Bergman A, Wells L, Bogo M, Abbey S, Chandler V, Embleton L, Guirgis S, Huot A, McNeill T, Prentice L
University of Toronto, Ontario, Canada.
Soc Work. 1993 May;38(3):281-8.
Shifts in health concerns, fiscal restraints, technological advances, and demands for accountability have created severe tensions within health care settings. New demands point to the need for a redefinition of services. High-risk screening appears to be a clear method of delineating service need. A review of the empirical literature highlights individual, family, and illness variables that alone and together may improve identification of patients and families in need of social work services. The development of screening mechanisms may be a useful vehicle for improved psychosocial care and for the planning of social work services.
健康关注点的转变、财政限制、技术进步以及对问责制的要求，在医疗环境中造成了严重的紧张局面。新的需求表明需要重新定义服务。高风险筛查似乎是明确服务需求的一种清晰方法。对实证文献的回顾突出了个体、家庭和疾病变量，这些变量单独或共同作用，可能会改善对需要社会工作服务的患者和家庭的识别。筛查机制的发展可能是改善心理社会护理和规划社会工作服务的有用手段。
