医患沟通中的个案工作研究

发布时间：2018-03-31 05:22

本文选题：医患沟通　切入点：个案工作　出处：《西华大学》2017年硕士论文

【摘要】：2015年颁布的《中国医师执业状况白皮书》显示,伤医事件数量逐步增加。这表明了医患关系正在恶化。笔者有幸成为一名医务社会工作志愿者,借此机会了解到医患关系紧张的现状。随着人们越来越关注医疗服务,人们开始意识到,要从根本上预防和治疗疾病,必须考虑和关注患者的社会和心理因素。社会工作在这方面拥有其他无可比拟的优势,在介入医患关系时,医务社会工作者本着“以患者为中心”的理念,及时向患者提供相关的医疗信息,通过相应的社会工作手法和技巧的运用,对患者进行心理照顾和支持,从而起到平衡医患信息,促进医患沟通,建立医患之间的和谐关系。本文采用文献研究法、访谈法、个案研究法等方法,首先以社会工作视角下对医患关系进行分析,发现了目前医患关系的问题:患者对医生期望过高、目前医患纠纷解决不善、患者和医生沟通不畅,其中医患沟通是最为主要的。接下来阐述了社会工作从三个方面介入医患关系,并分析了个案方法处理运用医患沟通的必要性。在此基础上引出具体实务分析,笔者以在成都市H医院中遇到的真实案例为背景,尝试个案工作方法处理运用医患沟通,根据分析,选定服务对象,进行详细评估,设计服务方案,呈现完整的个案服务过程,并以此总结经验,进行反思。本文不同于以往从宏观角度对医患关系的研究,另辟蹊径,从微观层面着重对医患沟通的介入,具有一定创新之处,有助于促进医务社会工作的本土化发展,并且对构建和谐的医患关系具有重要意义。
[Abstract]:The White Paper on the status of Medical Practitioners in China published in 2015 shows that the number of injuries and medical incidents is gradually increasing. This indicates that the doctor-patient relationship is deteriorating. I am fortunate to be a volunteer in medical social work. Taking this opportunity to learn about the current state of tension between doctors and patients. As people become increasingly concerned with medical services, people are beginning to realize that there is a fundamental need to prevent and treat diseases, We must consider and pay attention to the social and psychological factors of patients. Social work has other unparalleled advantages in this respect. In intervening in doctor-patient relations, medical social workers are guided by the concept of "patient-centered". Timely provide patients with relevant medical information, through the use of the corresponding social work techniques and skills, psychological care and support to patients, so as to balance the doctor-patient information, promote doctor-patient communication, In this paper, literature research, interview, case study and other methods are used to analyze the doctor-patient relationship from the perspective of social work. Problems in the current doctor-patient relationship have been identified: patients' expectations of doctors are too high, current doctor-patient disputes are poorly resolved, patients and doctors have trouble communicating, Among them, doctor-patient communication is the most important one. Then it expounds the three aspects of social work involved in the doctor-patient relationship, and analyzes the necessity of using the case method to deal with the doctor-patient communication. On the basis of this, it leads to the concrete practical analysis. In the background of the real cases in Chengdu H Hospital, the author tries to use the case work method to deal with the communication between doctors and patients, according to the analysis, to select the service object, to carry on the detailed evaluation, to design the service plan, to present the complete case service process. This paper is different from the previous studies on the relationship between doctors and patients from the macro perspective, and it is innovative to focus on the intervention of doctor-patient communication from the micro level. It is helpful to promote the localization of medical social work and to build harmonious doctor-patient relationship.
【学位授予单位】：西华大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916;C913.4

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