The complicated nature of illness and health care delivery along with the complexity of insurance and health policy demand team-based health care. As a consequence, social workers have become engaged in team-based health care with numerous other professionals within multiple settings. Through the engagement of client-centered practice social workers experience systems that weigh the provision of direct services against macro quantitative accountability. This has resulted in newly defined roles and expectations for social workers who are well trained for both micro and macro practice. In multiple health care settings, social workers are partners in team-based models of care where patient-centered practice is a component within larger public and private delivery systems.
Michael A. Patchner and Lisa S. Patchner
The concept of health profession centrism and its effects on interprofessional education is important to Social Work practice. Profession centrism is concerned with a student’s professional socialization and their ability to work effectively with other health professionals and clients. This cultural frame determines the salience of curriculum content, core values, practice rituals and customs. It determines the meaning and etiology of symptoms and what constitutes health and treatment success. The interprofessional education (IPE) agenda is often seen as “soft curriculum” content and put to the side for the rigors of health sciences. Paradoxically, it is these issues of communication, ethics, role definition, and working as a team that creates problems among health professionals which compromise safety and efficiency in patient/client care. Learning to minimize profession centrism is a critical education and training objective for health social workers.