“一般系统论”视域下本土医务社会工作实践的路径创新——基于N区“医路同行”项目的个案研究

Pathway Innovation of Local Medical Social Work Practice from the Perspective of General System Theory——A Case Study of Medical Project in N District

"一般系统论"是一种关注系统与外部环境之间的关系,注重分析降低系统环境复杂性机制的理论。以"一般系统论"为理论视角,N区医疗系统内的各行动主体通过畅通输入、输出渠道,在异质环境中确立共通性的系统目标,构建以沟通信任机制为主体的系统规则,使每一个行动者都能发挥最大功能;医务社会工作者则秉持人在环境中的理念,关注"个人烦恼"和"公共困扰"的关系,通过社工活动将医患双方的社会支持系统联合起来,将所有可用的社会资源加以汇聚,共同弥合医患关系,降低医疗系统的复杂性,维系整个医疗系统的良性循环。这种多元合作的联动型发展模式为中国医务社会工作的本土化提供了一种道路选择。

General system theory focuses on the relationship between the system and external environment,laying emphasis on the analysis of mechanism to reduce system environment complexity. The main acting subjects of N district medical system establish a common systematic goal in a heterogeneous environment through clearing the input & output channels,to construct a system of rules with communication and trust mechanism as the main body,so that each actor can play the greatest function. Medical social workers will uphold the idea of people in the environment,paying attention to relationship of 'personal troubles'and'public distress',unite social support system of both doctors and patients through social activities to gather all social resources available,and bridge the doctor-patient relationship,reduce the complexity of medical system,maintain the benign circulation of the whole medical system. The multi-cooperation linkage development model provides a way for the localization of Chinese medical social work.