Facilitators and barriers of implementing and delivering social prescribing services: a systematic review.

Facilitators and barriers of implementing and delivering social prescribing services: a systematic review.
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DOI:
10.1186/s12913-018-2893-4
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发表时间:
2018-02-07
影响因子:
2.8
通讯作者:
Randhawa G
Randhawa G
中科院分区:
医学3区
文献类型:
--
作者:
Pescheny JV;Pappas Y;Randhawa G

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社会预制是初级保健中的一项服务,涉及将有非临床需求的患者转介到由第三部门(社区、志愿和社会企业部门)提供的当地服务和活动。社会报道旨在促进卫生部门和社会部门之间的伙伴关系,以解决更广泛的健康决定因素。到目前为止,社交媒体服务的证据基础薄弱。审查的目的是找出促进和阻碍实施和提供基于一般做法的、涉及导航员的SP服务的因素。我们搜索了11个数据库、灰色文献和相关研究的参考清单,以确定在2016年6月和7月实施和提供社会预设服务的障碍和促进者。搜索仅限于用英语写的文学作品。没有应用日期限制。研究结果采用了主题分析的叙述方式进行了综合。采用2011版混合方法评价工具对纳入研究的方法学质量进行评价。八项研究包括在综述中。综合报告确定了促进和阻碍实施和提供服务提供商服务的一系列因素。促进者和障碍涉及:执行方法、法律协议、领导、管理和组织、工作人员更替、工作人员参与度、合作伙伴和利益攸关方之间的关系和沟通、一般做法的特点以及当地基础设施。纳入的大多数研究的质量都很差,审查发现,缺乏关于促进和阻碍实施和提供社会报道服务的因素的已发表文献。审查查明了促进和阻碍社会媒体服务的实施和提供的一系列因素。这一审查的结果为专员、管理人员和提供者提供了一个洞察力,以指导未来社会呈现服务的实施和交付。在这一领域需要更多高质量的研究和透明的调查结果报告。本文的在线版本(10.1186/s129130182893-4)包含补充材料,可供授权用户使用。
Social Prescribing is a service in primary care that involves the referral of patients with non-clinical needs to local services and activities provided by the third sector (community, voluntary, and social enterprise sector). Social Prescribing aims to promote partnership working between the health and the social sector to address the wider determinants of health. To date, there is a weak evidence base for Social Prescribing services. The objective of the review was to identify factors that facilitate and hinder the implementation and delivery of SP services based in general practice involving a navigator. We searched eleven databases, the grey literature, and the reference lists of relevant studies to identify the barriers and facilitators to the implementation and delivery of Social Prescribing services in June and July 2016. Searches were limited to literature written in English. No date restrictions were applied. Findings were synthesised narratively, employing thematic analysis. The Mixed Methods Appraisal Tool Version 2011 was used to evaluate the methodological quality of included studies. Eight studies were included in the review. The synthesis identified a range of factors that facilitate and hinder the implementation and delivery of SP services. Facilitators and barriers were related to: the implementation approach, legal agreements, leadership, management and organisation, staff turnover, staff engagement, relationships and communication between partners and stakeholders, characteristics of general practices, and the local infrastructure. The quality of most included studies was poor and the review identified a lack of published literature on factors that facilitate and hinder the implementation and delivery of Social Prescribing services. The review identified a range of factors that facilitate and hinder the implementation and delivery of Social Prescribing services. Findings of this review provide an insight for commissioners, managers, and providers to guide the implementation and delivery of future Social Prescribing services. More high quality research and transparent reporting of findings is needed in this field. The online version of this article (10.1186/s12913-018-2893-4) contains supplementary material, which is available to authorized users.
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期刊: BMJ OPEN
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