医务社会工作的角色定位与实践  

Role Orientation and Practice of Medical Social Work

作　　者：李桥墩 李筱 LI Qiaodun;LI Xiao(School of Social and Public Administration,East China University of Science and Technology,Shanghai 200237,China)

机构地区：[1]华东理工大学社会与公共管理学院,上海200237

出　　处：《医学与哲学》2025年第4期66-70,75,共6页Medicine and Philosophy

摘　　要：以上海医务社会工作为例,研究医护工作者对医务社会工作的角色定位及其影响。研究采用访谈法作为资料收集方法,共访谈副主任医师及以上职称的医生、护士长、医务社会工作部主任和专职医务社会工作者共计24人。研究发现医护工作者对医务社会工作的角色定位在一定程度上决定了医务社会工作可以介入的领域、范围和程度。政策缺位和医院的场域文化是造成角色困境的结构性因素。医务社会工作者作为行动者的自主性、能动性和创造性在发挥专业性的过程中扮演着重要角色。“以作为换地位”成为医务社会工作在多学科合作背景下发挥专业性的有效策略。Taking medical social work in Shanghai as an example,this paper studied the role orientation of medical workers towards medical social work and its influence.Data were collected through interviews with 24 participants,including doctors with associate chief physician or higher titles,head nurses,directors of medical social work departments,and full-time medical social workers.The study found that healthcare workers'perceptions of the role of medical social workers significantly influence the areas,scope,and depth of social work interventions.Structural factors such as policy gaps and hospital cultural contexts contribute to role challenges.The autonomy,agency,and creativity of medical social workers play crucial roles in demonstrating their professionalism.The strategy of"gaining recognition through action"proves effective for medical social workers to assert their expertise in a multidisciplinary collaborative setting.

关 键 词：医务社会工作 角色定位 角色实践 

分 类 号：R-05[医药卫生]