Brandborg Cecilie E, Skjerning Halfdan T, Nielsen Rasmus O
The Research Unit for General Practice at Aarhus University, Aarhus, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark.
Health Soc Care Community. 2022 Sep;30(5):1969-1978. doi: 10.1111/hsc.13577. Epub 2021 Sep 29.
Previous research suggested that regular physical activity (PA) is beneficial in both prevention and treatment of physical and mental conditions. Danish general practitioners' (GPs) have an ideal position to motivate inactive patients to increase their PA. Social prescribing (SP) enables GPs and other healthcare professionals in primary care to link patients to community-based activities of support provided by the community and the voluntary sector. This interview-based study aimed to explore viewpoints among Danish GPs regarding the advantages and disadvantages of applying SP to promote PA. The GPs were recruited through snowball sampling. Semi-structured interviews with nine Danish GPs were held via telephone or via Skype video conference. All interviews were audio-recorded and transcribed. Data were managed using the program NVivo 12 and analysed using the Framework Method procedure for analysis. The findings highlighted the need for tools to support GPs in providing an overview of patient-tailored options for PA in the local community. Advantages of applying SP to promote PA were related to the social aspect, the non-medical approach to a healthier lifestyle and the GPs' opportunity to signpost patients to PA in their local community. A supporting link-worker facilitating a bridge between general practice and community-based activities was identified as a pivotal component, specifically among patients with complex needs. Disadvantages of applying SP to promote PA were related to patients' expectations to general practice, stigmatising attitudes of society and lack of financial resources in patients. This study is the first to explore SP to promote PA in a Danish context. There is a need for an easy-to-use tool to support GPs in providing specific PA counselling. On this basis, SP appears as a promising tool for GPs to promote PA.
先前的研究表明，定期进行体育活动对预防和治疗身心疾病均有益处。丹麦的全科医生处于激励不运动患者增加体育活动的理想位置。社会处方使全科医生和基层医疗中的其他医疗专业人员能够将患者与社区及志愿部门提供的基于社区的支持活动联系起来。这项基于访谈的研究旨在探讨丹麦全科医生对应用社会处方促进体育活动的优缺点的看法。通过滚雪球抽样招募全科医生。通过电话或Skype视频会议对九名丹麦全科医生进行了半结构化访谈。所有访谈均进行了录音和转录。使用NVivo 12程序管理数据，并使用框架分析法进行分析。研究结果强调需要工具来支持全科医生提供当地社区针对患者量身定制的体育活动选项概述。应用社会处方促进体育活动的优点与社会层面、采用非医疗方法实现更健康的生活方式以及全科医生有机会为患者指明当地社区的体育活动有关。一名支持性的联络人员被认为是连接全科医疗和社区活动的关键组成部分，尤其是在有复杂需求的患者中。应用社会处方促进体育活动的缺点与患者对全科医疗的期望、社会的污名化态度以及患者缺乏财政资源有关。本研究是首次在丹麦背景下探索社会处方促进体育活动的情况。需要一种易于使用的工具来支持全科医生提供具体的体育活动咨询。在此基础上，社会处方似乎是全科医生促进体育活动的一个有前景的工具。
