Abramson J S, Mizrahi T
School of Social Welfare, University at Albany, State University of New York 12222, USA.
Soc Work. 1996 May;41(3):270-81.
Interdisciplinary collaboration is becoming increasingly important as the current complexity and cost of health care require an efficient and well-coordinated service delivery system. To understand the factors contributing to positive and negative collaboration, 53 social workers and 50 physicians in 12 hospital settings were interviewed about their best and worst experiences collaborating on a case. Thirty precoded items were classified into three constructs that reflect aspects of collaboration related to the case, to interaction between collaborators, and to the competence of the collaborator. Differences between the two professions were greatest on the interactional factors, with social workers valuing them much more than physicians did. Communication appeared to be the only intrinsic or universal aspect of collaboration equally important to both groups in both types of cases. Implications for social work practice and leadership are discussed.
随着当前医疗保健的复杂性和成本要求建立一个高效且协调良好的服务提供系统,跨学科合作正变得越来越重要。为了了解促成积极和消极合作的因素,研究人员对12家医院的53名社会工作者和50名医生进行了访谈,询问他们在一个病例上合作的最佳和最差经历。30个预先编码的项目被分为三个结构,这些结构反映了与病例相关的合作方面、合作者之间的互动方面以及合作者的能力方面。在互动因素上,两个专业之间的差异最大,社会工作者比医生更重视这些因素。在两类病例中,沟通似乎是合作中对两组同样重要的唯一内在或普遍方面。文中还讨论了对社会工作实践和领导力的启示。