医务社会工作者在社区卫生服务中的作用评价研究  

Evaluation on Functions by Medical Social Workers in Community Health Services

作　　者：周文利[1] 董建琴[1] 杜雪平[1] 

机构地区：[1]首都医科大学附属复兴医院,北京市100038

出　　处：《中国全科医学》2012年第25期2866-2869,共4页Chinese General Practice

基　　金：西城区可持续发展基金项目(SD0923-8)

摘　　要：目的了解医务社会工作者在社区卫生服务工作中的作用。方法月坛社区卫生服务中心聘用符合条件的10名医务社会工作者,按照《医务社会工作者工作手册》进行培训后工作于月坛社区卫生服务中心及下属的7个社区卫生服务站。分别于培训前、后对医务社会工作者进行相关知识的考核,以评价培训效果;针对医务人员调查其对医务社会工作者常规工作情况、工作态度、工作能力的满意度,针对社区居民调查其对医务社会工作者工作态度、服务内容、服务质量的满意度,以评价应用效果。结果经过培训和实践,医务社会工作者对《医务社会工作者工作手册》内容、社区卫生服务相关知识、医疗卫生相关知识的知晓率提高,培训前后差异有统计学意义(P<0.05)。培训后,医务人员对医务社会工作者在健康档案管理、协助科研工作、健康教育组织协调、公共卫生工作配合、医学知识、总体工作质量方面的满意度较培训前提高,差异有统计学意义(P<0.05);社区居民对医务社会工作者在工作态度、服务内容、服务质量方面的满意度较培训前提高,差异有统计学意义(P<0.05)。结论医务社会工作者经过培训和学习能成为社区卫生服务机构有效的补充力量,该模式值得推广。Objective To investigate the functions of medical social workers in community health services. Methods Ten medical social workers employed by Yuetan community health services center, after specially training, had been worked re- spectively with 7 community services stations under the Yuetan centers. Before and after the training, the medical staff＇s satisfac- tion on their working condition, attitude and ability was investigated, and so the community residents＇ satisfaction on their work- ing attitude, and their contents and quality of service was done. Results Through training and practice, the medical social work- ers significantly improved their awareness of the contents of ＂ Medical Social Worker Manual＂, knowledge relative to community health services and medical health care （P 〈 0. 05）. The satisfaction of the medical staff was significantly improved about their health records management, assistant to scientific researches, health education organizations, coordination of public welfare work, medical knowledge, and overall working quality, with a statistically significant difference （P 〈 0. 05）. The community residents＇ satisfaction on their working attitude, service content and quality was also increased, with a statistically significant difference （P 〈 0. 05） . Conclusion Medical social workers can become a supplementary force in community health service in- stitutions through training and learning, it is well worth popularization.

关 键 词：医务社会工作者 社区卫生服务 效果评价 

分 类 号：R197[医药卫生—卫生事业管理]