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社會工作介入預防保健的可行性研究報告DOC

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社工服務的對象主要為弱勢群體,面對危機時,他們更容易陷入困境而不能 擺脫。疾病就是一個很嚴重的威脅。在中國因病致貧,因病返貧的家庭更是有著 許多,老百姓看病、看病難已經成為公認的社會問題。作為社工,除了政策方面 的幫助,支持以及事件發生后救助,我們如何才能從根源上解決這一問題,筆者 認為預防保健是個很好的途徑。“治未病”,防患于未然,做好預防免疫,環境衛 生,飲食營養,身體鍛煉等等就可以將疾病扼殺在萌芽狀態,不至于造成危機。 相對于得病后治療、康復的成本,預防保健花費的成本、代價則小得多。因此, 預防保健引起了筆者的關注,筆者認為社會工作介入預防保健可以有效促進該問 題的解決。因為社區是居民生活的一個重要場所,社區預防保健可以更方便快捷 的為社區居民提供服務。在集“預防,治療,保健,康復,健康教育,計劃生育” 六位一體的社區衛生服務體系中,預防保健是重要基礎。所以筆者認為社會工作 介入社區預防保健將成為社工介入預防保健的可行路徑。因此筆者通過文獻研 究,個案訪談的研究方法,了解居民對預防保健的迫切需求,以及中國預防保健 服務發展的現狀。通過中國衛生統計年鑒的數據,引出社會工作介入預防保健的 迫切性以及社會工作介入預防保健領域的關鍵問題。最后得出社會工作介入預防 保健領域的有效可行路徑—社會工作介入社區預防保健。 關鍵詞 ,預防保健 社工介入 生態系統理論 社區預防保健V Abstract Social work services mainly for the disadvantaged groups, when faced with a crisis, they are more likely to get into trouble and could not get rid of. Disease is a serious threat. In China the poverty due to illness, return deficient due to illness in the family have many more, common people to see a doctor, difficulty has become recognized as the social problems. As a social worker, in addition to policy help, support and events that occur after the rescue, how can we fundamentally solve this problemThe author thinks that the preventive health care is a very good way. Preventive treatment of disease, nip in the bud, do a good job of preventing immune, environmental health, diet, physical exercise and so can be disease nipped in the bud, not causing crisis. Relative to the disease treatment, rehabilitation, prevention and health care costs, cost much less. Therefore, preventive health caused the author 's attention, the author thinks that the intervention of social work in prevention and health care can effectively promote the solution of this problem. Because the community is an important place for residents, community prevention and health care can be more convenient for community residents to provide services. In the episode the prevention, treatment, care, rehabilitation, health education, family planning six in one of the community health service system, preventive health care is an important foundation. So the author thinks that the community prevention and health care will become the social involvement of prevention and health care the feasible path. Therefore, the author through literature research, case study method, to understand the residents of the preventive health care needs, as well as the current situation of the development of Chinese preventive health services. . by China health statistical yearbook data, leads to social work intervention of prevention and health care and social work intervention is the key issues in the field of prevention and health care. Came to the conclusion that the intervention of social work in prevention and health care fields effective feasible path on community prevention and health care. Key Words , Preventive health care Social work intervention Ecological system theory Community prevention and health careVI 目錄 1 緒論.............................................................................................................................................1 1.1 研究的背景和意義..........................................................................................................1 1.2 研究對象的界定..............................................................................................................2 1.2.1 社會工作.............................................................................................................2 1.2.2 預防保健.............................................................................................................3 1.3 文獻綜述..........................................................................................................................5 1.3.1 預防保健存在的問題.........................................................................................5 1.3.2 預防保健的實踐方法和路徑.............................................................................6 1.3.3 國外社工介入預防保健的經驗模式.................................................................6 1.4 研究框架和內容..............................................................................................................7 1.5 研究方法和資料來源.....................................................................................................8 1.5.1 研究方法.............................................................................................................8 1.5.2 資料來源.............................................................................................................9 2 預防保健的現狀及其問題.......................................................................................................10 2.1 不同醫療保障制度下預防保健的需求——基于典型個案的訪談...........................10 2.1.1 新農合下農民預防保健需求迫切...................................................................10 2.1.2 公費醫療下的生命健康亦需要保障...............................................................12 2.1.3 商業醫療保險下的居民亦需要預防保健.......................................................15 2.2 中國預防保健服務的現狀............................................................................................18 2.2.1 預防保健服務的開展情況...............................................................................18 2.2.2 社會工作介入預防保健的現狀.......................................................................23 2.3 預防保健存在的問題...................................................................................................24 2.3.1 從業人員欠缺...................................................................................................24 2.3.2 服務的可及性不足...........................................................................................26 2.3.3 特殊人群的需求難以滿足...............................................................................27 3 社會工作介入預防保健的可行性及其路徑...........................................................................28 3.1 社會工作介入的必要性...............................................................................................28 3.1.1 預防保健從業人員急需補充...........................................................................28 3.1.2 提高預防保健的可及性...................................................................................28 3.1.3 提升特殊人群需求的滿足程度.......................................................................29 3.2 社會工作介入的可行性...............................................................................................29 3.2.1 核心理念相通...................................................................................................29 3.2.2 國外經驗模式的借鑒.......................................................................................30 3.3 社會工作介入的路徑...................................................................................................31 3.3.1 社工介入社區衛生服務中心...........................................................................31 3.3.2 社工介入 NGO 的預防保健服務.......................................................................33 4 結語...........................................................................................................................................35
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