ERIC Number: EJ892943
Record Type: Journal
Publication Date: 2010
Abstractor: As Provided
Reference Count: 0
The Implicit Contract: Implications for Health Social Work
McCoyd, Judith L. M.
Health & Social Work, v35 n2 p99-106 2010
Identifying common patient dynamics is useful for developing social work practice sensitivity in health social work. This article draws on findings from a study of women who terminated desired pregnancies because of fetal anomalies and identifies dynamics that may be applicable to many health settings. Data suggest that women have expectations that submission to medical care, particularly high-tech medical care, should ensure a positive outcome--in this case a healthy baby. Analysis of data reveals the presence of an implicit contract that the women hold with the medical system, "Mother Nature," or society. The analysis carries an implication that health social work should help patients develop realistic expectations about health care. The presence of implicit contracts may have further implications for liability and litigation. Social work roles and interventions are addressed.
Descriptors: Social Work, Health Services, Patients, Females, Pregnancy, Medical Services, Expectation, Legal Responsibility, Court Litigation, Role, Intervention
National Association of Social Workers (NASW). 750 First Street NE Suite 700, Washington, DC 20002. Tel: 800-227-3590; e-mail: email@example.com; Web site: http://www.naswpress.org
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A