Spanos Samantha, Wijekulasuriya Shalini, Ellis Louise A, Saba Maree, Schroeder Tanja, Officer Charlotte, Zurynski Yvonne
Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Int J Integr Care. 2025 Aug 19;25(3):21. doi: 10.5334/ijic.9127. eCollection 2025 Jul-Sep.
Social prescribing (SP) involves person-centred integration of non-clinical supports into care, which is critical for addressing mental health and psychosocial needs and enhancing wellbeing. This systematic review evaluated the impact of SP referral pathways on mental health, wellbeing, and psychosocial outcomes.
Four databases (Medline, Embase, PsycINFO and Scopus) were searched for empirical studies of referral pathways to community-based SP interventions targeting mental health, psychosocial factors and/or wellbeing. Data from studies published from January 2010 to April 2024 were extracted; referral pathways, interventions, and their resultant outcomes were synthesised and tabulated.
Across the 30 included studies, 27 SP interventions and two main referral pathways were identified, involving providers across health, community, social, and voluntary care sectors. Quantitative outcomes ( = 21, 70%) most frequently measured were wellbeing, anxiety, depression and quality of life. Findings were mixed, and widely varying methodological approaches limited study comparability. Qualitative outcomes ( = 16, 53%) were mostly associated with social interactions (e.g., increased sense of belonging) and self-concepts and feelings (e.g., increased sense of purpose).
Research on SP referral pathways supporting mental health, wellbeing and psychosocial outcomes is proliferating, but high heterogeneity in the evidence base limits conclusive inferences about effectiveness. Standardised quantitative measurement of core outcomes, supplemented by rigorous qualitative designs, will enhance capacity to demonstrate the value of an SP approach to integrated care for mental and psychosocial health and wellbeing.
社会处方（SP）涉及以个人为中心将非临床支持整合到护理中，这对于满足心理健康和社会心理需求以及增进幸福感至关重要。本系统评价评估了社会处方转介途径对心理健康、幸福感和社会心理结果的影响。
检索了四个数据库（Medline、Embase、PsycINFO和Scopus），以查找针对心理健康、社会心理因素和/或幸福感的基于社区的社会处方干预措施的转介途径的实证研究。提取了2010年1月至2024年4月发表的研究数据；对转介途径、干预措施及其产生的结果进行了综合和列表。
在纳入的30项研究中，确定了27种社会处方干预措施和两种主要转介途径，涉及卫生、社区、社会和志愿护理部门的提供者。最常测量的定量结果（n = 21，70%）是幸福感、焦虑、抑郁和生活质量。研究结果不一，广泛不同的方法学方法限制了研究的可比性。定性结果（n = 16，53%）大多与社会互动（如归属感增强）以及自我概念和感受（如有目的感增强）相关。
支持心理健康、幸福感和社会心理结果的社会处方转介途径的研究正在增加，但证据基础的高度异质性限制了关于有效性的确定性推断。对核心结果进行标准化定量测量，并辅以严格的定性设计，将提高证明社会处方方法对精神和社会心理健康与幸福感综合护理价值的能力。
