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社会处方:将儿科护理前置,以改善儿童健康和福祉并解决儿童健康不平等问题。

Social prescribing: Moving pediatric care upstream to improve child health and wellbeing and address child health inequities.

作者信息

Muhl Caitlin, Bennett Susan, Fragman Stéphanie, Racine Nicole

机构信息

Vanier Social Pediatric Hub, Vanier Community Services Centre, Ottawa, Ontario, Canada.

Health Quality Programs, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.

出版信息

Paediatr Child Health. 2024 Jan 24;29(5):300-302. doi: 10.1093/pch/pxae002. eCollection 2024 Aug.

DOI:10.1093/pch/pxae002
PMID:39281366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11398930/
Abstract

Social prescribing is a means for trusted individuals in clinical and community settings to connect people who have non-medical, health-related social needs to non-clinical supports and services within the community through a non-medical prescription. Evaluations of social prescribing programs for the pediatric population have demonstrated statistically significant improvements in participants' mental, physical, and social wellbeing and reductions in healthcare demand and costs. Experts have pointed to the particularly powerful impact of social prescribing on children's mental health, suggesting that it may help to alleviate the strain on the overburdened mental health system. Social prescribing shows promise as a tool to move pediatric care upstream by addressing non-medical, health-related social needs, hence why there is an urgent need to direct more attention towards the pediatric population in social prescribing research, policy, and practice. This demands rapid action by researchers, policymakers, and child health professionals to support advancements in this area.

摘要

社会处方是临床和社区环境中值得信赖的个人通过非医疗处方,将有非医疗、与健康相关的社会需求的人与社区内的非临床支持和服务联系起来的一种方式。对儿科人群社会处方项目的评估表明,参与者的心理、身体和社会幸福感有统计学上的显著改善,医疗需求和成本也有所降低。专家指出,社会处方对儿童心理健康有特别强大的影响,表明它可能有助于缓解负担过重的心理健康系统的压力。社会处方作为一种通过解决非医疗、与健康相关的社会需求来推动儿科护理上游化的工具显示出前景,因此迫切需要在社会处方研究、政策和实践中更加关注儿科人群。这需要研究人员、政策制定者和儿童健康专业人员迅速采取行动,以支持该领域的进展。

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本文引用的文献

1
Establishing internationally accepted conceptual and operational definitions of social prescribing through expert consensus: a Delphi study.通过专家共识,为社会处方制定国际认可的概念和操作定义:德尔菲研究。
BMJ Open. 2023 Jul 14;13(7):e070184. doi: 10.1136/bmjopen-2022-070184.
2
Comparison of paediatric emergency department visits for attempted suicide, self-harm, and suicidal ideation before and during the COVID-19 pandemic: a systematic review and meta-analysis.比较 COVID-19 大流行前后儿科急诊就诊的自杀未遂、自残和自杀意念:系统评价和荟萃分析。
Lancet Psychiatry. 2023 May;10(5):342-351. doi: 10.1016/S2215-0366(23)00036-6. Epub 2023 Mar 9.
3
Social prescribing for children and young people.针对儿童和青少年的社会处方。
Lancet Child Adolesc Health. 2022 Dec;6(12):835-837. doi: 10.1016/S2352-4642(22)00248-6. Epub 2022 Oct 4.
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Global developments in social prescribing.社会处方的全球发展。
BMJ Glob Health. 2022 May;7(5). doi: 10.1136/bmjgh-2022-008524.
5
Linking Leeds: A Social Prescribing Service for Children and Young People.莱德链接:儿童和青年社会处方服务。
Int J Environ Res Public Health. 2022 Jan 27;19(3):1426. doi: 10.3390/ijerph19031426.
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The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity.医疗保健改善的五大目标:促进健康公平的新要务。
JAMA. 2022 Feb 8;327(6):521-522. doi: 10.1001/jama.2021.25181.
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CMAJ. 2021 Nov 8;193(44):E1696-E1701. doi: 10.1503/cmaj.210229.
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COVID-19 pandemic: health inequities in children and youth.新冠疫情:儿童和青少年中的健康不平等问题
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Pathways to inequalities in child health.儿童健康不平等的途径。
Arch Dis Child. 2019 Oct;104(10):998-1003. doi: 10.1136/archdischild-2018-314808. Epub 2019 Feb 23.
10
Social paediatrics.社会儿科学
J Epidemiol Community Health. 2005 Feb;59(2):106-8. doi: 10.1136/jech.2003.017681.