With the development of modern medicine，At the same time as the medical technology is introduced，Society behind the disease、Psychological、Economic and cultural issues have also begun to be valued。，George L. Engel, a psychiatrist at the University of Rochester, in 1977, "Physiological -Psychological - Social Medicine Model" has become the common sense of medical field。but，Who is the psychological and social service provider in the medical system，How to provide related services，I have not been able to get a satisfactory answer。The emergence of medical social workers (hereinafter referred to as "medical social workers") fills this blank。Medical social workers at General Hospital、Clinic、Specialist Hospital、Rehabilitation institutions and other medical scenarios，Based on the spirit of altruistic and professional work methods，Help patients and family members to cope with social and psychological problems caused by disease and treatment，To restore the "physical fitness defined by the World Health Organization、Full Health Status of Spirit and Society "。

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The pioneer of social work in modern Chinese hospitals is Beijing Union Hospital，Established in 1921, the Social Service Department was established。After reform and opening up，Social work majors can be restored and rebuilt，But the practice of medical social work is still in a blank state。Since 2000，With the reform of the Chinese pharmaceutical and health system, the reform is moving towards public welfare，Promote the establishment of a Bet365 lotto review harmonious doctor -patient relationship with patients，Medical social work has new development soil。2000，Shanghai Oriental Hospital established the "Social Work Department"，It marks the start of the construction and practical development of my country's medical social work institutions。2009，Central Committee of the Communist Party of China、The State Council issued the "Opinions on Deepening the Reform of the Medical and Health System"，It is clearly proposed to "carry out medical social work，Improve medical dispute handling mechanism，Promoting doctor -patient communication "。2015，The former National Health and Family Planning Commission issued the "Further Improvement of the Medical Service Action Plan"，It is required to strengthen the professional construction of social workers and volunteers in hospitals，Give full play to the role of the bridge and bond of social workers in the communication of doctors and patients。

Now，Medical institutions in China are gradually popularized。Beijing、Shanghai、Guangzhou、Large -scale comprehensive hospitals in Shenzhen and other places have begun to set up a social work department or medical and social worker positions，Explore medical social work services by self -employment or purchase service。But，Medical social workers appear in the hospital，It does not mean that they have been accepted and recognized。On the one hand，The cognition of medical institutions of medical institutions is still more one -sided。Many hospital managers and medical staff do not understand the professionalism of medical social workers，regards it as a volunteer (volunteer)、Guide or administrative logistics personnel，No opportunities and channels for clinical practice。On the other hand，Insufficient knowledge structure and Bet365 lotto review practical ability of medical social workers，Some lack of medical knowledge，Some have no social work background。other，Insufficient experience and qualifications engaged in medical related work，Some medical social workers have not yet adapted to the workflow of medical services，Unfamiliar needs and characteristics of service objects，It is difficult to expand practical work。

Various status quo indicates，my country's medical social work is gradually moving towards institutionalization，However、Basic tendency of light humanities。Under this "medical -led" practical mode，Medical and social workers bear too much administrative work，Service content and scope is limited，At the edge position in the hospital。Therefore，Whether it is a medical institution or medical staff，Still the medical social worker itself，All need to further clarify the service concept of medical social work and the role positioning of medical social workers。Although medical social workers are assisting medical staff，Provide social and psychological services for patients and family members，But medical social workers are not attached or affiliated to medical profession。Medical social workers advocate both the body、Psychological、Social and Spiritual "All -Personal Health" concept，It is the "Medical Road Counter" around the medical staff。Medical staff attaches more importance to physical and psychology，Medical social workers mainly solve psychology、Social and Spiritual Questions。Different parties between the two parties，But respect each other、Full communication、Wide cooperation，"Medical Society Cooperation" practical model that forms a medical technology and humanistic care。

