Paris W, Thompson S, Rihner T, Quisenberry M, Cooper D K
Oklahoma Transplantation Institute, Baptist Medical Center, Oklahoma City 73112-4481, USA.
Soc Work Health Care. 1996;23(1):39-52. doi: 10.1300/J010v23n01_03.
Though much is known about organ transplant (TX) patient and family psychosocial needs, there is virtually no information about the nature of the interaction that exists between TX social workers and patients. A comparison of TX patient-social worker attitudes and beliefs found (i) patients supported a more egalitarian "consumer-centered" approach to health care, but were reluctant to assume the accompanying responsibility, and (ii) social workers were more "traditional" in their approach, which focused primarily on assessment and social support. Results argue for a more comprehensive clinical approach by social workers to deal with problems of patient compliance, substance abuse, and psychological needs in a TX service where emphasis is placed on results rather than subjective process measures.
尽管人们对器官移植（TX）患者及其家属的心理社会需求了解颇多，但关于TX社会工作者与患者之间互动的本质却几乎没有相关信息。一项对TX患者与社会工作者态度及信念的比较发现：（i）患者支持采用更平等的“以消费者为中心”的医疗保健方式，但不愿承担随之而来的责任；（ii）社会工作者的方法更“传统”，主要侧重于评估和社会支持。研究结果表明，在一个注重结果而非主观过程指标的TX服务中，社会工作者应采取更全面的临床方法来处理患者依从性、药物滥用和心理需求等问题。
