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社会处方的全球发展。

Global developments in social prescribing.

机构信息

Social Prescribing USA, Austin, Texas, USA.

Harvard Medical School, Boston, Massachusetts, USA.

出版信息

BMJ Glob Health. 2022 May;7(5). doi: 10.1136/bmjgh-2022-008524.

Abstract

Social prescribing is an approach that aims to improve health and well-being. It connects individuals to non-clinical services and supports that address social needs, such as those related to loneliness, housing instability and mental health. At the person level, social prescribing can give individuals the knowledge, skills, motivation and confidence to manage their own health and well-being. At the society level, it can facilitate greater collaboration across health, social, and community sectors to promote integrated care and move beyond the traditional biomedical model of health. While the term social prescribing was first popularised in the UK, this practice has become more prevalent and widely publicised internationally over the last decade. This paper aims to illuminate the ways social prescribing has been conceptualised and implemented across 17 countries in Europe, Asia, Australia and North America. We draw from the 'Beyond the Building Blocks' framework to describe the essential inputs for adopting social prescribing into policy and practice, related to service delivery; social determinants and household production of health; workforce; leadership and governance; financing, community organisations and societal partnerships; health technology; and information, learning and accountability. Cross-cutting lessons can inform country and regional efforts to tailor social prescribing models to best support local needs.

摘要

社会处方是一种旨在改善健康和福祉的方法。它将个人与非临床服务和支持联系起来,以满足社会需求,如孤独、住房不稳定和心理健康等问题。在个人层面上,社会处方可以为个人提供管理自身健康和福祉所需的知识、技能、动力和信心。在社会层面上,它可以促进卫生、社会和社区部门之间更广泛的合作,以促进综合护理,并超越传统的生物医学健康模式。虽然社会处方这个术语最初在英国流行起来,但在过去十年中,这种做法在国际上变得更加普遍和广泛宣传。本文旨在阐明社会处方在欧洲、亚洲、澳大利亚和北美的 17 个国家的概念化和实施方式。我们借鉴“超越基石”框架,描述了将社会处方纳入政策和实践的基本要素,包括服务提供;社会决定因素和家庭健康生产;劳动力;领导和治理;融资、社区组织和社会伙伴关系;卫生技术;以及信息、学习和问责制。交叉经验教训可以为国家和地区努力提供信息,以调整社会处方模式以最好地支持当地需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1993/9115027/20821bd51bb6/bmjgh-2022-008524f01.jpg

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