Kenney J J
Adult Assessment Center, Montgomery County Department of Social Services, Rockville, MD 20852.
Health Soc Work. 1990 Feb;15(1):22-31. doi: 10.1093/hsw/15.1.22.
An overview of the health care industry's trend toward multihealth systems is presented and specific adaptive strategies for social work managers in health care are suggested. The challenges to social work leaders during this transition from largely free-standing, privately owned health care institutions to corporately owned, horizontally and vertically integrated delivery systems are discussed in terms of identity, style, and substance. Directors of social work departments in multihealth corporations will need to resolve issues of institutional versus corporate identity as well as those of corporate versus professional identity. A multioptional management style that incorporates networking and political expertise should be cultivated. Substantive demands in the areas of management information systems, productivity, quality assurance, and budgeting also must be addressed. The emergence of multihealth systems poses major challenges and unique opportunities to the social work profession. Awareness of managerial strategies and critical content areas can help social work leaders enhance the role and contribution of social work in these exciting and complex health care delivery systems.
本文概述了医疗保健行业向多健康系统发展的趋势，并针对医疗保健领域的社会工作管理者提出了具体的适应性策略。探讨了在从主要独立的私立医疗机构向企业所有、横向和纵向整合的服务体系转变过程中，社会工作领导者在身份、风格和实质内容方面所面临的挑战。多健康公司的社会工作部门主管需要解决机构身份与公司身份以及公司身份与专业身份的问题。应培养一种融合网络和政治专业知识的多选项管理风格。管理信息系统、生产力、质量保证和预算编制等领域的实质性要求也必须得到解决。多健康系统的出现给社会工作专业带来了重大挑战和独特机遇。了解管理策略和关键内容领域有助于社会工作领导者提升社会工作在这些令人兴奋且复杂的医疗保健服务体系中的作用和贡献。
