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Ethical Issues in Integrated Health Care: Implications for Social Workers

机译：综合保健的道德问题：社会工作者的影响

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摘要

Integrated health care has come of age. What began modestly in the 1930s has evolved into a mature model of health care that is quickly becoming the standard of care. Social workers are now employed in a wide range of comprehensive integrated health care organizations. Some of these settings were designed as integrated health care delivery systems from their beginning. Others evolved over time, some incorporating behavioral health into existing primary care centers and others incorporating primary care into existing behavioral health agencies. In all of these contexts, social workers are encountering complex, sometimes unprecedented, ethical challenges. This article identifies and discusses ethical issues facing social workers in integrated health care settings, especially related to informed consent, privacy, confidentiality, boundaries, dual relationships, and conflicts of interest. The author includes practical resources that social workers can use to develop state-of-the-art ethics policies and protocols.
机译：综合医疗保健已成为年龄。在20世纪30年代的谦虚地开始了什么，它已经发展成为一种成熟的保健模式，即迅速成为护理标准。社会工作者现在雇用了广泛的综合卫生保健组织。其中一些设置被设计为从他们开始的综合保健送货系统。其他人随着时间的推移，一些将行为健康纳入现有的初级保健中心以及将初级护理纳入现有行为卫生机构的其他初级保健中心。在所有这些背景下，社会工作者都在遇到复杂，有时是前所未有的道德挑战。本文确定并讨论了综合医疗保健环境中社会工作者面临的道德问题，特别是与知情同意，隐私，保密，边界，双重关系和利益冲突相关。提交人包括社会工作者可以用来制定最先进的伦理政策和协议的实用资源。

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