2018 Volume 21 Issue 3 Pages 478-487
Purpose: The purpose of this study is to identify the factors affecting involvement of medical social workers (MSWs) by analyzing our original “social high risk (SHR) checklist-records” for predicting the necessity of MSWs.
Methods: We retrospectively reviewed the patients who had admitted to emergency center of our hospital from July 1 to October 31, 2014. We examined the relationship between the involvement of MSWs and the factors; six items of patient basic information, major nine items of the SHR checklist-record (SHR factors), eight typical reasons for hospitalization. Logistic regression analysis was used as a statistical method.
Results: 189 patients were included. 62% of the patients with the support of MSWs have some SHR factor. Four factors (seven or more hospital days, transfer to the other hospital, less decision-making ability, and slip and fall injuries) were significantly related to involvement of MSWs.
Conclusions: Our result suggests that the above four factors may lead to involvement of MSWs. The SHR checklist-records may be useful for extracting the necessity of involvement of MSWs, though further improvements based on the results of this study are needed.