Pistella C L, Bonati F A, Mihalic S
University of Pittsburgh, PA 15261, USA.
Soc Work Health Care. 1999;30(1):1-14. doi: 10.1300/j010v30n01_01.
U.S. rural women encounter many logistical and psychosocial barriers to prenatal care, including high poverty rates, high rates of inadequate health insurance, health care provider shortages, transportation problems and health care systems that may be inadequate or unresponsive to the needs of poor women. The purpose of this article is to describe the role of the social worker in rural communities in the development, implementation and evaluation of a community effort that sought to improve prenatal care through a collaborative of health and human services organizations. The nature of social work participation and the implications for social work are discussed.
美国农村妇女在产前护理方面面临诸多后勤和心理社会障碍,包括高贫困率、医疗保险不足率高、医疗服务提供者短缺、交通问题以及可能不足或无法满足贫困妇女需求的医疗保健系统。本文旨在描述农村社区社会工作者在一项社区努力的发展、实施和评估中所起的作用,该社区努力旨在通过卫生和人类服务组织的合作来改善产前护理。文中讨论了社会工作参与的性质及其对社会工作的影响。