基于医学人文关怀的医务社会工作角色转向与现实挑战  

Practical challenges in role transition of medical social workers based on medical humanistic care

作　　者：李航[1] 关鹏飞 王佳贺[2] 张飞 LI Hang;GUAN Pengfei;WANG Jiahe;ZHANG Fei(College of Humanities and Arts,Shenyang University of Chemical Technology,Shenyang 110000,China;Shengjing Hospital Affiliated to China Medical University,Shenyang 110000,China)

机构地区：[1]沈阳化工大学人文与艺术学院,辽宁沈阳110000 [2]中国医科大学附属盛京医院,辽宁沈阳110000

出　　处：《现代医院》2025年第2期183-186,共4页Modern Hospitals

基　　金：辽宁省重点研发指导计划(2019JH8/10300021);2022年度中国医科大学第二临床学院“十四五”第一批医学教育科学研究课题(SJKF-2022ZD04)。

摘　　要：随着医学人文关怀在医疗体系中的作用不断提升,医务社会工作者的职责逐渐从辅助支持转向深度参与,成为医疗服务的桥梁和纽带,不断为患者提供具有人文关怀的服务。同时,其专业角色已从传统的心理支持和医患沟通拓展到全程关怀、社区资源整合和推动患者参与的多元领域。在医学人文关怀提升政策逐步开展的背景下,医务社会工作者的工作内容在角色定位和服务需求中逐步深化与拓展,但也面临着角色边界模糊、跨学科协作障碍与可持续性支持不足的挑战。通过多学科培训与政策支持对于提升医务社会工作者的专业能力、明确职能定位、优化资源配置至关重要,从而保障其在人文关怀和团队协作中的持续性作用,以进一步提升医务社会工作者的专业地位和服务能力。With the increasing emphasis on patient-centered care and psychosocial support in modern healthcare systems,the role of medical social workers has evolved from auxiliary support to comprehensive participation.They serve as crucial liaisons for the healthcare service,delivering humanistic care for patients.Specially,their service has extended beyond traditional psychosocial counseling and doctor-patient communication to encompass whole-course care,community resource coordination,and patient empowerment across multiple domains.As policies promoting humanistic healthcare and holistic well-being are progressively implemented,the scope of work for medical social workers has deepened and broadened in terms of role positioning and service demands.However,they also encounter significant challenges,including role ambiguity,interprofessional collaboration barriers,and insufficient institutional support mechanisms.To address these challenges,enhanced interprofessional education,evidence-based practice implementation,and policy-driven mechanisms are essential for strengthening their clinical competencies,delineating professional boundaries,and optimizing resource allocation.These synergistic approaches collectively reinforce medical social workers’integral role in advancing humanistic care models while elevating their professional stature within the evolving healthcare ecosystem.

关 键 词：医学人文关怀 医务社会工作 角色转向 医患沟通 患者参与 

分 类 号：R-05[医药卫生] C916.2[经济管理] R197.1[社会学]