The impact of a social prescribing service on patients in primary care: a mixed methods evaluation
The impact of a social prescribing service on patients in primary care: a mixed methods evaluation
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DOI：
10.1186/s12913-017-2778-y
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发表时间：
2017-12-19
影响因子：
2.8
通讯作者：
Bertotti, Marcello
中科院分区：
文献类型：
--
作者：
Carnes, Dawn;Sohanpal, Ratna;Bertotti, Marcello
背景：社会处方是针对孤立和孤独的患者。医生和患者共同制定定制的幸福计划，以促进社会融合和/或社会重新激活。我们的目标是调查：社会处方服务是否可以在全科医学（GP）的设置，并评估其对福祉和初级保健resource utilization.Methods的影响：我们使用了一种混合方法的评价方法，使用患者调查与匹配的对照组和定性访谈研究。这项研究是在一个混合的社会经济，多民族，内城伦敦自治市进行的，与社会隔离的患者谁经常访问他们的家庭医生。干预措施由“社会处方协调员”实施。结果的利益是心理和社会福祉和医疗保健resource utilization.Results：在8个月的随访中，患者提到的社会处方和一般健康，抑郁，焦虑和“积极和积极参与生活”的控制之间没有差异。社会处方患者的GP咨询率很高，在转诊后的一年内下降。定性研究表明，大多数患者有一个积极的经验与社会处方，但服务没有充分利用其extends.Conclusion：在一般健康和福祉的变化后，转诊是非常有限的，全面实施是很难优化。尽管全科医生咨询率下降，但这些可能反映了平均值的回归，而不是与干预相关的变化。社会处方是否有助于一个国家的社会和心理健康，仍有待确定。
Background: Social prescribing is targeted at isolated and lonely patients. Practitioners and patients jointly develop bespoke well-being plans to promote social integration and or social reactivation. Our aim was to investigate: whether a social prescribing service could be implemented in a general practice (GP) setting and to evaluate its effect on well-being and primary care resource use.Methods: We used a mixed method evaluation approach using patient surveys with matched control groups and a qualitative interview study. The study was conducted in a mixed socio-economic, multi-ethnic, inner city London borough with socially isolated patients who frequently visited their GP. The intervention was implemented by 'social prescribing coordinators'. Outcomes of interest were psychological and social well-being and health care resource use.Results: At 8 months follow-up there were no differences between patients referred to social prescribing and the controls for general health, depression, anxiety and 'positive and active engagement in life'. Social prescribing patients had high GP consultation rates, which fell in the year following referral. The qualitative study indicated that most patients had a positive experience with social prescribing but the service was not utilised to its full extent.Conclusion: Changes in general health and well-being following referral were very limited and comprehensive implementation was difficult to optimise. Although GP consultation rates fell, these may have reflected regression to the mean rather than changes related to the intervention. Whether social prescribing can contribute to the health of a nation for social and psychological wellbeing is still to be determined.