What Social Workers Need to Know about Sludge.

The article focuses on the concept of "sludge," a term from behavioral economics describing bureaucratic obstacles that hinder individuals’ access to healthcare, and its relevance to social work practice. Sludge manifests as complicated administrative processes, such as electronic health record (EHR...

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Publicado en:Health & Social Work Vol. 51; no. 3; pp. 240 - 243
Autor principal: Vyshedsky, Christine
Formato: Artículo
Publicado: Oxford University Press / USA Aug2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        au: Vyshedsky, Christine
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        Health services accessibility
        Social workers
        Interprofessional relations
        Personnel management
        Medical care
        Health policy
        Social work education
        Health behavior
        Patient advocacy
        Discharge planning
        Electronic health records
        Transportation of patients
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          Health services accessibility
          Social workers
          Interprofessional relations
          Personnel management
          Medical care
          Health policy
          Social work education
          Health behavior
          Administration of Public Health Programs
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Human Resources Consulting Services
          Other Individual and Family Services
          Patient advocacy
          Discharge planning
          Electronic health records
          Transportation of patients
      keyword:
        copyrightHolder:National Association of Social Workers
        copyrightYear:2026
        https://dx.doi.org/10.1093/hsw/hlag028
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        publisher:Oxford University Press
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        sludge
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        copyrightHolder:National Association of Social Workers
        copyrightYear:2026
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        sludge
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      ab: The article focuses on the concept of "sludge," a term from behavioral economics describing bureaucratic obstacles that hinder individuals’ access to healthcare, and its relevance to social work practice. Sludge manifests as complicated administrative processes, such as electronic health record (EHR) inefficiencies and transportation coordination challenges, which create barriers and psychological burdens for patients and social workers alike. The article suggests that understanding sludge can help social workers move beyond reactive roles toward proactive advocacy for systemic change, aligning with ethical principles like self-determination. Incorporating behavioral economics frameworks into social work education and practice may enhance efforts to reduce these barriers and promote healthcare equity for underserved populations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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