Global developments in social prescribing

Morse, Daniel F; Sandhu, Sahil; Mulligan, Kate; Tierney, Stephanie; Polley, Marie; Giurca, Bogdan Chiva; Slade, Siân; Dias, Sónia; Mahtani, Kamal R; Wells, Leanne; Wang, Huali; ‍Zhao, Bo; Figueiredo, Cristiano; Meijs, Jan Joost; Nam, Hae Kweun; Lee, Kheng Hock; Wallace, C; Elliott, Megan; Mendive, Juan Manuel; Robinson, David J.; Palo, Miia; Herrmann, Wolfram; Nielsen, Rasmus Oestergaard; Husk, Kerryn

doi:10.1136/bmjgh-2022-008524

Cited by 99 publications

(107 citation statements)

References 51 publications

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“…For example, they discuss social prescribing is best delivered when the PCP takes an integrated approach, the link worker develops relationships (and not a set number of visits) and the community resources were available and flexible. 18 Social prescribing is still evolving, with foundations in person-centred and relationship-centred care, and social and behavioural psychology, 19 but there is a need to elucidate how social prescribing may ‘ work ’ in practice.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of social prescribing and older adults: where to from here?

et al. 2022

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ObjectiveSocial prescribing is a person-centred model of care with emphases on lessening the impact of unmet social needs, supporting the delivery of personalised care, and reducing non-medical resource use in the primary care setting. The purpose of this systematic review was to synthesise the effect of social prescribing for older adults within primary care.DesignWe followed standard systematic review guidelines, including protocol registration, screening studies (title/abstract and full text) and assessing the study quality.Eligibility and information sourcesWe searched multiple online databases for studies that included older adults 60+ years (group mean age), an intervention defined and called social prescribing (or social prescription) via health provider referrals to non-medical services, and quantitative physical and psychosocial outcomes and/or health resource use. We included experimental and observational studies from all years and languages and conducted a narrative synthesis. The date of the last search was 24 March 2022.ResultsWe screened 406 citations (after removing duplicates) and included seven studies. All studies except one were before–after design without a control group, and all except one study was conducted in the UK. Studies included 12–159 participants (baseline), there were more women than men, the group mean (SD) age was 76.1 (4.0) years and data collection (baseline to final) occurred on average 19.4 (14.0) weeks apart. Social prescribing referrals came from health and social providers. Studies had considerable risk of bias, programme implementation details were missing, and for studies that reported data (n=6) on average only 66% of participants completed studies (per-protocol). There were some positive effects of social prescribing on physical and psychosocial outcomes (eg, social participation, well-being). Findings varied for health resource use. These results may change with new evidence.ConclusionsThere were few peer-reviewed studies available for social prescribing and older adults. Next steps for social prescribing should include co-creating initiatives with providers, older people and communities to identify meaningful outcomes, and feasible and robust methods for uptake of the prescription and community programmes. This should be considered in advance or in parallel with determining its effectiveness for meaningful outcomes at multiple levels (person, provider and programme).

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Section: Introductionmentioning

confidence: 99%

Systematic review of social prescribing and older adults: where to from here?

et al. 2022

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“…In the Dutch program "Welzijn op Recept", GPs can refer patients with psychosocial problems to local social well-being organizations [29]. Here, as in similar projects, a workforce specially trained for the project is needed to assess the individual needs of patients and refer them to the appropriate institutions [29][30][31][32]. This requires additional resources, both human and financial [30,33], which may be available in the context of funded projects but may not prevail beyond the end of the study.…”

Section: Discussionmentioning

confidence: 99%

“…Here, as in similar projects, a workforce specially trained for the project is needed to assess the individual needs of patients and refer them to the appropriate institutions [29][30][31][32]. This requires additional resources, both human and financial [30,33], which may be available in the context of funded projects but may not prevail beyond the end of the study. For some years now, there have been community care points in Germany, which are financed by the statutory health insurance funds and local authorities and offer free and independent advice on social issues [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

COMPASS II—Coordination of Medical Professions Aiming at Sustainable Support Protocol for a feasibility study of cooperation between general practitioner practices and community care points

et al. 2022

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Introduction General practitioners (GP) increasingly face the challenge of meeting the complex care needs of multi-morbid patients. Previous studies show that GP practices would like support from other institutions in advising on social aspects of care for multi-morbid patients. Already existing counselling services, like community care points, are not sufficiently known by both GPs and patients. The aim of COMPASS II is to investigate the feasibility of cooperation between GP practices and community care points. Methods and analysis During the intervention, GPs send eligible multi-morbid patients with social care needs to a community care point. The community care points report the consultation results back to the GPs. In preparation for the intervention, in a moderated process, GP practices meet with the community care points to agree on information exchange. The primary outcome is the feasibility of the cooperation: Questionnaires will be sent to GPs, medical practice assistances and community care point personnel (focus: practicality, acceptability). Data will be collected on frequency and reasons for GP-initiated consultations at community care points (focus: demand). Qualitative interviews will be conducted with all participating groups (focus: acceptability, satisfaction). The secondary outcome is the assessment of changes in health-related quality of life, social support and satisfaction with care: participating patients complete a questionnaire before and three to six months after their counselling. The results of the study will be incorporated into a manual in which the experiences of the cooperation will be made available to other GP practices and community care points. Discussion In COMPASS II, GP practices establish cooperation with community care points. The latter are already existing institutions that provide independent and free advice on social matters. By using an existing institution, the established cooperation and experiences from the study can be used beyond the end of the study. Trial registration The trial is registered with DRKS-ID: DRKS00023798, Coordination of Medical Professions Aiming at Sustainable Support II.

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“…4,5 Social prescribing is one such approach to improve social needs, such as those related to loneliness, housing instability and mental health. 6 Further, innovative financing to fund universal health coverage and surgical systems in LMICs are being proposed. 7,8 A beginning has been made; however, much more needs to be done as evidenced by failures to curb tuberculosis and smoking tobacco.…”

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confidence: 99%