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苏格兰全科医生对绿色社会处方的看法:一项全国性横断面调查分析

General practitioners' views on green social prescribing in Scotland: analysis of a national cross-sectional survey.

作者信息

Frost Helen, Tooman Tricia R, Mason Bruce, Donaghy Eddie, Hawkins Katie, Lewis Sue, Wolters Maria, Mercer Stewart W

机构信息

Advanced Care Research Centre, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.

Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.

出版信息

BJGP Open. 2025 May 13. doi: 10.3399/BJGPO.2024.0259.

Abstract

BACKGROUND

Green social prescribing (GSP) aims to link patients to nature-based health interventions (NBHIs) through general practitioners (GPs). However, knowledge of GPs' views on GSP is limited.

AIM

To explore GPs' views on GSP and the factors influencing these views.

DESIGN & SETTING: National cross-sectional survey of GPs' working lives in Scotland, conducted in 2023, which included four questions about GSP.

METHOD

Descriptive analysis of GPs' views of GSP and univariate and multivariate (binary logistic) analysis of factors influencing these views.

RESULTS

80% (=1098) of GPs had heard of GSP, 81% (=1160) would be happy to refer patients to NBHIs, 68% (=931) thought GSP was suitable for older multimorbid patients, and 44% (=599) felt that patients living in deprived areas would access GSP.Greater knowledge of GSP was associated with white ethnicity (aOR 2.04; CI 1.30-3.22, =0.002) and the number of clinical sessions worked per week (aOR 0.90; CI 0.82-0.99, =0.034). Higher job satisfaction was associated with more positive views about the suitability of GSP for older multimorbid patients (aOR 1.14 CI 1.00-1.30; =0.043) as were views on whether patients living in deprived areas would access GSP (aOR 1.20; CI 1.06-1.45, =0.013). GPs working in deprived areas also had more positive views whether patients living in deprived areas would access GSP (aOR 1.24; CI 1.06-1.45, =0.008).

CONCLUSION

GPs in Scotland are aware of and willing to refer to GSP but have concerns about accessibility for patients from deprived areas. Views were influenced by personal and practice characteristics.

摘要

背景

绿色社会处方(GSP)旨在通过全科医生(GP)将患者与基于自然的健康干预措施(NBHI)联系起来。然而,关于全科医生对GSP看法的了解有限。

目的

探讨全科医生对GSP的看法以及影响这些看法的因素。

设计与设置

2023年对苏格兰全科医生工作生活进行的全国横断面调查,其中包括四个关于GSP的问题。

方法

对全科医生对GSP的看法进行描述性分析,并对影响这些看法的因素进行单变量和多变量(二元逻辑)分析。

结果

80%(=1098)的全科医生听说过GSP,81%(=1160)愿意将患者转诊至NBHI,68%(=931)认为GSP适用于患有多种疾病的老年患者,44%(=599)觉得生活在贫困地区的患者能够获得GSP。对GSP的更多了解与白人种族(调整后比值比2.04;可信区间1.30 - 3.22,P = 0.002)以及每周工作的临床时段数量(调整后比值比0.90;可信区间0.82 - 0.99,P = 0.034)相关。更高的工作满意度与对GSP适用于患有多种疾病的老年患者的更积极看法相关(调整后比值比1.14,可信区间1.00 - 1.30;P = 0.043),对生活在贫困地区的患者是否能够获得GSP的看法也是如此(调整后比值比1.20;可信区间1.06 - 1.45,P = 0.013)。在贫困地区工作的全科医生对于生活在贫困地区的患者是否能够获得GSP也有更积极的看法(调整后比值比1.24;可信区间1.06 - 1.45,P = 0.008)。

结论

苏格兰的全科医生了解并愿意推荐GSP,但担心贫困地区的患者难以获得。看法受到个人和执业特征的影响。

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