“合法性”之后的“合理性”建设:不同医疗场域医务社会工作创新思考

Construction of Legitimacy Beyond Legality: The Innovation of Medical Social Work in Different Medical Fields

近几年,随着我国医患矛盾的日益深化,医药卫生体系改革呼声高涨,医务社会工作作为科学服务患者,以中立价值促进医患沟通,链接医疗资源的第三方的重要作用,日益为人们所重视,并走上制度化发展之路。然而,目前国内医务社会工作尚处于起步阶段,在医疗的不同场域,其合理性仍须提高。为此,医务社会工作取得"合法性"之后,应加强"合理性"建设。不仅在公立医院,而且在城乡基层医疗卫生场域,以及互联网医疗场域,在"专业化""专职人才""资源获取性"等层面,加强多层次全面综合性的医务社会工作合理性建设,成为中国医疗卫生体系改革创新的重要组成部分,有利于构建出真正以人为本的现代医疗公共服务体系。

In recent years,the contradictions and disputes are increasingly intensifi ed and the voices for the reform of the medical and health system are growing.As the third-party,medical social work has been playing a signifi cant role offering scientifi cally services for patient,promoting doctor-patient communication with value free,and linking medical resources.Nowadays,medical social work has developed institutionally.However,in China,medical social work was still at the early stage,with less professionalism and less identity from the public.Therefore,after achieving institutional legality,China’s medical social work should focus more on construction of legitimacy,with the dimension of“professionalization”,“professionalism”and“resource achieving”,not just in national medical institute,but also in primary-level medical fi eld and cyberspace fi eld.In that way,the innovation of medical system could be promoted in China.