ABSTRACT The social work assessment, which takes account of a range of factors, contrasts starkly with health assessment tools which focus individually on one small part of a patient’s functioning. The social work assessment may be viewed with suspicion, or even outright hostility, by hospital professionals particularly if the outcome is different to the prevailing opinion of the multi-disciplinary team. Increasingly, obtaining a global, holistic assessment is becoming difficult as hospitals develop a range of strategies to ‘speed up’ the discharge process. These strategies impact patients’ physical and mental health. Older patients with a cognitive impairment are disproportionately affected – the very group whose hospital admissions are rising fastest. As hospital stays shorten, the assessment is done earlier. Social work managers allocate dwindling resources on a basis of need. The social work assessment is increasingly driven by indicators of ‘critical’ and ‘substantial’. Lower levels of need or need that cannot be met by current service provision is simply not recorded. Thus, the social worker bases the assessment on less information, on a patient subjected to additional factors, using indicators designed to control budgets. However, social work resources are charged so patients themselves may pay the price for an inaccurate assessment.

中文翻译：

---

社会工作评估：我们打算评估什么？

摘要社会工作评估考虑了一系列因素，与健康评估工具形成鲜明对比，后者分别关注患者功能的一小部分。医院专业人员可能会对社会工作评估抱有怀疑甚至是完全敌视的态度，特别是如果结果与多学科团队的普遍看法不同时。随着医院制定一系列“加速”出院流程的策略，越来越难以获得全面，全面的评估。这些策略会影响患者的身心健康。认知障碍的老年患者受到的影响尤其大-住院人数上升最快的人群。随着医院住院时间的缩短，评估工作将提早进行。社会工作经理根据需要分配不断减少的资源。社会工作评估越来越受到“关键”和“实质”指标的驱动。根本不记录较低水平的需求或当前服务提供无法满足的较低需求。因此，社工使用旨在控制预算的指标，根据较少的信息，受其他因素影响的患者来进行评估。但是，社会工作资源是收费的，因此患者本人可能会为不正确的评估付出代价。使用旨在控制预算的指标来应对受其他因素影响的患者。但是，社会工作资源是收费的，因此患者本人可能会为不正确的评估付出代价。使用旨在控制预算的指标来应对受其他因素影响的患者。但是，社会工作资源是收费的，因此患者本人可能会为不正确的评估付出代价。