The hospital emergency department as a social welfare institution
The hospital emergency department as a social welfare institution
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DOI：
10.1016/s0196-0644(99)70369-0
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发表时间：
1999-03-01
影响因子：
6.2
通讯作者：
Gordon, JA
中科院分区：
文献类型：
--
作者：
Gordon, JA
在一个社会福利改革的时代，社会安全网受到侵蚀，能够保证向最需要帮助的人提供援助的机构所剩无几。医院急诊科也许是当地唯一一个法律规定提供专业帮助的机构，保证所有人在任何时候都能得到专业帮助，无论问题是什么。虽然艾德是一个真正的社会安全网，但其作为社会福利机构的潜力普遍被低估，阻碍了其作为有效社会资源的充分发展。在艾德院接受治疗的弱势社，较其他社区机构为多。因此，该院不但是治疗急症的理想场所，也是确定基本社会需要和扩展现有社区资源的理想场所。通过帮助更充分地将艾德纳入其社区的整体护理，急诊医生可以成为设计和实施综合社会医学护理系统的领导者。
In an era of social welfare reform marked by the erosion of a societal safety net, few institutions remain that can guarantee assistance to those most in need. The hospital emergency department is perhaps the only local institution where professional help is mandated by law, with guaranteed availability for all persons, all the time, regardless of the problem. Although the ED serves as a true social safety net, its potential as a social welfare institution generally goes underestimated, hampering its full development as an effective societal resource. More of the disadvantaged may pass through the ED than through any other community institution, making it a logical site not only for the treatment of acute illness, but also for the identification of basic social needs and the extension of existing community resources. By helping more fully incorporate the ED into the total care of its community, emergency physicians can become leaders in the design and implementation of integrated sociomedical systems of care.