In the United States、UK、Japan and Hong Kong, China，Medical social workers play an indispensable Bet365 lotto review professional role in medical institutions，Drives more professional clinical practice。First，There are many people in medical social workers。In the United States，Establishment of the Social Service Department is one of the indicators of the American Hospital Federation to identify whether the hospital is qualified。Current，There are more than 300,000 medical social workers in the United States。Next，The scope of service of medical social workers is clear，Including direct services and indirect services for patients and their families，and community activities、Health Education、Disease Prevention、Public relations、Volunteer Management and other practice。Last，Medical social workers and medical staff have established an institutionalized collaboration mechanism。Medical and social workers in Britain and the United States need qualification identification and registration，The social service department of the hospital is generally on duty 7 days per week，Reporting in each clinical department。

　　The concept and development path of "Medical Society Cooperation"

The development of China ’s medical social work needs to be guided by the concept of“ medical cooperative ”，From institutional、Create a new development path at different levels such as professional and organization。To achieve this goal，It is necessary to cultivate in talent、Service Standards、Reference mechanism and social promotion，Development experience of absorbing foreign medical social work，Combined with the actual situation of China，Improve the professionalism and practicality of medical social workers，Formulating a division of labor with medical staff and medical social workers，Let the medical humanities truly implement。

First，Increase the training of medical social workers，Increase the number of people in the medical social workers，A wide coverage of the service bet365 best casino games population。2020，In the "Basic Service Specifications for Medical Social Work" released by Shanghai，Standardized in the ratio of personnel，in the second、300-500 beds at 300-500 beds are equipped with at least one medical social worker。2021，The "Medical Social Work Service Guide" released by Shenzhen requires that every 100 beds in the third -level hospital should be equipped with no less than one medical social worker。

Second，Establish a comprehensive management specification and service standard。First，Industry access that needs to be clear about medical social work、Level assessment and promotion system，Salary and benefits to ensure medical social work。Next，Service specifications for establishing medical social work，Clarify the functions and responsibilities of medical social workers。The Beijing Municipal Health and Health Committee and other departments jointly issued the "Implementation Opinions on the Development of Medical Social Work" in 2020，Preliminary definition of the work content of medical social workers as psychological -social support、Social Resources Integration、Adaptation of the relationship between doctors and patients、Volunteer management and community health services:。The next step should form a more specific service specification、Operation guidelines and assessment mechanisms，Let the contribution of medical social workers to medical care to be manifested。

third，Form an effective referral and cooperation mechanism。Due to the edge position of medical social workers in medical institutions，Even if medical staff needs medical social workers to intervene in solving non -medical needs of patients and family members，But lack of effective formal referral channels and mechanisms。Medical social workers need to actively establish cooperation bet365 best casino games with the clinical department，Actively discover and deal with clinical problems that are ignored or difficult to respond by medical staff。For example, in the field of tranquility treatment，Medical and social workers have become the core members of the multidisciplinary collaborative service team。The psychological support and humanistic care of medical social workers are also included in the 2017 "Guide to Anning therapy Practice (Trial)" released by the original National Health and Family Planning Commission。

Fourth，Improve the social cognition of medical social workers。For medical social workers who work in a white coat in a hospital but not a doctor，Both medical staff and the general public feel more strange，Unclear role and work content of medical social workers。While enhancing your professional ability，Medical and social workers also need to use multi -form and multi -level social promotion and publicity，The concept and practice of introducing medical social work，Establish a professional image and brand。

For the past 20 years，my country ’s medical society work shows a good situation，The medical social work system is promoted at the national policy level，More and more social workers enter medical institutions to carry out services。Medical social workers are humanistic practitioners who take root in the front line of medical services，For the improvement of doctors and patients、It is important to improve the quality of medical treatment and the development of medical humanities。Under the perspective of "Medical Club Cooperation"，The role positioning of the role of consolidating the work of the medical agency as the "medical road"，Carry out high -quality professional services，my country's medical social work will usher in new development。

　　(This article is the Study Research on the Construction of the National Social Science Fund key project "Study on the Construction of Socialist Intelligence Intelligence and Announcement System (20AZD070) phased achievement)

(Author Unit: Humanities Research Center of the Seventh Hospital of Sun Yat -sen University)