As the medical service model in China transitions from unidirectional treatment to holistic health, medical social work, aimed at helping individuals help themselves, has gained more opportunities to integrate into the hospital setting.

This paper aims to explore the embedding paths, strategies, and outcomes of medical social work in the hospital setting, to categorize the types of integrative development in medical social work, and to provide significant insights for the robust development of medical social work within the healthcare system.

Based on Granovetter's embeddedness theory, purposive sampling was employed to conduct in-depth interviews with 33 medical social workers from 15 public hospitals in Shenzhen, where services were purchased by the government. Data analysis was performed using thematic analysis with the aid of Nvivo12.0 software.

In the context of government-purchased services, the embedding paths of medical social work include structural embedding and relational embedding. The main embedding strategies are "indirect compliance" and "passive compromise" under structural embedding, and "mutual benefit" and "self-empowerment" under relational embedding. The embedding outcomes also led to two different impacts: "administrative" and "professional".

The study suggests that the integrative development of medical social work can be categorized into four types: "superficial embedding" "administration-led" "mutual development" and "professional inter-construction".

随着我国医疗服务模式从单向治疗向全人健康的转变，以"助人自助"为宗旨的医务社会工作获得了更多嵌入医院场域的机会。

探讨医务社会工作在嵌入医院场域的过程中所呈现的嵌入路径、策略和结果，从而对医务社会工作嵌入性发展的类型进行归纳，为医疗体系大力发展医务社会工作提供重要启示。

基于格兰诺维特的嵌入理论，采用目的抽样法对深圳市15家公立医院政府购买服务的33位医务社工进行深度访谈，借助Nvivo12.0软件，运用主题分析法进行资料分析。

在政府购买服务背景下，医务社会工作的嵌入路径包括结构嵌入和关系嵌入；嵌入策略主要分为结构嵌入下的"迂回顺从"和"被动妥协"以及关系嵌入下的"互惠互利"和"自我增能"；嵌入结果亦产生了"行政化"与"专业化"的两种不同的影响。

本研究认为可以将医务社会工作嵌入性发展归纳为"浅层嵌入""行政主导""互惠发展"和"专业互构"四种类型。