School of Social Work, University of Texas at Austin, TX 78703, USA.
Soc Work. 2012 Jan;57(1):39-48. doi: 10.1093/sw/swr003.
The Uniform Accident and Sickness Policy Provision Law (UPPL) is a statute existing in 26 states that permits health insurance companies to deny payment for claims made by individuals who have sustained injuries as a result of drug or alcohol use. This law presents a series of complicated clinical and ethical dilemmas for social workers and other medical personnel. The majority of contributions to the national discussion regarding the UPPL have been produced by the medical, nursing, and policy/legal disciplines. Social work has, however, remained silent. It is paramount that social workers add their perspective and insight to this debate. This article discusses the first survey, to the authors' knowledge, of social workers practicing in health care settings regarding their knowledge and beliefs about the UPPL.
《统一事故和疾病保险条款法》（UPPL）是存在于 26 个州的法规，允许健康保险公司拒绝支付因吸毒或酗酒而受伤的个人的索赔。该法律给社会工作者和其他医务人员带来了一系列复杂的临床和伦理困境。关于 UPPL 的全国性讨论，大多数贡献来自医学、护理和政策/法律学科。然而，社会工作一直保持沉默。至关重要的是，社会工作者要为这场辩论增添他们的观点和见解。本文讨论了作者所了解的第一次对从事医疗保健工作的社会工作者进行的调查，了解他们对 UPPL 的知识和信仰。
