Roberts C S
Department of Social Work, University of South Florida, Tampa 33620-8100.
Health Soc Work. 1989 Aug;14(3):211-8. doi: 10.1093/hsw/14.3.211.
The professional relationship between social workers and physicians historically has been somewhat strained. Social workers have been quick to blame the medical model for problems in health care and consequently have overlooked useful lessons from this model that could improve social work practice. To work effectively with physicians, social workers must be aware of physicians' professional values and be able to identify conflicts with social work values. Conflicting values in social work and medicine are identified in five areas: (1) saving life versus quality of life, (2) patient autonomy in setting treatment goals, (3) attitudes toward objective versus subjective data, (4) responses to patients with emotional problems, and (5) differing perspectives on interdisciplinary team roles. Case illustrations based on the author's experiences as director of behavioral science training for resident family practice physicians are included. Although different value orientations may produce conflict, the differences also can catalyze successful collaboration between the two professions, which ultimately will benefit patients who receive care.
历史上，社会工作者与医生之间的职业关系一直有些紧张。社会工作者往往迅速将医疗保健中的问题归咎于医学模式，因此忽略了该模式中有助于改进社会工作实践的有益经验。为了与医生有效合作，社会工作者必须了解医生的职业价值观，并能够识别与社会工作价值观的冲突。社会工作和医学中相互冲突的价值观体现在五个方面：（1）挽救生命与生活质量，（2）患者在设定治疗目标方面的自主权，（3）对客观数据与主观数据的态度，（4）对有情感问题患者的反应，以及（5）对跨学科团队角色的不同看法。文中还包含了基于作者作为住院家庭医生行为科学培训主任的经历所举的案例。尽管不同的价值取向可能会产生冲突，但这些差异也能够促进两个职业之间的成功合作，最终将使接受治疗的患者受益。
