Neuman K
Madonna University, Department of Social Work, Livonia, MI 48150, USA.
Soc Work Health Care. 2000;31(1):19-33. doi: 10.1300/J010v31n01_02.
Confronted with decreasing reimbursement and managed care, hospitals across the country have been "reengineering" in an effort to streamline processes and enhance revenue. Because of the financial implications of discharge planning, hospital social workers and their departments are typically examined and realigned in some way during a reengineering process. To survive in this environment, social workers must understand the principles of reengineering; its hoped for and actual impact; be able to identify opportunities to contribute; and have the capacity to cope with an evolving professional role. This paper presents a general overview of reengineering and its adaptation to the health care environment. Specific challenges for medical social workers are described along with strategies for surviving in a reengineered health care system.
面对报销费用减少和管理式医疗的情况，全国各地的医院一直在进行“流程再造”，以努力简化流程并增加收入。由于出院计划涉及财务问题，在流程再造过程中，医院社会工作者及其部门通常会以某种方式接受审查并进行调整。为了在这种环境中生存，社会工作者必须了解流程再造的原则；其预期和实际影响；能够识别做出贡献的机会；并有能力应对不断演变的专业角色。本文概述了流程再造及其在医疗保健环境中的应用。文中描述了医疗社会工作者面临的具体挑战以及在经过流程再造的医疗保健系统中生存的策略。
