Johnson R S, Berger C S
Social Work Department, University of Washington Medical Center, Seattle 98195.
Health Soc Work. 1990 Aug;15(3):181-90. doi: 10.1093/hsw/15.3.181.
Little systematic attention has been paid to the process of cuts in resources in hospital social work departments and to the implications of such events over time. This article describes the activities of a social work department in response to hospitalwide downsizing. It outlines conceptual premises for action, recommends a step-by-step process for analysis and implementation, reviews implications of cutback, and describes outcomes for department and personnel. In this particular case, social work administration was able to make changes in department organization to improve quality, efficiency, and professional control of practice while modeling cutback and reorganization to the larger hospital community.
医院社会工作部门资源削减的过程以及随着时间推移此类事件的影响很少受到系统关注。本文描述了一个社会工作部门应对全院范围裁员的活动。它概述了行动的概念前提，推荐了一个逐步分析和实施的过程，审视了削减的影响，并描述了部门和人员的结果。在这个特定案例中，社会工作管理部门能够对部门组织进行变革，以提高质量、效率和实践的专业控制，同时为更大的医院社区树立削减和重组的典范。
