【作者】 王佳；

【导师】 何龙韬；

【作者基本信息】 西南财经大学 ， 社会工作（专业学位）， 2025， 硕士

【摘要】 在国家政策的支持下,慈善医疗救助作为政府救助的补充,其重要性日益凸显。随着在医疗救助领域各主体的积极参与,这些多元性救助主体发挥着不同的作用,其多元化主体参与模式已成为缓解医疗资源结构性紧张的重要路径。但目前大多数研究聚焦于政府救助和慈善医疗救助的制度衔接这个宏观层面,对微观场域中医务社会工作者(以下简称“医务社工”)整合多元主体的合作机制缺乏系统性的探讨,尤其缺乏对服务模式的实践路径、救助服务双方的矛盾以及有效整合资源策略的深入分析。基于此,本研究通过运用参与式观察法和半结构式访谈法,探索由医务社工整合多元救助主体参与慈善医疗救助的工作模式,分析总结医务社工在慈善医疗救助服务中发挥整合作用的必要性以及局限性,并针对局限性提出相应的建议。研究发现,医务社工构建了包含接案、预估、介入、评估的个案服务流程,有效整合医院、慈善组织及网络众筹平台的资源,优化了供需匹配效率。医务社会工作者在医疗救助过程中的整合性作用体现为:精准识别救助需求、化解程序严格性与需求即时性矛盾、平衡救助内容单一性与多样性需求,以及协调受助宣传与患者尊严保护间的伦理张力。然而,实践中仍存在显著局限:医院对社工认可度不足导致资源链接受阻,慈善组织资源碎片化加剧服务供给失衡,网络众筹平台规范性缺失引发责任边界模糊。针对以上问题,本研究提出三方面建议:第一,通过政策倡导与专业培训确立医务社工在医疗救助体系中的核心地位;第二,以医务社工为整合搭建跨部门资源整合平台,破解资源分散困境;第三,推动政府、市场与社会协同构建规范化合作机制,强化网络众筹监管。以期提升医务社会工作参与慈善医疗救助的专业服务质量,促进慈善医疗救助服务的多元化和规范化发展。更多还原

【Abstract】 Under Supported by national policies,charitable medical assistance has increasingly demonstrated its significance as a supplementary mechanism to government-led medical aid systems.The active participation of diverse stakeholders in medical assistance has established a multi-actor collaborative model,serving as a critical pathway to alleviate structural tensions in healthcare resource allocation.However,existing research predominantly focuses on macro-level institutional coordination between governmental and charitable medical assistance,while systematically neglecting the micro-level mechanisms through which medical social workers(hereafter "MSWs")integrate multi-stakeholder collaborations.This gap particularly manifests in insufficient exploration of practical service models,contradictions between assistance providers and recipients,and strategies for effective resource integration.To address these research deficiencies,this study employs participatory observation and semi-structured interviews to investigate the operational framework through which MSWs coordinate diverse stakeholders in charitable medical assistance.It critically examines both the necessity and limitations of their integrative roles,proposing targeted improvement strategies.The findings demonstrate that MSWs have developed a standardized case management process comprising case intake,assessment,intervention,and evaluation.This systematic approach effectively integrates resources from hospitals,philanthropic organizations,and online crowdfunding platforms,thereby optimizing resource allocation efficiency.Their integrative functions manifest in four critical dimensions: precise identification of assistance needs,reconciliation of procedural rigidity and urgent demand,balancing standardized services with diverse requirements,and mediating ethical tensions between publicity needs and patient dignity preservation.Nevertheless,three persistent limitations were identified: institutional under-recognition of MSWs’ roles hindering resource coordination,fragmented charitable resources exacerbating service disparities,and unregulated crowdfunding platforms creating ambiguous accountability boundaries.To overcome these challenges,three policy recommendations are proposed: First,enhancing MSWs’ institutional legitimacy through policy advocacy and professional competency development;Second,establishing MSW-led cross-sectoral resource integration platforms to address fragmentation;Third,fostering tripartite collaborative governance among government,market entities,and civil society to standardize crowdfunding practices.These strategies aim to strengthen the professional efficacy of medical social work in charitable assistance while promoting diversified and standardized development of medical philanthropy services.更多还原