a Glen Allen , Virginia , USA.
Soc Work Health Care. 2013;52(10):959-86. doi: 10.1080/00981389.2013.834028.
Major economic, political, demographic, social, and operational system factors are prompting evolutionary changes in health care delivery. Of particular significance, the "graying of America" promises new challenges and opportunities for health care social work. At the same time, the Patient Protection and Affordable Care Act of 2010, evolution of Accountable Care Organizations, and an emphasis on integrated, transdisciplinary, person-centered care represent fundamental shifts in service delivery with implications for social work practice and education. This article identifies the aging shift in American demography, its impact on health policy legislation, factors influencing fundamentally new service delivery paradigms, and opportunities of the profession to address the health disparities and care needs of an aging population. It underscores the importance of social work inclusion in integrated health care delivery and offers recommendations for practice education.
主要的经济、政治、人口、社会和运营系统因素正在促使医疗保健服务发生变革。特别值得注意的是，“美国老龄化”为医疗保健社会工作带来新的挑战和机遇。与此同时，2010 年的《患者保护与平价医疗法案》、问责制医疗组织的演变，以及对综合、跨学科、以个人为中心的护理的重视，代表着服务提供方式的根本转变，对社会工作实践和教育具有重要意义。本文介绍了美国人口老龄化的转变，及其对卫生政策立法的影响，影响全新服务提供模式的因素，以及该专业解决人口老龄化带来的健康差异和护理需求的机会。本文强调了社会工作纳入综合医疗保健服务的重要性，并提出了实践教育的建议。
