社會工作與醫院的接觸互動和歷史連結，在英美已超過百年歷史，在臺灣則剛滿六十年，如何去回顧與審視這段發展歷程，藉由對過去事例的反省與人物的實踐性示範，進而獲得現實的意涵和啟示，讓社會工作專業的精神與理念賦予新意，以滋潤與激發實踐者行動的專業熱情。從此而論，助人專業發展歷史的呈現、詮釋與轉化，就有其正向和積極的效用。本文首先針對國內社會工作工歷史的再現與精神進行陳述、其次回顧與比較國內醫務社會工作文獻中歷史的呈現方式，並進一步討論醫務社會工作的出版與研究。最後聚焦在1983年國內醫務社工組織成立前後主要的發展事件和議題，並引用第一手資料與作者實際行動經驗，加以鋪陳論述，以期能藉由歷史之鏡，前瞻社會工作在健康照護領域的未來。

Compare to west countries, the history of emerging social work into hospital setting in Taiwan was relatively short and just reached 60th year. The current study intended to review the development process of medical social work profession via the introspection of social events and demonstration of practical actions, and further entrust with fresh ideas for the social work profession to enhance and inspire passion among social workers. Therefore, through the presenting, annotation, and innovation of the history, there were positive effects on the development of helping profession. The author first described the history and spirits of general social work, and then reviewed the literature on the history of medical social work, and further discussed the evolving the medical social work publication and research in Taiwan. Finally, the author focused on the major events and related issues before and after the Medical Social Work Association was formed in 1983. The purpose of this study was to foresee the future of social work profession in health care setting via close review and reflections of history along with the first-hand data and years of clinical experiences the author had in the field.