The Value of the Presence of Social Work in Emergency Departments
The Value of the Presence of Social Work in Emergency Departments
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DOI：
10.1080/00981380903426772
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发表时间：
2010-01-01
影响因子：
2.2
通讯作者：
Mason, Susan E.
中科院分区：
文献类型：
--
作者：
Auerbach, Charles;Mason, Susan E.
通过直接检查社会工作者接诊的患者的住院率来支持急诊室中社会工作存在的价值。它利用了为期 3 年的社会工作自我报告数据集，涉及纽约大都市区一家大型教学医院的医疗急诊室结果，样本量为 3370 人。研究结果表明，这家急症护理医院急诊室的社会工作者经常转诊最复杂的病例。该网站上的数据表明，大多数社会工作安排是在家（54%）或护理机构（8.4%）。社会工作接诊的患者中只有16%入院。这些发现支持了急诊室环境中社会工作的成本效益性质以及寻找住院治疗替代方案的重要性。逻辑回归的结果表明，社会工作者评估患者的标准是基于合理的社会心理因素。被评估为存在“环境”（p=.00）或“关系”问题（p=.00）的患者入院的可能性要小得多。相反，存在“护理/ADL”问题 (p=.00) 和行为问题 (p=.00) 的患者入院的机会较高。作为非裔美国人的影响较小，但仍然具有相关性。
The value of the presence of social work in emergency rooms is supported by directly examining the hospitalization rates of patients seen by social workers. It utilizes a 3-year-long data set of social work self-reports on medical emergency room outcomes at a large, teaching hospital in the New York Metropolitan area with a sample size of 3370. The study findings suggest that social workers in this acute care hospital's emergency room often are referred the most complex cases. The data on this site indicate that the majority of social work dispositions were to home (54%) or a nursing facility (8.4%). Only 16% of the patients seen by social work were admitted to the hospital. These findings support the cost-effective nature of social work in the emergency room setting and the importance of finding alternatives to hospital admissions. The results of a logistic regression suggest that the criteria used by social workers to assess patients are based on sound psychosocial factors. Patients who were assessed as having "Environmental" (p=.00) or "Relationship" problems (p=.00) were much less likely to be admitted. Conversely, patients with "Care/ADL" problems (p=.00) and behavior problems (p=.00) had a heightened chance of being admitted. Being African American has less effect but was still relevant.