Exploring the impact of social prescribing on health and wellbeing: multiple perspectives within a locality experiencing poverty and socio-economic de

“持续的健康不平等意味着长期健康状况和多种疾病的负担不成比例地落在较低社会经济群体的身上。从历史上看，既定的医疗保健模式在解决健康的社会经济决定因素方面提供的帮助很少。越来越多地，社会处方被用来弥合医疗保健和社会支持之间的差距。它允许卫生专业人员将个人与非临床服务联系起来，帮助他们管理自己的健康状况。社会处方的证据基础仍然很小，还需要进一步的研究。健康之路(WTW)是一项大规模的社会处方倡议，在泰恩河畔纽卡斯尔的一个社会经济贫困地区运作。它的资助期限为七年，为理解社交处方提供了一个无与伦比的机会。早期数据表明，它的影响超越了被转介的个人，延伸到家庭和社区，但全科医生转介率和几个人的“辍学”存在相当大的差异。通过与世界妇女组织的合作，我们提出了一种多地点的民族志方法，为参与者探索世界妇女组织的经验和意义。重点关注被转介到WTW的个人以及初级保健人员，我们的目标是通过观察不同环境中的参与和探索实践，了解服务的使用是如何嵌入到日常流程和更广泛的网络中的。“

"Persistent health inequalities mean that the burden of long-term health conditions and multi morbidity falls disproportionately on those in lower socioeconomic groups. Established health care models have historically offered little to tackle socioeconomic determinants of health. Increasingly, social prescribing is used to bridge the gap between health care and social support. It allows health professionals to link individuals to non-clinical services that help them manage their health conditions. The evidence base for social prescribing remains small and further research is needed. Ways to Wellness (WtW) is a large-scale social prescribing initiative operating in a socioeconomically deprived area of Newcastle Upon Tyne. It is funded for seven years and provides an un-paralleled opportunity for understanding social prescribing. Early data suggests its impact extends beyond referred individuals to families and communities but, there are considerable variations in GP referral rates and several individuals "drop-out". Through collaborating with WtW we propose a multi-sited ethnographic approach to explore the experiences and meanings of WtW for those involved. Focusing on individuals referred to WtW as well as primary care staff we aim to understand how use of the service is embedded in everyday processes and wider networks by observing engagement and exploring practices in different settings. "