Corney R H
J R Coll Gen Pract. 1980 Mar;30(212):149-57.
The attachment of social workers to general practices has increased recently and this study reports some of the factors which affect the success of such arrangements.Access to a room in the surgery for interviewing and the use of a telephone is an important factor as the time spent by the social worker in the premises increases the chance of making good working relationships with members of the primary health care team.When the social worker handles all the cases personally there are advantages, especially for other members of the primary health care team, although in such a situation a social worker may become relatively isolated from her own profession. The organization of the practice itself is an important variable, especially the degree of commitment by members of the primary care team, and the attitudes of the doctors. It is helpful if the doctors meet together as a group or with other professionals. Equally, the social worker must be committed to the role. Social work attachments to health centres can be particularly effective. The lack of preliminary discussion with the social work agency can contribute to difficulties in such attachments, and preliminary meetings should include discussions about the type of cases to be referred and the quantity of social work time available.
近期，社会工作者与全科医疗诊所的合作有所增加，本研究报告了一些影响此类合作成功的因素。在诊所内有一间用于面谈的房间以及能使用电话，这是一个重要因素，因为社会工作者在诊所内花费的时间增加了与初级卫生保健团队成员建立良好工作关系的机会。当社会工作者亲自处理所有案例时会有一些优势，特别是对初级卫生保健团队的其他成员而言，不过在这种情况下，社会工作者可能会相对脱离自己的专业领域。诊所自身的组织是一个重要变量，尤其是初级保健团队成员的投入程度以及医生的态度。如果医生们能集体会面或与其他专业人员会面，会很有帮助。同样，社会工作者必须致力于这一角色。社会工作者与健康中心的合作可能会特别有效。与社会工作机构缺乏初步讨论会导致此类合作出现困难，初步会议应包括关于转诊案例类型以及可用社会工作时间数量的讨论。
