Evidence that supports the value of social work in hospitals
Evidence that supports the value of social work in hospitals
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DOI：
10.1300/j010v44n04_02
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发表时间：
2007-01-01
影响因子：
2.2
通讯作者：
LaPorte, Heidi Heft
中科院分区：
文献类型：
--
作者：
Auerbach, Charles;Mason, Susan E.;LaPorte, Heidi Heft
医院社会工作的价值得到了一家医院的跟踪系统的支持，该系统监测社会工作出院服务，并将结果与非社会工作出院进行比较。样本包括2002年至2004年两年半时间内在“医疗外科”医院住院的64 722名患者。在样本中的所有患者中，15.7%（n = 10，156）参与了社会工作。60%的社工患者年龄在70岁或以上，而样本的平均年龄为56.2岁。社会工作服务患者的平均住院时间为11.4天（sd = 13.9），而非社会工作患者为4.3天（sd = 6.3），差异具有显著性（t = -68.3; p = .000）。作者将住院时间的延长归因于社会工作者接收了老年人和打鼾的难以安置的病人。一个循证的情况下，成本控制价值的社会工作者在医院和创建一个跟踪基础设施，以帮助监测医疗/外科社会工作者的日常成就。
The value of hospital social work is supported by one hospital's tracking system that monitored social work discharge services and compared outcome with non-social work discharges. The sample consisted of a total of 64,722 patients admitted to the "med-surg" hospital unit over a two and one-half year time period from 2002 to 2004. Of the total patients in the sample, 15.7% (n = 10,156) had social work involvement. Sixty percent of the social worker patients were age 70 or over compared with the mean age of the sample of 56.2 years. The mean length of stay for social work served patients was 11.4 days (sd = 13.9) compared to 4.3 days (sd = 6.3) non-social work patients, a difference that was significant (t = -68.3; p = .000). The authors attribute the longer lengths of stay to social workers' receiving older and snore difficult-to-place patients. An evidence-based case is made for the cost-containment value of social workers in hospitals and for the creation of a tracking infrastructure to aid in monitoring the daily achievements of medical/surgical social workers.