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With the transformation of the concept and model of mental health service in China,the participation of social work in multidisciplinary team cooperation in mental health has become an important development trend.In order to explore the mode and path of multidisciplinary treatment involving social work in mental health,this study selected two typical wards of Shanghai Mental Health Center as typical cases through the double-case study method,and conducted in-depth interviews and participatory observation of the medical teams in the wards.The results show that medical social workers can participate in multi-disciplinary comprehensive treatment through the path of"service embedding-relationship embedding-system embedding".In this process,the"resource-demand"response mode,power acquisition,daily interaction,discourse integration,and service mecha-nism reconstruction are important action strategies to achieve the service embeddedness of social workers.Different strategies de-termine the final different service modes.In the future,the participation of medical social work in multidisciplinary comprehen-sive treatment mode should not only strengthen micro-practice,but also form macro-institutional guarantee.
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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.
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Actively coping with population aging and promoting high-quality development of the aging business and industry are not only the inherent requirements for building a positive aging society with Chinese characteristics in the new era, but also an important driving force for comprehensively optimizing the supply of urban and rural elderly services. From the perspective of active aging, this paper analyzed the theory of medical social work intervention in elderly care services through three dimensions: micro, meso, and macro, and elaborated the practical path of medical social work intervention in elderly care services. It was considered that its own service failed to give play to its professional characteristics, limited social awareness and authority, vague responsibility subject among industries, and inconsistent institutional regulation. Based on this, it was suggested that the key to medical social work intervention in elderly care services lied in clarifying the goal of training medical talents, creating brand services to enhance the visibility of medical social workers, defining the responsible body, and exploring the standardized system construction.
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This paper mainly explored the application of medical games in doctor-patient communication in pediatric otorhinolaryngology. Taking the "Little Warrior Break Through" medical game service of Shenzhen Longgang District Otolaryngology Hospital as an example, doctors, nurses and social workers formed a multidisciplinary and interdisciplinary team. Focusing on the three major problems in pediatric otorhinolaryngology, namely, the tense doctor-patient relationship, the insufficient doctor-patient communication, and the difficulty of children to cooperate with treatment, the team carried out a series of themed medical games covering the three stages of admission preparation, preoperative counseling, and postoperative rehabilitation for pediatric otolaryngology patients and their families. This paper showed that medical games can effectively help children and their families to ease tension, promote doctor-patient communication, increase the symmetry of doctor-patient information, improve children’s adaptation and acceptance of diseases, and ease the tense doctor-patient relationship. It is hoped that the exploration of the medical game service of "Little Warrior Break Through" will inspire medical social work, and then build micro-operation methods in clinical practice to help construct a harmonious doctor-patient relationship.
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There are some issues in the process of patient treatment in the medical field, such as knowledge inequality, difficulties in doctor-patient trust and interdisciplinary cooperation, disciplinary barriers, excessive diagnosis and treatment, and structural imbalance of medical resources. In response to these issues, combined with the advantages of conceptual integration, professional integration, and resource integration of medical social work, this paper proposed a practical path for integrating medical social work services in the medical field. The main paths include micro path that systematization, comprehensiveness, and personalization of patient’s diagnosis and treatment process, the integration of intermediary path that integration of disciplinary and professional perspectives, concepts, and practices, and macro path that collaboration and coordination among society, community, and healthcare systems.
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The development of human organ transplantation technology has brought the hope of rebirth to countless patients with organ failure. Human organ donation and transplantation need the joint efforts of various levels of Red Cross societies, human organ procurement organizations, medical institutions, etc. Medical social workers, as new forces, are gradually playing their own role. By summarizing the professional advantages of medical social work in organ donation after citizen’s death, this paper proposed that medical social workers can provide professional services for donors and their families through practical work, such as clarifying their willingness to donate and providing crisis intervention services to their families, assisting them in completing donation matters and holding farewell ceremonies, and following up and carrying out grief counseling activities. Regarding the problems encountered in practice process, suggestions were proposed to expand the scale of medical social workers and improve their management, increase social awareness of medical social work, and provide all-round support for the implementation of later service.
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By reviewing the development context of medical social work in Shanghai, this paper summarized the practical experience in the development process of medical social work in Shanghai, and provided summary and suggestions for the long-term healthy development of medical social work from four aspects that basic path, key guarantee, important boost, and social image. It is suggested to carry out interdisciplinary cooperation and deepen patient service to build harmonious doctor-patient relationships, pay attention to talent training and improve institutional mechanisms to promote the stability of talent team, develop continuing education and meet different needs to upgrade modern service levels, emphasize brand building and carry out cooperation and co-construction to continuously expand social influence.
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This paper discussed the characteristics and influencing factors of the body image of oral cancer patients after surgery, and put forward targeted intervention strategies for medical social work, so as to provide clinical pathway reference for the body image adaptation of oral cancer patients. By reviewing relevant studies at home and abroad, it was found that the body image of oral cancer patients has the following characteristics: low level, serious negative impact, lack of psychosocial intervention, and is affected by disease factors, personal trait factors, support system factors, and social situational factors. In this regard, it was proposed to use the professional methods of social work to carry out psychosocial intervention and provide information support for disease factors; according to the individual trait factors, the intervention should be carried out from three aspects: psychological crisis intervention, self-cognitive acceptance, and guidance and encouragement from the advantage perspective; in view of social support system factors, it was suggested that not only pay attention to the benign interaction of existing support systems, but also actively assist patients to expand new support systems; for social situational factors, medical social workers should actively play the role of popular science education and policy advocacy.
