Once is rarely enough: can social prescribing facilitate adherence to non-clinical community and voluntary sector health services? Empirical evidence from Germany.
Once is rarely enough: can social prescribing facilitate adherence to non-clinical community and voluntary sector health services? Empirical evidence from Germany.
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DOI：
10.1186/s12889-020-09927-4
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发表时间：
2020-11-30
影响因子：
4.5
通讯作者：
Schreyögg J
中科院分区：
文献类型：
--
作者：
Golubinski V;Wild EM;Winter V;Schreyögg J
自愿和社区部门提供的非临床保健干预措施可以改善病人的健康和福祉，减轻初级和二级保健的压力，但前提是病人必须坚持这些措施。这项研究提供了新的见解，医生转介到这些服务，称为社会处方，对病人的依从性的影响。使用负二项模型，我们分析了2018年1月至2019年12月期间德国社区健康咨询和导航服务的电子访客记录，以确定与自我推荐的患者相比，社会处方是否与更高的服务依从性（以回访衡量）相关。我们还探讨了这种影响是否因患者特征而异。基于1734个观察结果，我们发现与患者自我转诊相比，社会处方与更多的回访次数显著相关（p < 0.05）。对于那些因为心理问题而访问该服务的患者，社会处方的效果较低。对于所有其他患者特征，影响保持不变，表明与所有其他患者组相关。我们的研究结果表明，社会处方可能是一种有效的方式，以促进遵守非临床社区和志愿部门的卫生服务。这些知识对于决策者来说非常重要，他们正在决定是否实施或扩大社会处方计划。在线版本包含补充材料，可通过10.1186/s12889-020-09927-4获得。
Non-clinical health interventions provided by the voluntary and community sector can improve patients’ health and well-being and reduce pressure on primary and secondary care, but only if patients adhere to them. This study provides novel insights into the impact of doctor referrals to such services, known as social prescribing, on patients’ adherence to them. Using a negative binomial model, we analysed electronic visitor records from a community health advice and navigation service in Germany between January 2018 and December 2019 to determine whether social prescribing was associated with greater adherence to the service (measured in terms of return visits) compared to patients who self-referred. We also explored whether this effect differed according to patient characteristics. Based on 1734 observations, we found that social prescribing was significantly associated with a greater number of return visits compared to patient self-referrals (p < 0.05). For patients who visited the service because of psychological concerns, the effect of social prescribing was lower. For all other patient characteristics, the effect remained unchanged, suggesting relevance to all other patient groups. The results of our study indicate that social prescribing may be an effective way to facilitate adherence to non-clinical community and voluntary sector health services. This knowledge is important for policy makers who are deciding whether to implement or expand upon social prescribing schemes. The online version contains supplementary material available at 10.1186/s12889-020-09927-4.
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影响因子：
2.1
作者：
Crone, Diane;Johnston, Lynne H;James, David V B
通讯作者：
James, David V B
影响因子：
5.2
作者：
Loftus, A. M.;McCauley, F.;McCarron, M. O.
通讯作者：
McCarron, M. O.
影响因子：
1.3
作者：
Gidlow, C.;Johnston, L. H.;James, D.
通讯作者：
James, D.
影响因子：
3
作者：
Logan, PA;Ahern, J;Lincoln, NB
通讯作者：
Lincoln, NB
影响因子：
3.8
作者：
Horevitz, Elizabeth;Organista, Kurt C.;Arean, Patricia A.
通讯作者：
Arean, Patricia A.