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Related Experiment Videos

Social work in restructuring hospitals: program management five years later.

Judith Globerman1, Jane White, Glenda McDonald

  • 1Allied Health, Vancouver Coastal Health Authority, 855 West 12th Avenue, Vancouver, British Columbia V5Z 1M9. jgloberm@vanhosp.bc.ca

Health & Social Work
|December 24, 2002
PubMed
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Hospital restructuring impacted social work roles, shifting accountability from the profession to program managers. Social workers must now actively demonstrate their value in healthcare settings.

Area of Science:

  • Healthcare Management
  • Social Work Practice
  • Organizational Change

Background:

  • North American hospitals underwent significant restructuring, moving from hierarchical models to multisite programmatic organizations.
  • This transformation led to the dismantling of traditional departments, integrating social work under multidisciplinary program managers.

Purpose of the Study:

  • To examine the effects of hospital mergers and program management on the social work profession.
  • To assess changes in social work positions, accountability, and recruitment within restructured healthcare systems.

Main Methods:

  • Longitudinal study of 22 hospitals in Ontario, Canada.
  • Data collected in the early stages of restructuring (1995) and expanded by 1999.
  • Analysis focused on the impact of organizational changes on social work roles.

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Main Results:

  • Social work line positions remained intact despite restructuring.
  • Accountability and recruitment processes for social workers were transferred from the discipline to program management.
  • The study identified a shift in professional control and oversight.

Conclusions:

  • Hospital restructuring significantly altered the professional landscape for social workers.
  • There is an increased need for social workers to advocate for and highlight their unique contributions to patient care and health outcomes.
  • Proactive engagement is crucial for the social work profession to maintain its influence and relevance in evolving healthcare environments.