Cargando…
Implementation and impact of a social prescribing intervention: an ethnographic exploration
BACKGROUND: Social prescribing involves referral of patients from primary care to link workers, who work with them to access appropriate local voluntary and community sector services. AIM: To explore how a social prescribing intervention was delivered by link workers and the experiences of those ref...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of General Practitioners
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355812/ https://www.ncbi.nlm.nih.gov/pubmed/37429735 http://dx.doi.org/10.3399/BJGP.2022.0638 |
_version_ | 1785075161029935104 |
---|---|
author | Pollard, Tessa Gibson, Kate Griffith, Bethan Jeffries, Jayne Moffatt, Suzanne |
author_facet | Pollard, Tessa Gibson, Kate Griffith, Bethan Jeffries, Jayne Moffatt, Suzanne |
author_sort | Pollard, Tessa |
collection | PubMed |
description | BACKGROUND: Social prescribing involves referral of patients from primary care to link workers, who work with them to access appropriate local voluntary and community sector services. AIM: To explore how a social prescribing intervention was delivered by link workers and the experiences of those referred to the intervention. DESIGN AND SETTING: The study used ethnographic methods to conduct a process evaluation of a social prescribing intervention delivered to support those living with long-term conditions in an economically deprived urban area of the North of England. METHOD: Participant observation, shadowing, interviews, and focus groups were used to examine the experiences and practices of 20 link workers and 19 clients over a period of 19 months. RESULTS: Social prescribing provided significant help for some people living with long-term health conditions. However, link workers experienced challenges in embedding social prescribing in an established primary care and voluntary sector landscape. The organisations providing social prescribing drew on broader social discourses emphasising personal responsibility for health, which encouraged a drift towards an approach that emphasised empowerment for lifestyle change more than intensive support. Pressures to complete assessments, required for funding, also encouraged a drift to this lighter-touch approach. A focus on individual responsibility was helpful for some clients but had limited capacity to improve the circumstances or health of those living in the most disadvantaged circumstances. CONCLUSION: Careful consideration of how social prescribing is implemented within primary care is required if it is to provide the support needed by those living in disadvantaged circumstances. |
format | Online Article Text |
id | pubmed-10355812 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-103558122023-07-20 Implementation and impact of a social prescribing intervention: an ethnographic exploration Pollard, Tessa Gibson, Kate Griffith, Bethan Jeffries, Jayne Moffatt, Suzanne Br J Gen Pract Research BACKGROUND: Social prescribing involves referral of patients from primary care to link workers, who work with them to access appropriate local voluntary and community sector services. AIM: To explore how a social prescribing intervention was delivered by link workers and the experiences of those referred to the intervention. DESIGN AND SETTING: The study used ethnographic methods to conduct a process evaluation of a social prescribing intervention delivered to support those living with long-term conditions in an economically deprived urban area of the North of England. METHOD: Participant observation, shadowing, interviews, and focus groups were used to examine the experiences and practices of 20 link workers and 19 clients over a period of 19 months. RESULTS: Social prescribing provided significant help for some people living with long-term health conditions. However, link workers experienced challenges in embedding social prescribing in an established primary care and voluntary sector landscape. The organisations providing social prescribing drew on broader social discourses emphasising personal responsibility for health, which encouraged a drift towards an approach that emphasised empowerment for lifestyle change more than intensive support. Pressures to complete assessments, required for funding, also encouraged a drift to this lighter-touch approach. A focus on individual responsibility was helpful for some clients but had limited capacity to improve the circumstances or health of those living in the most disadvantaged circumstances. CONCLUSION: Careful consideration of how social prescribing is implemented within primary care is required if it is to provide the support needed by those living in disadvantaged circumstances. Royal College of General Practitioners 2023-07-11 /pmc/articles/PMC10355812/ /pubmed/37429735 http://dx.doi.org/10.3399/BJGP.2022.0638 Text en © The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ). |
spellingShingle | Research Pollard, Tessa Gibson, Kate Griffith, Bethan Jeffries, Jayne Moffatt, Suzanne Implementation and impact of a social prescribing intervention: an ethnographic exploration |
title | Implementation and impact of a social prescribing intervention: an ethnographic exploration |
title_full | Implementation and impact of a social prescribing intervention: an ethnographic exploration |
title_fullStr | Implementation and impact of a social prescribing intervention: an ethnographic exploration |
title_full_unstemmed | Implementation and impact of a social prescribing intervention: an ethnographic exploration |
title_short | Implementation and impact of a social prescribing intervention: an ethnographic exploration |
title_sort | implementation and impact of a social prescribing intervention: an ethnographic exploration |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355812/ https://www.ncbi.nlm.nih.gov/pubmed/37429735 http://dx.doi.org/10.3399/BJGP.2022.0638 |
work_keys_str_mv | AT pollardtessa implementationandimpactofasocialprescribinginterventionanethnographicexploration AT gibsonkate implementationandimpactofasocialprescribinginterventionanethnographicexploration AT griffithbethan implementationandimpactofasocialprescribinginterventionanethnographicexploration AT jeffriesjayne implementationandimpactofasocialprescribinginterventionanethnographicexploration AT moffattsuzanne implementationandimpactofasocialprescribinginterventionanethnographicexploration |