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医务社会工作赋能医患关系治理的实践探索与机制创新OA

Practical Exploration and Mechanism Innovation of Medical Social Work in Empowering Doctor-Patient Relation-ship Governance

中文摘要英文摘要

医务社会工作作为专业的第三方力量,在赋能医患关系治理中展现出独特价值.研究基于实践探索系统探讨了医务社会工作赋能医患关系的行动路径与机制创新.研究表明,医务社会工作在介入医患关系过程中主要呈现出信息传递者、心理调适者、资源协调者和冲突调解者四维角色,并通过搭建沟通平台、构建心理支持网络、整合社会资源以及为患者赋权等行动路径,弥合医患之间的信息鸿沟与情感裂隙,助推医疗服务向"身心社灵"全人关怀转型.但是当前医务社会工作也面临着角色定位模糊、社会认知不足、专业能力滞后等一系列挑战,研究认为医务社会工作亟待开展机制创新,需要构建从预警、调解到修复的全周期动态管理机制,健全包括患者、医方、社工的三方权益保障体系,搭建医患双向沟通与利益协同治理平台,创设多元解纷机制与长效风险防控体系.医务社会工作在未来有望通过政策倡导、机制创新及社区嵌入成为连接医疗服务体系与其他社会支持系统的重要枢纽,助推医疗生态向更加人本化与可持续方向演进.

As a professional third-party force,medical social work demonstrates unique value in empowering medical-pa-tient relationship governance.Based on practical explorations,the action pathways and mechanism innovations of medical social work in empowering medical-patient relationships were systematically explored.The study indicated that medical social work pri-marily presented four roles in intervening in doctor-patient relationships,which were information communicator,psychological adjuster,resource coordinator,and conflict mediator.Through action pathways such as establishing communication platforms,building psychological support networks,integrating social resources,and empowering patients,medical social work bridges the information gap and emotional divide between doctors and patients,driving the transformation of healthcare services toward a holis-tic approach that encompasses physical,mental,social,and spiritual well-being.However,medical social work currently faces challenges such as unclear role definition,insufficient social recognition,and lagging professional capabilities.It is suggested that medical social work urgently needs to innovate its mechanisms,establish a dynamic management system covering the entire lifecy-cle from early warning to mediation and repair,improve a three-party rights protection system involving patients,medical institu-tions,and social workers,build a two-way communication and interest coordination governance platform between doctors and pa-tients,and create a multi-party collaborative dispute resolution mechanism and a long-term risk prevention and control system.In the future,medical social work is expected to become an important hub linking the healthcare service system with other social support systems through policy advocacy,mechanism innovation,and community integration,thereby driving the evolution of the healthcare ecosystem toward a more human-centred and sustainable direction.

刘超;王志中;姚尚满

山西医科大学人文社会科学学院,山西 太原 030002山西医科大学人文社会科学学院,山西 太原 030002山西医科大学人文社会科学学院,山西 太原 030002

医药卫生

医务社会工作医患关系机制创新全人关怀医疗生态

medical social workdoctor-patient relationshipmechanism innovationholistic carehealthcare ecosystem

《中国卫生事业管理》 2026 (4)

372-379,8

教育部人文社会科学研究青年基金项目"医学微生物学在中国的传播发展研究"(24YJCZH038)山西省级博士基金项目"社会治理心理学与乡村振兴研究"(SD2361)

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