Zuchowski Ines, McLennan Simoane
Social Work and Human Services, College of Arts, Society and Education, James Cook University, Douglas, Townsville, Queensland, Australia.
J Evid Based Soc Work (2019). 2023 Apr 23:1-41. doi: 10.1080/26408066.2023.2202665.
This study identified the nature of social work practice in primary health care and described the reported patient outcomes, benefits, challenges, and enablers of social work in general practice [GP] settings.
A systematic literature review applying the Prisma framework was conducted.
A total of 26 studies met the inclusion criteria. Social work practice in GP assists in delivering positive health outcomes for patients, improved patient care, offers value for money, and supports interdisciplinary teams. Identified challenges include funding impediments, organizational barriers, and a lack of understanding of and undervaluing the social work role.
The review outlined the benefits of social work practice in GP practices; however, these must be further evidenced. Funding for social workers in primary health care was identified as a challenge when it was lacking, and as an enabler when it was available. Further research to evidence the patient outcomes and overall benefits, the fiscal value of social work and funding pathways in primary health care is recommended.
本研究确定了初级卫生保健中社会工作实践的性质，并描述了在全科医疗（GP）环境中报告的患者结局、益处、挑战以及社会工作的促成因素。
采用Prisma框架进行了系统的文献综述。
共有26项研究符合纳入标准。全科医疗中的社会工作实践有助于为患者带来积极的健康结局，改善患者护理，提供性价比，并支持跨学科团队。已确定的挑战包括资金障碍、组织壁垒以及对社会工作角色缺乏理解和重视不足。
该综述概述了全科医疗实践中社会工作实践的益处；然而，这些益处必须得到进一步的证明。在初级卫生保健中，当缺乏社会工作者资金时，这被视为一项挑战，而当有资金时，则被视为一个促成因素。建议进行进一步研究，以证明患者结局和总体益处、社会工作的财政价值以及初级卫生保健中的资金途径。
