Handayani Nur Hidayati, Wanat Marta, Tierney Stephanie
University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom
University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom.
Br J Gen Pract. 2024 Sep 12. doi: 10.3399/BJGP.2024.0179.
Social prescribing connects patients to resources or activities to meet their non-medical needs. In the UK, it is often implemented in primary care. In the social prescribing pathway, patients are directed to link workers to identify suitable solutions for their needs such as art workshops or welfare benefit guidance. Social prescribing marks a notable transition from traditional medical treatments to more comprehensive strategies focusing on holistic health and wellbeing strategies. Insights from patient experiences can improve the development of social prescribing to better meet their needs. This understanding can aid in improving the delivery and outcomes of social prescribing.
To synthesise qualitative research on the experiences of social prescribing among patients in the UK.
A qualitative systematic review - using thematic synthesis for peer-reviewed papers focused on experiences of social prescribing users in the UK.
An exhaustive search was performed in six databases: ASSIA, CINAHL, EMBASE, MEDLINE, PSYCINFO, and SOCIAL SCIENCE CITATION INDEX via Web of Science. The CASP tool for qualitative research was used for quality assessment and PRISMA 2020 Checklist was used to ensure the report transparency.
Titles and abstracts of 1,269 papers were screened. In total, 85 papers were full text-screened, and 19 studies were included in the review. Five analytical themes were developed from these papers: (a) Searching for hope in times of adversity; (b) Variability in temporal responsiveness; (c) Feeling supported and empowered by the social prescribing pathway; (d) Sustained change from a positive response; (e) Misalignment producing no response.
Patients might experience lasting advantages from social prescribing if it aligns with their needs and expectations. Results highlighted the importance of matching social prescribing referral with patients' readiness to engage. Therefore, it is recommended that healthcare professionals evaluate patient suitability prior to beginning a social prescribing referral.
社会处方将患者与资源或活动相连接,以满足其非医疗需求。在英国,它通常在初级医疗保健中实施。在社会处方流程中,患者会被引导至联络人员处,以确定满足其需求的合适解决方案,如艺术工作坊或福利津贴指导。社会处方标志着从传统医疗治疗向更全面策略的显著转变,这些策略侧重于整体健康和幸福策略。患者体验的见解可以改善社会处方的发展,以更好地满足他们的需求。这种理解有助于改善社会处方的实施和效果。
综合关于英国患者社会处方体验的定性研究。
一项定性系统评价——使用主题综合法对聚焦于英国社会处方使用者体验的同行评审论文进行研究。
通过科学网在六个数据库中进行了详尽搜索:ASSIA、护理学与健康领域数据库(CINAHL)、荷兰医学文摘数据库(EMBASE)、医学期刊数据库(MEDLINE)、心理学文摘数据库(PSYCINFO)和社会科学引文索引。用于定性研究的CASP工具用于质量评估,PRISMA 2020清单用于确保报告的透明度。
筛选了1269篇论文的标题和摘要。总共对85篇论文进行了全文筛选,19项研究被纳入综述。从这些论文中提炼出五个分析主题:(a)在逆境中寻找希望;(b)时间响应的可变性;(c)感受到社会处方流程的支持并获得力量;(d)积极回应带来的持续改变;(e)不一致导致无回应。
如果社会处方符合患者的需求和期望,患者可能会从中获得持久益处。结果凸显了使社会处方转诊与患者参与意愿相匹配的重要性。因此,建议医疗保健专业人员在开始社会处方转诊之前评估患者的适用性。