Ganbaatar Gantsetseg, Ohashi Mizuki, Zaman Mazuin Kamarul, Azahar Nazar Mohd, Yamawaki Kazue, Matsuo Haruki, Pileap Suon, Nishiyama Akira, Inoue Shigeru, Yano Yuichiro
NCD Epidemiology Research Center, Shiga University of Medical Science.
Department of Public Health and Traditional Medicine, Darkhan-Uul Medical School of Mongolian National University of Medical Sciences.
J Atheroscler Thromb. 2025 Jan 1;32(1):1-10. doi: 10.5551/jat.RV22028. Epub 2024 Oct 22.
This review introduces "space prescribing," an innovative healthcare approach that incorporates the physical environment's role in promoting health beyond traditional clinical settings. Recognizing that individuals spend a significant amount of time outside clinical environments, this approach explores the therapeutic potential of natural and built environments in improving well-being and managing diseases, particularly cardiovascular and mental health conditions.Traditional healthcare models focus on treatments in hospital and clinic settings. However, evidence suggests that environmental factors profoundly influence health outcomes. Space prescribing recommends specific environments that encourage healthier lifestyles and enhance wellbeing. This concept includes social prescribing, in which healthcare professionals direct patients to community-based, non-medical activities such as art classes and sports, acknowledging that well-being transcends biological factors.This review also highlights "Cultural Ecosystem Services" (CES) in health through stress reduction, social connections, and physical activity. For cardiovascular health, elements such as green spaces and urban design are vital for managing conditions, such as hypertension and heart disease. Similarly, the configuration of indoor and outdoor spaces plays a crucial role in mental health. Therapeutic landscapes, including community gardens and culturally enriched urban areas, support mental health recovery, foster community engagement and reduce isolation.In conclusion, space prescribing advocates an integrated approach that considers the physical and social environments as fundamental components of health promotion. This strategy aims to mitigate health disparities and enhance the quality of life, while making health-enhancing activities accessible in urban and rural settings. Through this holistic approach, space prescribing has the potential to transform public health by strategically utilizing environmental designs to support health outcomes.
本综述介绍了“空间处方”，这是一种创新的医疗保健方法，它将物理环境在促进健康方面的作用纳入其中，超越了传统临床环境。认识到个人在临床环境之外花费大量时间，这种方法探索了自然和人造环境在改善幸福感和管理疾病，特别是心血管和心理健康状况方面的治疗潜力。传统的医疗保健模式侧重于医院和诊所环境中的治疗。然而，有证据表明环境因素对健康结果有深远影响。空间处方推荐特定的环境，以鼓励更健康的生活方式并增强幸福感。这个概念包括社会处方，即医疗保健专业人员将患者引导至基于社区的非医疗活动，如艺术课程和运动，承认幸福感超越生物因素。本综述还通过减轻压力、社会联系和体育活动强调了健康中的“文化生态系统服务”（CES）。对于心血管健康，绿地和城市设计等要素对于管理高血压和心脏病等病症至关重要。同样，室内和室外空间的布局在心理健康中起着关键作用。治疗性景观，包括社区花园和文化丰富的城市地区，支持心理健康恢复，促进社区参与并减少孤立感。总之，空间处方倡导一种综合方法，将物理和社会环境视为健康促进的基本组成部分。这一策略旨在减轻健康差距并提高生活质量，同时在城乡环境中使促进健康的活动易于获得。通过这种整体方法，空间处方有可能通过战略性地利用环境设计来支持健康结果，从而改变公共卫生。
