Boyack V J, Bucknum A E
Department of Social Work, Foothills Hospital, Calgary, Alberta.
Soc Work Health Care. 1991;16(2):55-68. doi: 10.1300/j010v16n02_05.
The Quick Response Team, consisting of physicians, nurses and social workers in an emergency room setting, conducted a five month pilot project whose overall goal was to eliminate unnecessary admissions to an acute care hospital. This paper reports on the three social work objectives of the program: high risk screening and direct intervention, including assessment, short-term counselling, information, and referral; follow-up services; and social work coverage to all units after hours. Over a 4 month period 11.6% of all patients in the emergency room were assessed by the social work staff and 24 non-acute admissions were deferred. The results of the study confirm the effectiveness of a social work presence in the emergency department in reducing non-acute admissions and in providing continuity of care for patients at high social risk.
快速反应小组由急诊室的医生、护士和社会工作者组成，开展了一个为期五个月的试点项目，其总体目标是消除不必要的急性护理医院住院情况。本文报告了该项目的三个社会工作目标：高风险筛查和直接干预，包括评估、短期咨询、信息提供和转诊；后续服务；以及下班后对所有科室的社会工作覆盖。在四个月的时间里，急诊室所有患者中有11.6%接受了社会工作人员的评估，24例非急性住院被推迟。研究结果证实了社会工作在急诊科的存在对于减少非急性住院以及为高社会风险患者提供持续护理的有效性。
