医院联合医务社工“1234+”模式对不合理滞留住院病人的危机管理研究.doc

医院联合医务社工“1234+”模式对不合理滞留住院病人危机管理的研究 陈玉琼① 陈娟① 周帮旻① 韩宽怀① 林晖② 黄金星① 袁菊芳③ 杨玉玲③ 李桃蓉① ①成都市新都区中医医院 610500 四川省成都市新都区香樟林路120号 ②成都市新都区红十字会 610500 四川省成都市新都区香城南路60号新都区文广中心 ③成都众翼社会工作服务中心 610500 成都市新都区新都大道8号西南石油大学科技园大厦607 2819505113@ 【关键词】医务社会工作 不合理滞留住院病人 危机管理 多学科协作 【摘 要】目的 研究旨在减少不合理滞留住院病人导致医疗资源浪费，维护正常医疗诊疗秩序。方法 本研究通过在医院内创新“1234+”医务社工模式，运用危机管理相关原理与方法，创新医务社会工作实务，将医务社工个案工作法和多学科协作引入不合理滞留住院病人危机管理中。结果 项目开展促进不合理滞留住院病人出院，降低滞留医院病人住院床日。结论与建议 总结医务社工“1234+”模式的创新性，可行性和适用性，并提出了医院不合理滞留住院病人预警与干预机制，加强医院医疗质量管理和大力发展医院医务社会工作的建议。 Explore on hospital combine medical social workers in “1234+”mode applied for crisis management of inappropriate delayed discharge patients/CHEN Yuqiong,HAN Kuanhuai,ZHOU Bangmin,CHEN Juan,LIN Hui,HUANG Jinxin,YUAN Jufang,YANG Yuling,LI Taorong//Chinese Hospitals-2016 【key words】medical social work, inappropriate delayed discharge patients, crisis management Multidisciplinary treatment(MDT) 【abstract】decrease waste of medical resource due to Inappropriate delayed discharge patients，but also medical service. Methodology We build up medical social work in“1234+”mole in Xindu district hospital of Traditional Chinese Medical which located in CHENGDU CITY,SICHUAN PROVICEN.CHINA. Principle and method of crisis management were used in the innovation of medical social work practice. Case social work method and multidisciplinary treatment was used in crisis management of inappropriate delayed discharge patients. Outcome There has been a decrease both in inappropriate delayed discharge patients and hosipital beds occupied by these patients in the project. Conclusions and suggestion Medical social work in“1234+”mole have Innovation, feasibility and applicability.Suggestions were made on prewarning and intervention mechanism of inappropriate delayed discharge patients, strengthen the control over hospitals quality and promotion the medical social work in hospitals. 【’s address】120, Xiangzhanglin Road, Xindu District, Chengdu, Sichuan 610050P.R.C 1研究背景 据报道，北京[1]、深圳[2-3]、天津[4]等