Faculty of Health Sciences, University of Hull, Hull, UK.
Centre for Social Care, Health and Related Research, Birmingham City University, Birmingham, UK.
Health Soc Care Community. 2022 Nov;30(6):e5105-e5114. doi: 10.1111/hsc.13925. Epub 2022 Aug 1.
This paper presents findings from an evaluation of a social prescribing service, undertaken between January 2019 and December 2020. Data was collected through interviews and focus groups with a range of groups including social prescribing managers, link workers (LWs), referrers (GPs and social work practitioners), clients, Voluntary and Community Sector (VCS) agencies and groups. Thematic analysis of data was undertaken, and findings were presented in respect of clients' journeys into social prescribing; the support received from LWs; their onward journeys to VCS support. The findings highlight the challenges for individuals in contacting new agencies/groups and the importance of practitioner referral into and onwards from social prescribing, as well as buddying to support clients on initial agency visits. The depth of the LW role is highlighted, as well as the complexity of client circumstances, highlighting a need for 'more than signposting', and challenging the notion of self-referral as an indicator of motivation. Social prescribing has been positioned as amongst the solutions to the challenges of primary care. However, referrals from GPs were low and significantly outnumbered by those from social workers; this suggests a need to explore in greater depth the use of social prescribing by social workers, who have, to date, been absent from social prescribing research.
本文介绍了一项社会处方服务评估的结果，该评估于 2019 年 1 月至 2020 年 12 月进行。数据通过对一系列群体的访谈和焦点小组收集，包括社会处方经理、联系工作者（LWs）、转诊医生（全科医生和社工）、客户、志愿和社区部门（VCS）机构和团体。对数据进行了主题分析，并就客户进入社会处方的旅程、LWs 提供的支持、他们到 VCS 支持的后续旅程提出了调查结果。调查结果突出了个人联系新机构/团体的挑战，以及从业者转诊进入和继续社会处方的重要性，以及支持客户初次访问机构的伙伴关系。LW 角色的深度以及客户情况的复杂性都得到了强调，这表明需要“不仅仅是引导”，并挑战了自我推荐作为动机指标的概念。社会处方被定位为解决初级保健挑战的解决方案之一。然而，全科医生的转诊人数很少，明显少于社工的转诊人数；这表明需要更深入地探讨社工对社会处方的使用，迄今为止，社工在社会处方研究中缺席。
