A study on the ethical practices of medical social workers’ participation in charitable medical assistance from the child-friendly perspective
10.12026/j.issn.1001-8565.2026.10.12
- VernacularTitle:儿童友好视角下医务社工参与慈善医疗救助的伦理实践研究
- Author:
Ying GAO
1
;
Yanyan CHEN
2
;
Jing LIU
2
;
Yuting CHEN
1
Author Information
1. Shanghai Children’s Medical Center， Shanghai Jiao Tong University School of Medicine， Shanghai 200127， China
2. School of Social Development and Public Policy， Fudan University， Shanghai 200433， China
- Publication Type:Journal Article
- Keywords:
child-friendly;
medical social work;
charitable medical assistance
- From:
Chinese Medical Ethics
2026;39(10):1365-1373
- CountryChina
- Language:Chinese
-
Abstract:
Focusing on the ethical dilemmas encountered in implementing the child-friendly concept within the context of limited medical assistance resources， this study constructed an integrative analytical framework combining “child-friendly medical principles and social work ethics.” Taking E Hospital in Shanghai as a case study， this paper employed qualitative methods such as participatory observation and semi-structured interviews to explore the ethical practices of medical social workers in charitable medical assistance. It was found that medical social workers engaged in ethical practices across three dimensions. In resource allocation， they achieved distributive justice through dynamic assessment and de-labeling， thereby bridging structural disparities. Regarding service delivery， they leveraged integrated services and information platforms to promote the transformation of assistance from purely economic compensation toward the “whole-person development.” In terms of child participation， they adopted a “relationship-based” progressive strategy to gradually empower children’s expression and decision-making within the local family cultural context. This study provided an empirical reference for understanding the ethical practices of child-friendly charitable medicine in the local context.
