What does the literature mean by social prescribing? A critical review using discourse analysis.
What does the literature mean by social prescribing? A critical review using discourse analysis.
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DOI：
10.1111/1467-9566.13468
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发表时间：
2022-04
影响因子：
2.9
通讯作者：
Clinch, Megan
中科院分区：
文献类型：
--
作者：
Calderon-Larranaga, Sara;Greenhalgh, Trish;Finer, Sarah;Clinch, Megan
社会处方（SP）的目的是加强志愿和社区部门在满足病人的复杂需求的初级保健的作用。本文运用语篇分析的方法，探讨了SP在科学文献中的框架，并探讨了其对服务提供的影响。理论驱动检索识别出89篇学术文章和灰色文献，包括定性和定量证据。在整个文学三个主要的话语被确定。第一个报告强调了不断升级的健康问题背后日益加剧的社会不平等，并将SP作为对健康社会决定因素的回应。第二个问题是人们越来越多地使用卫生服务，并将SP描述为加强自我保健的一种手段。第三个强调在一般实践中缺乏人和关系方面，并声称SP可以恢复个性化护理。在科学文献中的话语不均衡地流传，受到更广泛的政治理性的制约，这种理性强调个人责任，并将SP框定为复杂和有争议问题的“解决方案”。至关重要的是，这导致了被解决的问题和提供SP的现实过于简单化。我们提出了一种替代的“基于护理”的SP框架，优先考虑（和评估）加强初级保健系统内的整体，持续和可访问的做法。
Social prescribing (SP) seeks to enhance the role of the voluntary and community sector in addressing patients' complex needs in primary care. Using discourse analysis, this review investigates how SP is framed in the scientific literature and explores its consequences for service delivery. Theory driven searches identified 89 academic articles and grey literature that included both qualitative and quantitative evidence. Across the literature three main discourses were identified. The first one emphasised increasing social inequalities behind escalating health problems and presented SP as a response to the social determinants of health. The second one problematised people's increasing use of health services and depicted SP as a means of enhancing self‐care. The third one stressed the dearth of human and relational dimensions in general practice and claimed that SP could restore personalised care. Discourses circulated unevenly in the scientific literature, conditioned by a wider political rationality which emphasised individual responsibility and framed SP as ‘solution’ to complex and contentious problems. Critically, this contributed to an oversimplification of the realities of the problems being addressed and the delivery of SP. We propose an alternative ‘care‐based’ framing of SP which prioritises (and evaluates) holistic, sustained and accessible practices within strengthened primary care systems.
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影响因子：
3.5
作者：
Faulkner, M
通讯作者：
Faulkner, M
影响因子：
2.9
作者：
Calderón Larrañaga S;Clinch M;Greenhalgh T;Finer S
通讯作者：
Finer S
影响因子：
1.5
作者：
Beech, Roger;Ong, Bie Nio;Edwards, Vicky
通讯作者：
Edwards, Vicky
影响因子：
5.4
作者：
Aujoulat, Isabelle;Marcolongo, Renzo;Deccache, Alain
通讯作者：
Deccache, Alain
影响因子：
1.6
作者：
Elston, Julian;Gradinger, Felix;Byng, Richard
通讯作者：
Byng, Richard