Ruth Betty J, Velásquez Esther E, Marshall Jamie Wyatt, Ziperstein Dory
Soc Work. 2015 Apr;60(2):126-34. doi: 10.1093/sw/swu060.
In light of the Patient Protection and Affordable Care Act's goals of better patient care, cost control, and improved population outcomes, prevention has emerged as an important component of health reform. Social work, with its extensive involvement in the health system and deep roots in public health, can benefit from a better understanding of its role in prevention. This study builds on the Social Work Interest in Prevention Study (SWIPS), which evaluated extent, type, and levels of prevention content in nine social work journals from 2000 to 2005. The goal of the expanded study, the SWIPS-Expansion, was to assess whether interest in prevention increased over the years in which health reform was enacted. Of the 3,745 articles reviewed, 9.0 percent (n = 336) met the criteria for "prevention articles." Between 2000 and 2010, prevention articles rose from 4.1 percent to 14.3 percent of all articles. A secondary analysis focused on topics within social work prevention, with violence, aging, and disease as primary focal areas. The findings suggest that although prevention interest appears to be growing, it remains a minority focus in the profession's journals. A national conversation on prevention can help expand the profession's role in health reform at this critical time.
鉴于《患者保护与平价医疗法案》在改善患者护理、控制成本以及提高总体健康水平方面的目标，预防已成为医疗改革的一个重要组成部分。社会工作广泛参与卫生系统且在公共卫生领域根基深厚，若能更好地理解其在预防方面的作用，将从中受益。本研究以“社会工作预防兴趣研究”（SWIPS）为基础，该研究评估了2000年至2005年九种社会工作期刊中预防内容的范围、类型和水平。扩展研究“SWIPS扩展版”的目标是评估在医疗改革实施的这些年里，对预防的兴趣是否有所增加。在审查的3745篇文章中，9.0%（n = 336）符合“预防文章”的标准。2000年至2010年期间，预防文章在所有文章中的占比从4.1%升至14.3%。一项二级分析聚焦于社会工作预防领域内的主题，暴力、老龄化和疾病是主要关注领域。研究结果表明，尽管对预防的兴趣似乎在增长，但在该专业期刊中它仍是少数关注的焦点。在这个关键时期，就预防展开全国性讨论有助于扩大该专业在医疗改革中的作用。
