Department of Family Practice, The University of British Columbia (UBC), Vancouver, BC, Canada.
College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Public Health. 2023 May;218:197-207. doi: 10.1016/j.puhe.2023.02.016. Epub 2023 Apr 14.
Social prescribing is a complex care model, which aims to address unmet non-medical needs and connect people to community resources. The purpose of this systematic review was to synthesize available evidence from qualitative methods (e.g. interviews or focus groups) on experience, outcomes, and processes for social prescribing and older adults (from the person or provider level).
This was a systematic review using the Joanna Brigg's meta-aggregative approach.
We searched multiple online databases for peer-reviewed studies, which included older adults aged ≥60 years (group mean age) and social prescribing experience, outcomes, or processes. We included all qualitative or mixed methods designs from all years and languages. Date of the last primary search was March 24, 2022. Two authors used online software to conduct the screening independently and then decided on the final list of included studies via notes and online discussion.
We screened 376 citations (after duplicates) and included eight publications. There were 197 older adult participants (59% women), and many people were living with chronic health conditions. Few details were provided for participants' ethnicity, education, and related factors. We created five synthesized findings related to (1) the approach of social prescribing; implementation factors such as (2) relationships, (3) behavior change strategies, and (4) the environment; and (5) older adults' perceived health and psychosocial outcomes.
Despite the limited number of available studies, data provide an overview of people and processes involved with social prescribing, identified research and practice gaps, and possible next steps for implementing and evaluating social prescribing for older adults in primary care.
社会处方是一种复杂的护理模式，旨在满足未满足的非医疗需求，并将人们与社区资源联系起来。本系统评价的目的是综合来自定性方法（例如访谈或焦点小组）的关于社会处方和老年人（从个人或提供者层面）的经验、结果和过程的现有证据。
这是一项使用乔安娜·布里格（Joanna Brigg）元综合方法的系统评价。
我们在多个在线数据库中搜索了同行评审的研究，其中包括年龄≥60 岁的老年人（组平均年龄）和社会处方经验、结果或过程。我们包括了所有来自所有年份和语言的定性或混合方法设计。最后一次主要搜索日期是 2022 年 3 月 24 日。两位作者使用在线软件独立进行筛选，然后通过笔记和在线讨论决定最终纳入研究的清单。
我们筛选了 376 条引文（去除重复项后），纳入了 8 篇出版物。有 197 名老年参与者（59%为女性），许多人患有慢性健康状况。参与者的种族、教育程度和相关因素几乎没有详细说明。我们创建了五个综合发现，涉及（1）社会处方的方法；实施因素，如（2）关系、（3）行为改变策略和（4）环境；以及（5）老年人对健康和心理社会结果的感知。
尽管可用的研究数量有限，但数据提供了关于社会处方所涉及的人员和流程的概述，确定了研究和实践差距，以及在初级保健中为老年人实施和评估社会处方的可能下一步措施。
