上海市医务社会工作督导现状及政策建议  

Current situation and policy suggestions of medical social work supervision in shanghai

作　　者：陈玉婷[1] 曹庆 孟馥[2] 阎玮婷 林怡[4] 薛莉莉[5] 庄洁 彭雁楠 张雪峰[8] 季庆英[1] Chen Yuting;Cao Qing;Meng Fu;Yan Weiting;Lin Yi;Xue Lili;Zhuang Jie;Peng Yannan;Zhang Xuefeng;Ji Qingying(Social Work Department,Shanghai Children′s Medical Center,School of Medicine Affilliated to Shanghai Jiao Tong University,Shanghai 200127,China;Clinical Psychology Department,Shanghai East Hospital,Shanghai 200120,China;Social Work Department,Shanghai No.6 People′s Hospital,Shanghai 200233,China;Social Work Department,Huashan Hospital Affilliated to Fudan University,Shanghai 200040,China;Social Work Department,Shanghai Mental Health Center,Shanghai 200030,China;Department of Applied Social Science,Hong Kong Polytechnic University,Hong Kong 999077,China;Social Work Department,Shanghai East Hospital,Shanghai 200120,China;Social Work Department,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心社会工作部,上海200127 [2]上海市东方医院临床心理科,上海200120 [3]上海市第六人民医院社会工作部,上海200233 [4]复旦大学附属华山医院社会工作部,上海200040 [5]上海市精神卫生中心社会工作部,上海200030 [6]香港理工大学应用社会科学系,中国香港999077 [7]上海市东方医院社会工作部,上海200120 [8]复旦大学附属华东医院社会工作部,上海200040

出　　处：《中华医院管理杂志》2023年第1期72-77,共6页Chinese Journal of Hospital Administration

基　　金：国家社会科学基金(21BSH132);上海卫生和计划生育委员会科研课题(201740258)。

摘　　要：目的分析上海市医务社会工作督导现状,为促进医务社会工作高质量发展提供参考。方法2022年6—7月,对上海市所有设置医务社会工作部或岗位的医疗机构的在职医务社会工作者进行问卷调查,问卷内容主要包括人口学信息、督导实施现状和督导成效。对数据进行描述性分析,组间比较采用t检验,相关性分析采用Pearson检验。结果共纳入99名医务社会工作者,有65人接受过督导,58人所在医疗机构建立督导制度。医务社会工作者实际获得和期待获得督导支持的评分均值分别为3.71分和4.20分,职业倦怠程度评分均值为32.91分。建立督导制度对职业倦怠的影响有统计学意义(P<0.05),实际获得督导支持与职业倦怠呈负相关(P<0.05)。结论上海市医务社会工作督导情况整体良好,但督导需求未得到充分满足;督导有利于降低医务社会工作职业倦怠程度。医务社会工作应进一步加强督导人才培养,推进督导制度建设,提高督导质量。Objective To investigate the current situation of medical social worker supervision in Shanghai,for reference to promote the high-quality development of medical social work.Methods From June to July 2022,a questionnaire survey was conducted on the in-service medical social workers in all medical institutions with medical social work departments or posts in Shanghai.The questionnaire mainly included demographic information,current status of supervision implementation,and effectiveness of supervision.The data were analyzed descriptively with t test for comparison between groups and the Pearson test was for correlation analysis.Results A total of 99 medical social workers were included in this study,65 had received supervision,and medical institutions where 58 people located had established the supervision system.The average scores of actual and expected supervisory support received by medical social workers were 3.71 and 4.20 respectively,and the mean burnout level score was 32.91.The effect of establishing a supervision institutions on burnout was statistically significant(P<0.05)and actual access to supervision support was negatively associated with burnout(P<0.05).Conclusions The overall situation of medical social work supervision in Shanghai was positive,but the demand for supervision was not fully satisfied;Supervision had a positive impact on reducing the burnout level.It is suggested that medical social work should further strengthen the cultivation of supervisory talents,promote the construction of supervisory systems,and improve the quality of supervision.

关 键 词：医务社会工作 督导 问卷调查 医疗机构 督导支持 职业倦怠 

分 类 号：R197.3[医药卫生—卫生事业管理]