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西北海岸地区的社会处方实践和学习:实施有效和可持续的社会处方服务的基本要素和主要挑战。

Social prescribing practices and learning across the North West Coast region: essential elements and key challenges to implementing effective and sustainable social prescribing services.

机构信息

NIHR Applied Research Collaboration (ARC) North West Coast (NWC), Liverpool, UK.

The University of Liverpool, Liverpool, UK.

出版信息

BMC Health Serv Res. 2023 May 31;23(1):562. doi: 10.1186/s12913-023-09574-6.

Abstract

INTRODUCTION

Social prescribing has become an important feature of the UK primary care offer. However, there remains limited evidence on how best to implement and deliver social prescribing programmes to maximise effectiveness and long-term sustainability.

AIM

To explore social prescribing practices and experience of implementing social prescribing programmes across National Institute for Health and Social Care Research (NIHR) Collaborative Leadership for Applied Health and Care Research (CLAHRC) North West Coast (NWC) and NIHR Applied Research Collaboration (ARC) NWC region to identify key learning points that can be applied to other settings.

METHOD

We held a learning exchange workshop attended by practitioners and Public Advisors who had been involved in implementing and evaluating eight different social prescribing programmes with the support of NIHR CLAHRC NWC. We followed this with an online survey of social prescribing practice and priorities within the NIHR ARC NWC area. We used the findings from the workshop and survey to develop an initial model of the elements needed to successfully implement and sustain a working social prescribing programme.

FINDINGS

We identified three core essential elements for a successful social prescribing programme: a personalised approach; meaningful service-user and community involvement; and whole systems working. These core elements need to be supported with adequate resources in the form of continuity of funding and adequate community resources to refer people to, capacity building and appropriate evaluation.

CONCLUSION

We were able to use a learning exchange workshop to both facilitate learning between practitioners and begin the process of identifying the ingredients needed for a successful social prescribing programme, which may be built on with further research.

摘要

简介

社会处方已成为英国初级保健服务的重要组成部分。然而,关于如何最好地实施和提供社会处方项目以最大限度地提高效果和长期可持续性,仍缺乏有限的证据。

目的

探索英国国民健康保险制度(NHS)东北合作研究中心(NIHR)协作领导力下的社会处方实践和经验应用健康和护理研究(CLAHRC)西北(NWC)以及 NIHR 应用研究合作(ARC)NWC 地区的社会处方项目,以确定可应用于其他环境的关键学习要点。

方法

我们举办了一次学习交流研讨会,参与者包括在 NHS 东北合作研究中心(NIHR)协作领导力下实施和评估了八项不同社会处方项目的从业者和公众顾问。随后,我们对 NIHR ARC NWC 地区的社会处方实践和优先事项进行了在线调查。我们利用研讨会和调查的结果,初步构建了成功实施和维持有效的社会处方项目所需的要素模型。

结果

我们确定了成功的社会处方项目的三个核心要素:个性化方法;有意义的服务用户和社区参与;以及整体系统运作。这些核心要素需要以连续性资金和足够的社区资源来转介人员、能力建设和适当评估的形式提供充足的资源支持。

结论

我们能够利用学习交流研讨会来促进从业者之间的学习,并开始确定成功的社会处方项目所需的要素,这可能会随着进一步的研究而得到进一步发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae3/10233872/b606663b7ec8/12913_2023_9574_Fig1_HTML.jpg

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