第三方力量:社会工作介入医患利益协调的思考及探索

The Third Force:Consideration and Exploration of Social Work Intervention into the Interest Coordination between Doctor and Patient

医患冲突的根源在于利益关系的失衡,利益协调是解决医患冲突的基本思路。发达国家的经验和我国的初步探索说明,医患利益协调是当前我国医务社会工作发展的时代议题。作为一项利他的助人服务活动,社会工作的专业价值观如平等、尊重、个别化,专业方法包括个案工作、小组工作、社区工作、社会行政等可以运用于医患利益协调的实践,扮演"第三方力量"的角色,但在具体介入路径上需重点解决制度性和专业性嵌入的问题。

The main source of the conflict between doctor and patient is the interests imbalance. Interest coordination is a basic idea to solve the conflict between doctor and patient. The experience of developed countries and preliminary exploration in China indicate that the interest coordination between doctor and patient is a contemporary issue of medical social work in China. As an altruistic service activities, professional values of social work such as equality, respect, individual, major methods including case work, group work, community work, social administration can be applied to interest coordination between doctor and patient, playing the ＂third force＂ role, but it must solve the institutional and professional problem in the specific intervention path.