International Arts and Mind Lab, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Center for Arts in Medicine, University of Florida, Gainesville, FL, United States.
Front Public Health. 2023 Jan 19;10:1016136. doi: 10.3389/fpubh.2022.1016136. eCollection 2022.
As the field of public health strives to address the impacts of social determinants of health, it has seen increasing interest in community-referral practices that expand health care beyond clinical spaces. However, community arts and culture organizations are rarely included in these practices, despite accumulating evidence of associated health benefits. In addition, such inclusion has not been formally studied. In response, this article offers an evaluation of "CultureRx" in Massachusetts (MA): the first US model of arts on prescription. The program is a partnership between 20 healthcare providers and 12 cultural organizations, in which providers can offer "prescriptions" to cultural experiences to support patients' health.
Evaluation was undertaken to illuminate participant experiences, program successes and barriers, and recommendations for further development. The cultural organizations collected participant data ( = 84) and completed surveys about their own experiences ( = 12). Authors conducted semi-structured focus groups and interviews with healthcare providers ( = 33). Data analysis was customized for each dataset.
Findings indicate that participants enjoyed and hoped to repeat their prescribed experiences, which they saw as beneficial to wellbeing. Providers identified the program as a new and critical addition to their toolkits; they also indicated it had a positive effect on their own wellbeing. Cultural organizations reported varied challenges, learnings, and recommendations.
The CultureRx pilot suggests that integrating arts/culture assets into health and social care approaches can enrich and improve traditional US models of community referral. By including arts/culture resources when addressing social determinants of health, communities will be better positioned to equitably and holistically advance health.
随着公共卫生领域努力应对健康的社会决定因素的影响，人们对扩大医疗保健范围超越临床空间的社区转介实践越来越感兴趣。然而，社区艺术和文化组织很少被纳入这些实践中，尽管有越来越多的证据表明它们与健康有益。此外，这种纳入尚未得到正式研究。有鉴于此，本文对马萨诸塞州（MA）的“文化 Rx”进行了评估：这是美国首个艺术处方模式。该计划是 20 家医疗服务提供者和 12 家文化组织之间的合作，在该计划中，提供者可以向文化体验提供“处方”，以支持患者的健康。
为了阐明参与者的体验、项目的成功和障碍以及进一步发展的建议，进行了评估。文化组织收集了参与者的数据（n = 84）并完成了关于自身经历的调查（n = 12）。作者对医疗服务提供者进行了半结构化焦点小组和访谈（n = 33）。对每个数据集进行了自定义数据分析。
研究结果表明，参与者享受并希望重复他们的规定体验，他们认为这些体验对幸福感有益。提供者认为该计划是他们工具包中的一个新的和关键的补充；他们还表示，这对他们自己的幸福感也有积极的影响。文化组织报告了各种挑战、经验教训和建议。
文化 Rx 试点表明，将艺术/文化资产融入健康和社会关怀方法可以丰富和改进美国传统的社区转介模式。通过在解决健康的社会决定因素时纳入艺术/文化资源，社区将更好地定位，以公平和全面地促进健康。
