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北平协和医院20世纪20年代医务社会工作的医学人文价值及启示OA

The medical humanistic value and implications of medical social work at Peking Union Medical College Hospital in the 1920s

中文摘要英文摘要

当前,临床医学的技术主义倾向与对患者的人文关怀薄弱问题,已成为值得重视的医学人文建设问题.尽管政策强调医务社会工作对促进医学人文建设的重要性,但其整合社会资源、缓解患者多维困境的价值仍未被充分重视.聚焦 20 世纪 20 年代北平协和医院社会服务部的工作实践,通过整理与分析《北平协和医院社会服务部 1927-1929 年度报告》等原始文献,探讨医务社会工作如何以系统性干预促进患者的社会生活重建.研究发现,社会服务部突破了现代医学的生物学局限,将疾病理解为"社会生活轨道的偏离",通过构建覆盖经济援助、心理干预、生计支持的全链条服务模式,以实现患者的社会生活再融入,深刻体现了医务社会工作助人自助的专业价值.其"社会调查—社会诊断—社会治疗—社会生活重建"四阶段实务模式,早于"生物-心理-社会"医学模式近半世纪.这一历史实践不仅以全人关怀理念诠释医学人文价值,更为当代医务社会工作的发展提供了宝贵的本土经验和启示.

The technicist tendency in clinical medicine and the weak humanistic care for patients have become significant issues in the construction of medical humanities currently.Although policies emphasize the importance of medical social work in promoting the construction of medical humanities,its value in integrating social resources and alleviating patients'multi-dimensional predicaments has still not been fully recognized.Focusing on the work practice of the social service department of Peking Union Medical College Hospital in the 1920s,this paper sorted out and analyzed the original documents,such as the 1927-1929 Annual Report of the Social Service Department of Peking Union Medical College Hospital,exploring how medical social work promotes the reconstruction of patients'social life through systematic intervention.The study found that the social service department broke through the biological limitations of modern medicine,viewing disease as a"deviation from the social life trajectory".By constructing a full-chain service model covering economic assistance,psychological intervention,and livelihood support,it aimed to realize the reintegration of patients into society,profoundly embodying the professional value of medical social work in helping people and themselves.Its four-stage practical model of"social investigation-social diagnosis-social treatment-social life reconstruction"predated the"bio-psycho-social"medical model by nearly half a century.This historical practice not only interprets the medical humanistic value with the concept of holistic care but also provides valuable local experience and inspiration for the development of contemporary medical social work.

孙圣龙;袁帅;王云岭

济南大学政法学院,山东 济南 250022济南大学政法学院,山东 济南 250022济南大学政法学院,山东 济南 250022

医药卫生

北平协和医院社会服务部医务社会工作医学人文价值

Peking Union Medical College Hospitalsocial service departmentmedical social workmedical humanistic value

《中国医学伦理学》 2026 (4)

534-542,9

10.12026/j.issn.1001-8565.2026.04.17

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