Community partnerships in the 1990s: can urban medical centers meet the challenge?
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Biomedical subjects
Publications and source records attributed to H Rehr.
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The medical profession has long dominated the organization of medical care in this country and has inevitably influenced the form taken by social work practice in medical settings. An overview of the forces and events that have shaped American medical care into a pluralistic health care system reveals that social workers will need to increase efforts to strike out on their own in the coming years.
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This article reviews eight major social-health care issues of the eighties: controlling costs; access to care; changing organizational patterns; solo versus interprofessional care; regulations and accountability; social reform/special interest movements; ethics and values; and changing urban populations. The author formulates how changes in our medical care systems will affect the practice of social work in health care settings.
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This paper describes a model for developing and testing a screening mechanism to identify high psychosocial risk patient situations in need of early intervention by social workers. Although the criteria developed need further refinement, it was found that multiple criteria are significantly more predictive of high risk than single factors and that three variables, (1) severity of illness: life threatening, (2) severity of illness: physically dysfunctional; and (3) chronic illness were good predictors of need for social work services. It is suggested that similar screening mechanisms be developed and utilized in hospitals throughout the country.
This paper presents the findings of a Social Health Care Evaluation designed with a system of data collection that can serve as part of an ongoing audit mechanism. It can provide data necessary for the generation of profiles on patients served, on practitioners, and on the department's utilization patterns as a whole. In addition, it offers a method by which norms, criteria, and standards may be promulgated from demonstrated social work interventions. The approach is based on a social work frame of reference and is not disease specific. It focuses on assessments of social problems and outcome that can be correlated with any medical or nursing audit.
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