Tech knowledge: introducing computers for coordinated care.

Tech knowledge: introducing computers for coordinated care.
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技术知识:引入计算机进行协调护理。

DOI:
10.1093/hsw/27.1.71
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发表时间:
2002
影响因子:
1.5
通讯作者:
Vila,ChristieKibort
Vila,ChristieKibort
中科院分区:
法学4区
文献类型:
--
作者:
McCoy,HVirginia;Vila,ChristieKibort

文献摘要

被引文献

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目前的保健和社会服务paradigm强调综合提供系统,其中基本货币单位是转诊。转介是社会工作实践的一个标志。这使社会工作者站在协调病人护理的第一线。他们建立关系的技能和社区网络的知识对病人来说是无价的,但时间限制往往阻碍了最好的转诊。是否有提高转诊效率的解决方案?毫不奇怪,技术创新可能会提供一个良好的投资,为组织,处理具有挑战性的人群谁有多种服务需求的研究文献和实践智慧表明,技术是越来越有用的医疗和社会工作实践(霍奇,戈斯汀,雅各布森,1999年;霍华德,1995年; Mutschler,1990年)。这一效用可扩大到建立和加强转诊网络。如果使用得当,技术有能力提高效率,并具有标准化数据输出的优势。技术的单一应用可能会带来更多的进步,例如将各种类型的客户服务联系起来,以改善护理协调。本文介绍了一个为期三年的干预项目,介绍和支持转诊技术在三个内城卫生服务点。我们详细的成功和实施过程中的挑战,并提供在社会工作实践复制的指导方针。我们还展示了社会工作者,社区组织和大学研究人员之间的合作伙伴关系如何有助于促进有特殊需要的客户的积极变化。
The current health and social services para-digm emphasizes an integrated delivery system in which the basic unit of currency is the referral. Making referrals is a hallmark of social work practice. This positions social workers on the front lines of coordinating patient care. Their skills at relationship building and knowledge of community networks become invaluable to patients, but often time constraints stand in the way of making the best possible referrals. Are there solutions for increasing referral effectiveness? Not surprisingly, technological innovation may provide a sound investment for organizations that deal with challenging populations who have multiple service needs.The research literature and practice wisdom show that technology is increasingly useful in both medical and social work practice (Hodge, Gostin, & Jacobson, 1999; Howard, 1995; Mutschler, 1990). This utility may be extended to building and strengthening referral networks. When appropriately used technology has the capacity to increase efficiency with the advantage of standardized data output. A single application of technology may lead to additional advances, such as linking various types of client services to improve coordination of care. This article describes a three-year intervention project introducing and supporting referral technology in three inner-city health services sites. We detail successes and challenges of the implementation process and provide guidelines for replication in social work practice. We also show how a cooperative partnership between social workers, community organizations, and university researchers may help foster positive change for clients with special needs.