曲靖市医务社会工作基层实践及完善路径探讨

Discussion on grass-roots practice and improvement path of medical social work in Qujing

目的探讨医务社会工作在基层的实践困境与发展路径。方法本文以曲靖市第一人民医院的医务社会工作为样本,以医患关系为切入点,从医患协作机制、院内管理机制、院外社会支持、医务社会工作宏观环境四个维度,深度剖析该院医务社会工作在医疗服务中面临的困难和价值体现。结果医务社工在介入服务对象心理减压、健康促进以及资源链接等方面效果显著,进一步促进了医务社会工作与医疗卫生事业的紧密结合与融合发展。结论医务社会工作是完善院内外服务体系建设、创新服务模式、拓展本土化职业空间及推动基层卫生健康服务工作快速发展的重要举措。

Objective To discuss the practice dilemma and development path of medical social work at grassroots level.Methods This paper took the medical social work of Qujing Municipal First People s Hospital as a sample,took the doctor-patient relationship as an entry point,and deeply analyzed the difficulties and value of the medical social work in the medical service of the hospital from four dimensions:doctor-patient cooperation mechanism,in-hospital management mechanism,out-hospital support and macro environment of medical social work.Results Medical social workers had remarkable effects in the aspects of psychological stress reduction,health promotion and resource linking for the service objects,which further promoted the close integration and development of medical social work and medical health services.Conclusions Medical social work is an important measure to improve the construction of the service system inside and outside the hospital,innovate the service model,expand the localized vocational space and promote the rapid development of health service at the grassroots level.