Azzarto J
Department of Sociology, Anthropology and Social Work, Skidmore College, Saratoga Springs, NY 12866, USA.
Soc Work Health Care. 1995;22(1):57-67. doi: 10.1300/J010v22n01_04.
Using a case study to illustrate the dilemma, this analysis attempts to offer some possible explanations for the problems with public health outreach by exploring the tendency of society to medicalize the needs of the poor, by highlighting the variation over time in social work's view of work done outside the office and by examining the manner in which individual professionals use discretion when implementing social policy. The implications for social work education involve the recruitment of indigenous workers and the preparation of social work students for the responsibilities and challenges of reaching out to service the poor in need of public health services.
通过一个案例研究来说明这一困境，本分析试图通过探究社会将穷人需求医学化的倾向、强调社会工作对办公室外工作看法随时间的变化以及审视个体专业人员在实施社会政策时运用自由裁量权的方式，为公共卫生外展工作存在的问题提供一些可能的解释。对社会工作教育的启示包括招聘本土工作人员以及让社会工作专业学生为履行职责和应对向有公共卫生服务需求的穷人提供服务所面临的挑战做好准备。
