Nuevas perspectivas de objetivos en Trabajo Social Sanitario en Atención Primaria de Salud

Abstract

The intervention of social work professionals is often limited by restrictive criteria that lead to the exclusion of a segment of the population with psychosocial problems. To situate this specific problem, this article analyses the excessive use of consultations in primary health care. The results of studies in this area are consistent in linking users who make excessive use of consultations with sociodemographic and socio-family problems, as well as psychological problems, including depression, anxiety and a passive coping style. This study explores the response of health social work in the excessive use of consultation in health primary care. For this, a narrative review of the literature related to frequent attendance or overuse and social work, in primary care, and published between the years 1980 and 2020, is carried out. This review reflects that health social work has had a limited impact about such excessive use. Finally, it is concluded that affective social support offers a broad conceptual framework that integrates the disease, as a reality that appears homogeneous, and the subjective and contextual nature of the symptoms.