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Based on an empirical research on 31 medical institutions in Shanghai, this paper focused on explo-ring a "demands-based multi-integration" development mode adopted by medical institutions in Shanghai in the absence of social support currently, concluded that the mode had the characteristics of integration of multi-sup-portive force, demands priority, and projectization operation and so on, and finally analyzed the problems still ex-isting in the development of social work and gave policy suggestions.
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Medical social work is an important component in the modern health care system. As an important medium and bridge between medical staffs and patients, medical social worker get involved in the field of communi-cation between doctors and patients with professional methods and path of social work, so as to improve doctor-pa-tient relationship and promote the harmony and stability of doctors and patients. In clinical practice, medical social workers actually encountered various dilemmas, such as the difficulties of medical teams' integration, lack of medi-cal expertise, the shortage of personnel allocation. Combined with the actual situation of social work development, this paper explored and gradually formed a new auxiliary mode for medical social workers in children' s special hos-pitals-medical social workers assistant. After some medical staffs are trained in social work knowledge, case refer-ral, intern band education, advocacy of social work concept and other work are conducted in the ward. And the practical experience and effectiveness are discussed and summarized and the future development is made a pros-pect.
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As an important part of the medical supply-side reform, grading diagnosis and treatment is the core objective of various medical services carried out by medical institutions at all levels. This paper proposed that tertia-ry hospitals should promote the construction of grading diagnosis and treatment from three aspects of multi-sited practice of physicians, construction of medical alliance and functional orientation planning. On this basis, this pa-per mainly discussed the service function of medical social work involved in grading diagnosis and treatment mode in tertiary hospitals.
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Social work as one type of practical work for pursuing moral practice,ideology and social value play an important restraint role in its professional ethical choice. In the work of social work intervened in the service of elderly dying patients, the realization of owner' s right is subject to institutional regulation, disputes of family interest, conflicts of social value and the alienation of ethical environment, causing that social workers fall into an ethical dilemma in practice. In order to solve this ethical dilemma, medical social workers can work together to reshape the construction of a new ethical system for elderly hospice care by strengthening their own guiding ability, promoting the education of ethics and optimizing the environment of ethical choice.
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Case teaching plays an important role in cultivating medical social work talents.This paper analyzed the constructivism characteristics in the case teaching of medical social work.Not Case teaching of medical social work is not only a subjective meaning realization process of teachers and students and case situations,but also a multi-direction interactive dynamic knowledge construction process.In the case teaching,teachers should correctly grasp their own roles of resource linker and encourager,fully realize the drawbacks of constructivism theory and establish the correct view of knowledge.
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Pass an overview about medical social work ethics and analyzed the reasons.Based on China′s na-tional conditions and the basis of the particularity of medical social work in China, puts forward the paths of the lo-calization of medical social work ethics, namely, improve the adaptability of western medical ethics of social work, realizes the Chinese traditional culture and western medical social work ethics, mutual accommodation, with the so-cialist core values at the head of the medical social work ethic construction in our country.
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The article introduces the concepts of medical social work and its performance evaluation,and reviews relevant researches on medical social work home and abroad.In addition,it proposes an operation mechanism and implementation scheme for the evaluation of medical social work in China.
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Description of a multi-perspective view of harmonious doctor-patient relationship holds that medical social workers as a key tie for building such a relationship.It proposed the medical social work strategies for such workers in the face of patients and their families,hospital staff,and hospital management.
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Medical social work is a new arising occupation that provides professional medical service for patients in hospitals and communities based on the development of new medical mode,playing critical role in the therapeutic rehabilitation of certain diseases.Tumor diseases,especially malignant tumors,are serious hazards to human life and health,thus require special medical treatment and therapeutic rehabilitation due to their specific characteristics.Therefore,intervention of medical social work is of irreplaceable significance in the therapeutic rehabilitation of tumor diseases,promoting the realization of rehabilitation,soothing physical pains,providing psychological support,lengthening life expansion,enhancing the living quality of tumor sufferers,and assisting them better to regress to normal social life.
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Different cultural backgrounds between China and western societies determine the differences of their ethical value systems,which are both oriented by group interests and individual health interests.As the society develops,the new type medical service system enrolls various issues including social psychological service,embodying the characteristics and ethical values of medical social work.Therefore,it is necessary to fully make clear and take use of the differences of Chinese and western cultures in the practice of medical social work,apply ethical values in the construction of social welfare system building,and meanwhile guide the development of community social work.
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The ever tenser physician-patient relationship is one of major social problems in present China,thus the construction of a harmonious physician-patient relationship is one important part in constructing a harmonious society.Medical social workers' involvement into the current physician-patient relationship from the perspectives of case social work,group social work,community social work,and social policy making will serve as a positive motivation for the development of a harmonious physician-patient relationship.