Social Work Intervention of Stranded Patients from the Ecosystem Perspective: Based on the Clinical Case Record Analysis of Social Work Department in Shanghai D Hospital
10.12026/j.issn.1001-8565.2022.03.19
- VernacularTitle:生态系统视角下滞留患者的社会工作介入基于上海市D院社工部临床个案记录分析
- Author:
Jie ZHUANG
1
;
Yanyan CHEN
2
;
Bo CHEN
1
;
Yannan PENG
1
;
Yijun SHEN
1
;
Xiaohui WU
1
Author Information
1. Department of Social Work, Shanghai East Hospital, Shanghai 200120, China
2. 2 Department of Social Work, Fudan University, Shanghai 200433, China
- Publication Type:Journal Article
- Keywords:
Stranded Patients;
Discharge Obstacle;
Social Work;
Ecosystem Perspective
- From:
Chinese Medical Ethics
2024;35(3):342-349
- CountryChina
- Language:Chinese
-
Abstract:
Based on the service of stranded patients in D Hospital, this study aimed to explore the multiple needs of stranded patients and construct an intervention mode from the ecosystem perspective. Using the method of case study, taking the service of stranded patients in hospital D as an example, 49 case records and verbatim interviews with stakeholders were analyzed. The discharge and resettlement of stranded patients faces multiple obstacles from individuals, families, medical and social systems. This study constructed the social work intervention model from the ecosystem perspective: information collection and needs assessment, empowerment of individual system, reconstruction of family support system, coordination of medical system and linking social support system. The intervention process achieved efficient effects. Social work intervention of stranded patients should pay attention to patients’ psychosocial needs and improve awareness of system difficulties; mobilize the multi-system support network and deliver services in combination with case management method; conduct social advocacy for the breakthrough of law and policy.
