Araki Kazuo, Takahashi Yoshimitsu, Okada Hiroshi, Nakayama Takeo
Department of Health Informatics, School of Public Health Kyoto University Graduate School of Medicine Kyoto Prefecture Kyoto Japan.
J Gen Fam Med. 2022 Apr 26;23(5):299-309. doi: 10.1002/jgf2.551. eCollection 2022 Sep.
Social prescribing (SP) has aroused widespread interest across countries. SP is a way of linking patients in primary care with sources of support within the community by empowering patients to coproduce solutions to improve their health and well-being. While previous research has demonstrated that SP contributes to reducing the total cost of the National Health Service, the analysis of its effects on patients is still inadequate. This literature review critically evaluated SP from the patient's perspective through the lens of medical anthropology. The review was made with respect to the three key concepts: treatment evaluation, coproduction, and empowerment. The study revealed that SP services in the UK enabled patients to feel comfort in many cases, but general practitioners, link workers, and patients should be collaborative with each other, and their interrelationships should not be hierarchical. Nevertheless, certain modifications may be needed to introduce SP in other healthcare systems.
社会处方（SP）已在各国引起广泛关注。社会处方是一种通过赋予患者共同制定解决方案的权力，将初级保健中的患者与社区内的支持资源联系起来的方式，以改善他们的健康和福祉。虽然先前的研究表明社会处方有助于降低国民医疗服务体系的总成本，但对其对患者影响的分析仍不充分。本文献综述通过医学人类学的视角，从患者角度对社会处方进行了批判性评估。该综述围绕三个关键概念展开：治疗评估、共同生产和赋权。研究表明，英国的社会处方服务在许多情况下能让患者感到舒适，但全科医生、联络人员和患者应相互协作，且他们之间的关系不应是等级制的。然而，在其他医疗体系中引入社会处方可能需要进行某些调整。
