SOCIAL WORK AND MANAGEMENT ›› 2019, Vol. 19 ›› Issue (6): 56-63,71.

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Social Workers in the Integrated Medical and Elderly Care Service Development: Dilemmas and Causes

CHEN Lin1, XING Jie1, MAO Xupeng2   

  1. 1. School of Social Development and Public Policy, Fudan University, Shanghai, 200433, China;
    2. School of Social and Public Administration, East China University of Science and Technology, Shanghai, 200433, China
  • Received:2018-11-15 Online:2019-11-15 Published:2019-11-25

Abstract: To meet the increasing need for medical and care service brought by the aging trend, integrating medical service with care service has been explored and developed on the policy level as well as on the practice level in our country. Currently, community health centers in Shanghai are the harbor to provide such services. However, it is found that social workers, when carrying out integrated medical and elderly care services, faced dilemmas such as fuzzy cognition of their professional roles, unclear positioning, rupture between real service and role expectation. The paper also analyzes both subjective and objective causes for these dilemmas, and proposes multi-level and multidimensional measures, such as improving the professional level of social workers, clarifying the professional roles of social work and optimizing relevant policies, to get rid of the role dilemmas.

Key words: integrated medical and elderly care service, social workers, social work profession, role theory, role dilemma

CLC Number: 

  • C916
[1] 中国共产党第十七届中央委员会第五次全体会议. 中共中央关于制定国民经济和社会发展第十二个五年规划的建议[EB/OL].(2010-10-27).http://www.gov.cn/jrzg/2010-10/27/content_1731694_2.htm.
[2] 国务院. 关于加快发展养老服务业的若干意见.[EB/OL].(2013-09-13). http://www.gov.cn/zwgk/2013-09/13/content_2487704.htm.
[3] 国务院. 关于促进健康服务业发展的若干意见.[EB/OL].(2013-10-14).http://www.gov.cn/zwgk/2013-10/14/content_2506399.htm.
[4] 董红亚. 不同语境下的医养结合问题及思考[J]. 社会福利, 2017(8): 19-20
[5] HINDIN MICELLE J. Role theory[M]//GEORGE RITZER. The Blackwell encyclopedia of sociology, London: Blackwell Publishing, 2007: 3959-3962.
[6] MERTON R K. The role-set: problems in sociological theory[J]. The British journal of sociology, 1957, 8(2): 106-120
[7] TALCOTT PARSONS. The social system[M]. London, UK: Routledge, 1991: 15-44.
[8] 项光勤. 戈夫曼的角色距离理论及其意义[J]. 学海, 1998(3): 64-67
[9] BIDDLE B J. Recent developments in role theory[J]. Annual review of sociology, 1986(12): 67-92
[10] 陈映芳:关于在青年社会学中导入角色理论的理论思考[J]. 社会学研究, 2000(6): 85-91.
[11] 丁水木. 社会角色论[M]. 上海: 上海社会科学院出版社, 1992: 127-138.
[12] 朱眉华, 文军. 社会工作实务手册[M]. 北京: 社会科学文献出版社, 2006: 20-34.
[13] 陈爽. 社会工作者在弱势群体权利保障中的角色与责任[J]. 中共济南市委党校学报, 2006(1): 103-106
[14] 杨晶. 系统理论视角下中国学校社会工作者的角色分析[D]. 济南: 山东大学, 2012: 4.
[15] 彭春燕. 医务社工角色距离研究——以上海市为例[D]. 上海: 华东理工大学, 2016: 12.
[16] 禤文颖. 社区居家养老模式中社工角色的探讨——以珠海市M社区为例[D]. 兰州: 兰州大学, 2015: 3.
[17] 上海市民政局. 关于对本市非营利性养老机构实施“以奖代补”扶持政策的通知. [EB/OL].[2018-11-05].http://mzj.sh.gov.cn/gb/shmzj/node8/n2579/u1ai44920.html.
[18] 上海市普陀区卫生和计划生育委员会. 上海市普陀区医养结合试点工作方案. [EB/OL].[2018-11-05]. http://www.shpt.gov.cn/shpt/gkwjw-fawen/20170521/206603.html.
[19] 顾东辉. 社会工作概论[M]. 上海: 复旦大学出版社, 2013: 20-38.
[20] HIRTH V, BASKINS J, DEVER-BUMBA M. Program of all-inclusive care(PACE): past, present, and future[J]. Journal of the American medical directors association, 2009, 10(3): 155-160
[21] NATIONAL PACE ASSOCIATION. Who, what and where is PACE[EB/OL].[2018-11-05].https://www.npaonline.org/.
[22] 赵丹霄. 台湾长期照护机构中社工角色浅析[D]. 长春: 吉林大学, 2016: 6.
[23] 甄红菊. 社会工作介入社区卫生服务的路径(模式)分析及政策构想[J]. 中国全科医学, 2009(6B): 1143-1144
[24] 滕炜. 医养结合服务体系的重塑——以青羊区文家社区卫生服务中心为例[D]. 成都: 西南财经大学, 2016: 5.
[25] 房莉杰. 老年健康服务的东亚模式——日韩老年健康服务及对中国的启示[C]//第七届社会政策国际论坛论文集. 广州: 2011: 392-407.
[26] PARSONS T, SHILS E A, SMELSER N J. Toward a general theory of action: theoretical foundations for the social sciences. Piscataway, NJ: Transaction Publishers, 1965.
[27] 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
[28] 张阳.“医养结合”机构养老服务研究: 以大连市A养护院为例[D]. 大连: 大连海事大学, 2017: 6.
[29] 郭永松, 吴水珍. 我国医务社会工作现状研究[J]. 医学与社会, 2009(2): 1-3
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