Rafiei Sima, Honary Mahsa, Mezes Barbara
School of Management Sciences, Lancaster University, Lancaster, United Kingdom.
Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool, United Kingdom.
Front Health Serv. 2024 Oct 11;4:1413711. doi: 10.3389/frhs.2024.1413711. eCollection 2024.
This study aimed to understand the key barriers to successfully implementing Social Prescribing (SP) initiatives from different perspectives.
An in-depth process evaluation using a multi-method qualitative design was conducted. Qualitative data was collected via semi-structured interviews ( = 23) and Focus Group Discussion (FGD' = 4). Twenty-three stakeholders took part in the study, including community support providers ( = 7), SP link workers ( = 6), service users ( = 6), NHS employees/referrals, and those who were involved in SP leadership and coordination ( = 4). MAXQDA Version 20.0 was used for management and data analysis.
We identified eight themes representing challenges for a successful implementation of a SP programme. The themes included (i) financial issues and sustainability, (ii) human resources challenges, (iii) partnership working challenges, (iv) inadequate and inconsistent implementation, (v) information system challenges, (vi) referral system issues, (vii) training and knowledge gaps, and (viii) accessibility and privacy concerns.
Study findings provide insight for commissioners, providers, and link workers to guide the delivery of appropriate SP services by identifying a range of factors that hinder the successful implementation of the programme. Future policy, service development, and research should consider tackling these challenges and generating different ideas for potential solutions to address the root causes of problems.
本研究旨在从不同角度了解成功实施社会处方（SP）倡议的关键障碍。
采用多方法定性设计进行深入的过程评估。通过半结构化访谈（n = 23）和焦点小组讨论（FGD，n = 4）收集定性数据。23名利益相关者参与了该研究，包括社区支持提供者（n = 7）、SP联络人员（n = 6）、服务使用者（n = 6）、国民保健服务（NHS）员工/转诊人员以及参与SP领导和协调的人员（n = 4）。使用MAXQDA 20.0版本进行管理和数据分析。
我们确定了八个主题，这些主题代表了成功实施SP计划所面临的挑战。这些主题包括：（i）财务问题和可持续性，（ii）人力资源挑战，（iii）合作工作挑战，（iv）实施不足和不一致，（v）信息系统挑战，（vi）转诊系统问题，（vii）培训和知识差距，以及（viii）可及性和隐私问题。
研究结果为专员、提供者和联络人员提供了见解，通过识别一系列阻碍该计划成功实施的因素来指导提供适当的SP服务。未来的政策、服务发展和研究应考虑应对这些挑战，并针对潜在解决方案提出不同的想法，以解决问题的根本原因。
