现阶段我国发展医务社会工作的探讨[J]. 福建医科大学学报(社会科学版), 2003(2): 38-40
[31] SVENSSON R. The interplay between doctors and nurses: a negotiated order perspective[J]. Sociology of health & illness, 1996, 18(3): 20
[32] ALLEN D. Narrating nursing jurisdiction: “atrocity stories”and“boundary-work”[J]. Symbolic interaction, 2001, 24(1): 75-103
[33] TURTIAINEN J, VÄÄNÄNEN A, VARJE P. The pressure of objectives and reality: social workers’ perceptions of their occupational complexities in a trade journal in 1958-1999[J]. Qualitative social work, 2018, 17(6): 849-864
[34] ABBOTT A. Boundaries of social work or social work of boundaries? the social service review lecture[J]. Social service review, 1995, 69(4): 545-562
[35] 刘思达. 职业自主性与国家干预——西方职业社会学研究述评[J]. 社会学研究, 2006(1): 197-224
[36] 姚泽麟. 近代以来中国医生职业与国家关系的演变——一种职业社会学的解释[J]. 社会学研究, 2015(3): 46-68, 243

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