A Systematic Review of Social Work in General Practice: Opportunities and Challenges.

Ines Zuchowski, Simoane McLennan
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Abstract

Purpose: This study identified the nature of social work practice in primary health care and described the reported patient outcomes, benefits, challenges, and enablers of social work in general practice [GP] settings.

Method: A systematic literature review applying the Prisma framework was conducted.

Results: A total of 26 studies met the inclusion criteria. Social work practice in GP assists in delivering positive health outcomes for patients, improved patient care, offers value for money, and supports interdisciplinary teams. Identified challenges include funding impediments, organizational barriers, and a lack of understanding of and undervaluing the social work role.

Discussion and conclusions: The review outlined the benefits of social work practice in GP practices; however, these must be further evidenced. Funding for social workers in primary health care was identified as a challenge when it was lacking, and as an enabler when it was available. Further research to evidence the patient outcomes and overall benefits, the fiscal value of social work and funding pathways in primary health care is recommended.

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社会工作在全科实践中的系统回顾:机遇与挑战。
目的:本研究确定了初级卫生保健中社会工作实践的性质,并描述了报告的患者结果、益处、挑战和全科医生环境中社会工作的促成因素。方法:应用Prisma框架进行系统的文献综述。结果:共有26项研究符合纳入标准。全科医生的社会工作实践有助于为患者提供积极的健康结果,改善患者护理,提供物有所值,并支持跨学科团队。确定的挑战包括资金障碍,组织障碍,缺乏对社会工作角色的理解和低估。讨论和结论:综述概述了社会工作实践在全科医生实践中的好处;然而,这些必须得到进一步的证明。初级保健社会工作者的资金缺乏时被确定为一项挑战,有资金时被确定为促进因素。建议进一步研究,以证明患者的结果和总体效益,社会工作的财政价值和初级卫生保健的供资途径。
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