医务社会工作多重服务逻辑的合法性路径研究——以深圳市儿童医院为例

A Study on the Path to Legitimacy of Multiple Service Logic in Medical Social Work——Taking Shenzhen Children’s Hospital as an Example

医务社会工作是所有社会工作实务领域中社会需要最强烈、最活跃、发展速度最快、专业化程度最高、社会影响力最大和制度建设成就最显著、社工发展动力最强劲的领域。在深圳市儿童医院近十年来的医务社会工作制度发展中可以看到,从岗位社工,到社工部成立,再到社工服务项目购买,多重服务逻辑在交互中摸索出独树一帜的合法性路径。从制度的三大核心要素--规则、规范以及认知--中来看其多重服务逻辑,发现从中央到地方的制度建设、从广度到深度的专业成效、从个人到社会的公众认同倡导是其争取合法性路径的三大关键因素。制度成效的可持续性要借着核心价值观统一的服务联盟带来的合力,来积极应对专业能力与制度发展磨合带来的张力。

It is believed that medical social work is now one of the most active, fast-moving, highly professionalized area of social work in China. Looking back on the development of the medical social work system in Shenzhen Children’s Hospital in the past ten years, we can see that from the post social worker, to the establishment of the Ministry of Social Work, and then to the purchase of social work service programs, multi-service logic explores a unique and legitimate path in the interaction. Moreover, the multi-service logic was put into the three core elements of legitimacy: rules, norms and cognition, to see its internal mechanism, thus finding out the key factors for the path to legitimacy lie in the institutional construction from the central to the local, the professional services from the breadth to the depth, and the public identification advocacy from the individual to the society. The study concludes that tension brought about by the running-in between professional competence and institutional development should be settled through the joint efforts of service alliances with unified core values.