Improving social prescribing effectiveness: enhancing the role of third sector organisations in health and environmental outcomes
提高社会处方有效性:加强第三部门组织在健康和环境成果方面的作用
基本信息
- 批准号:2867805
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:英国
- 项目类别:Studentship
- 财政年份:2023
- 资助国家:英国
- 起止时间:2023 至 无数据
- 项目状态:未结题
- 来源:
- 关键词:
项目摘要
Social prescribing is a novel approach that connects primary healthcare with community resources to enhance individuals' wellbeing by addressing practical, social, and emotional needs. Our research operates within this context and seeks to shed light on interactions between key stakeholders and potential outcomes.Research contextSocial prescribing initiatives, notably those running within the UK's National Health Service, involve healthcare professionals referring individuals to link workers, who, in turn, connect them with community resources. The voluntary, community and social enterprise (VCSE) sector plays a pivotal role in providing these community resources, including support groups, physical activities, advocacy, and nature-based interventions. This approach aligns with a shift towards recognising social determinants of health and aims to address overmedication, particularly the rising use of pharmaceuticals impacting individuals as well as the environment, namely through traces in wastewater.Aim, studies and methodsThe aims are twofold:1. Understanding VCSE dynamics: Given the importance of the VCSE sector in social prescribing effectiveness, our first aim is to characterize the interactions between VCSE groups and those referring individuals to them (i.e., link workers) and those influencing their activities (i.e., commissioners).2. Exploring the link between social prescribing and pharmaceuticals: Building on the impact of VCSE activity, our second aim is to examine an underexplored outcome of social prescribing - its potential influence on pharmaceutical prescriptions and its environmental implications.These will be addressed through four studies. Firstly, a review which will document experiences of VCSE organisations within social prescribing provision, including funding challenges and outcomes evaluated. Secondly, we will conduct interviews with VCSE representatives to explore barriers and facilitators in their interactions and potential social prescribing outcomes, including environmental impacts. Thirdly, building on the two prior studies, paired interviews combining VCSE representatives with either link workers or commissioners exploring their respective remits within the social prescribing system. At present, I anticipate the final study will be an analysis of secondary data provided by a GP surgery to explore the impact of social prescribing on wellbeing and medication use, considering pharmaceutical residue in wastewater.Planned CollaborationTo address the interdisciplinary nature of this research, we have assembled a team of supervisors and collaborators with expertise in environmental impacts, social and health psychology, and social prescribing design and delivery. External collaborators include Wessex Water, Bath & North East Somerset council, and a local BANES Medical Practice. Given the newness and evolving nature of social prescribing, an overseas institutional visit is planned to gain insights on practice in this field.Potential applications and benefitsThis research addresses a gap in social prescribing studies by emphasising VCSE perspective and their funding and evaluation requirements alongside potential longer-term health and environmental outcomes. I anticipate that the results of the planned studies have several potential applications and benefits:- Enhancing social prescribing effectiveness by understanding dynamics between key stakeholders to maximise VCSE potential.- Potential for reducing pharmaceutical over-prescription by identifying the relationship between social prescribing and pharmaceutical use to benefit individuals and the environment.- Environmental sustainability by offering insights into how social prescribing can contribute to environmental sustainability by reducing pharmaceutical residues in wastewater.This research aligns with evolving social prescribing research trends and aims to inform policy and delivery in this area.
社会处方是一种新颖的方法,它将初级医疗保健与社区资源联系起来,通过满足实际、社会和情感需求来增强个人的福祉。我们的研究是在这一背景下进行的,旨在揭示关键利益相关者和潜在结果之间的相互作用。研究背景社会处方举措,特别是在英国国家卫生服务体系内运行的举措,涉及医疗保健专业人员,将个人转介给工作人员,而工作人员反过来又将工作人员联系起来他们与社区资源。志愿、社区和社会企业 (VCSE) 部门在提供这些社区资源方面发挥着关键作用,包括支持团体、体育活动、宣传和基于自然的干预措施。这种方法与认识健康的社会决定因素的转变相一致,旨在解决过度用药问题,特别是通过废水中的微量药物影响个人和环境。目标、研究和方法目标有两个:1。了解 VCSE 动态:考虑到 VCSE 部门在社会处方有效性方面的重要性,我们的首要目标是描述 VCSE 团体与向其推荐个人的人(即链接工作人员)以及影响其活动的人(即专员)之间的互动。 2.探索社会处方与药品之间的联系:基于 VCSE 活动的影响,我们的第二个目标是研究社会处方尚未得到充分探索的结果——它对药物处方的潜在影响及其对环境的影响。这些将通过四项研究来解决。首先,审查将记录 VCSE 组织在社会处方规定方面的经验,包括资金挑战和评估结果。其次,我们将采访 VCSE 代表,探讨他们互动中的障碍和促进因素以及潜在的社会处方结果,包括环境影响。第三,在之前两项研究的基础上,将 VCSE 代表与链接工作人员或专员结合起来进行配对访谈,探讨他们在社会处方系统中各自的职权范围。目前,我预计最终的研究将是对全科医生手术提供的二手数据进行分析,以探索社会处方对健康和药物使用的影响,同时考虑废水中的药物残留。计划合作为了解决这项研究的跨学科性质,我们组建了一支由主管和合作者组成的团队,他们在环境影响、社会和健康心理学以及社会处方设计和交付方面拥有专业知识。外部合作者包括 Wessex Water、Bath & North East Somerset 委员会以及当地的 BANES Medical Practice。鉴于社会处方的新颖性和不断发展的性质,计划进行一次海外机构访问,以深入了解该领域的实践。潜在的应用和好处本研究通过强调 VCSE 观点及其资金和评估要求以及潜在的更长的时间,弥补了社会处方研究中的空白- 长期健康和环境成果。我预计计划研究的结果有几个潜在的应用和好处: - 通过了解主要利益相关者之间的动态,最大限度地发挥 VCSE 潜力,提高社会处方的有效性。 - 通过确定社会处方与药物使用之间的关系,减少药物过度处方的潜力造福个人和环境。 - 通过深入了解社会处方如何通过减少废水中的药物残留来促进环境可持续性。这项研究与不断发展的社会处方研究趋势相一致,旨在为以下领域的政策和实施提供信息这个区域。
项目成果
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