‘We are the gatekeepers’: the role of health Social workers in safeguarding health equity during emergency discharge policies

, through bridging fragmented systems, participating in emergency decision-making, and advocating around social determinants of health. Findings show that under emergency discharge conditions, HSWs moved beyond routine coordination to engage in ethical logistics, systemic navigation, and advocacy for vulnerable patients. In so doing, they acted as "bureaucratic activists," reshaping institutional practices from within, safeguarding equity, and alleviating pressures on the healthcare system. The discussion outlines practical recommendations for policy and practice, emphasizing the need to position HSWs in a leadership role at the center of discharge planning during crises.

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Publication Details

Journal
Social Work in Health Care
Published
2026-04-02
DOI
https://doi.org/10.1080/00981389.2026.2648206
Primary Topic
Disaster Response and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

‘We are the gatekeepers’: the role of health Social workers in safeguarding health equity during emergency discharge policies

Hagar Mizrahi, Rachel Sharon-Garty, Zohar Sahar Lavi, Noga Nimrodi Furst et al.
Social Work in Health Care
Disaster Response and Management
article

‘We are the gatekeepers’: the role of health Social workers in safeguarding health equity during emergency discharge policies

Hagar Mizrahi, Rachel Sharon-Garty, Zohar Sahar Lavi, Noga Nimrodi Furst, Efrat Lusky-Weisrose, Yael Goor Kol
article en

Abstract

, through bridging fragmented systems, participating in emergency decision-making, and advocating around social determinants of health. Findings show that under emergency discharge conditions, HSWs moved beyond routine coordination to engage in ethical logistics, systemic navigation, and advocacy for vulnerable patients. In so doing, they acted as "bureaucratic activists," reshaping institutional practices from within, safeguarding equity, and alleviating pressures on the healthcare system. The discussion outlines practical recommendations for policy and practice, emphasizing the need to position HSWs in a leadership role at the center of discharge planning during crises.

Social Work in Health Care
Ben-Gurion University of the Negev (IL), Hebrew University of Jerusalem (IL), Israel Ministry of Health (IL)
Openalex Percentile: Top 27%
Disaster Response and Management
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