Social Prescribing-An Effort to Apply a Common Knowledge: Impelling Forces and Challenges.
Social Prescribing-An Effort to Apply a Common Knowledge: Impelling Forces and Challenges.
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DOI：
10.3389/fpubh.2020.515469
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发表时间：
2020
影响因子：
5.2
通讯作者：
Islam MM
中科院分区：
文献类型：
--
作者：
Islam MM
近年来，一些国家（尤其是英国）引入了社会处方。该计划的目标是主要向初级保健患者提供非医疗护理。尽管该方案的想法并不新鲜，但其形式化却是新的。本文通过对同行评审和灰色文献的叙述综合，讨论了社会处方方案、其一些引人注目的方面以及提供非医疗护理方面的挑战，特别是关于从初级保健机构进行的转诊。社会处方计划具有多种推动力，包括其将初级保健转变为初级保健的潜力、解决健康和社会需求的社会决定因素、改善福祉和身体健康、提供以人为本的护理、加强预防性护理以及将医疗机构与第三部门联系起来。该计划还面临一些挑战，包括服务标准和界限、可持续性、适当服务的可用性、客户参与度低和证据不足。虽然该方案缺乏经过验证的证据，但它在理论上是令人信服的。鉴于大多数社会对非医疗护理的需求不断增长，并且非医疗护理的实用性日益突出，社会处方可能会继续激增。
In recent times, social prescribing has been introduced in some countries, and substantially in the U.K. The objective of this scheme is to offer non-medical care mainly to primary care patients. Although the idea of this scheme is not new, its formalization is. Using a narrative synthesis of peer-reviewed and gray literature, this article discusses the social prescribing scheme, some of its compelling aspects and challenges in offering non-medical care, particularly regarding referrals being made from primary care settings. The social prescribing scheme has several impelling forces that include its potential to turn primary care to primary healthcare, tackle social determinants of health and social needs, improve wellbeing and physical health, offer person-centered care, strengthen preventive care, and bridge healthcare organizations with the third sector. This scheme also faces several challenges including service standards and boundaries, sustainability, availability of appropriate services, low engagement of clients and insufficient evidence. While this scheme lacks validated evidence, it is theoretically compelling. Given that the demand for non-medical care is growing in most societies and that the usefulness of non-medical care is gaining prominence, social prescribing is likely to continue to proliferate.
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影响因子：
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作者：
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通讯作者：
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