Bickerdike, Liz, Booth, Alison orcid.org/0000-0001-7138-6295, Wilson, Paul M et al. (2 more authors) (2017) Social prescribing: less rhetoric and more reality. A systematic review of the evidence. BMJ Open. e013384. ISSN 2044-6055
Abstract
OBJECTIVES: Social prescribing is a way of linking patients in primary care with sources of support within the community to help improve their health and well-being. Social prescribing programmes are being widely promoted and adopted in the UK National Health Service and so we conducted a systematic review to assess the evidence for their effectiveness. SETTING/DATA SOURCES: Nine databases were searched from 2000 to January 2016 for studies conducted in the UK. Relevant reports and guidelines, websites and reference lists of retrieved articles were scanned to identify additional studies. All the searches were restricted to English language only. PARTICIPANTS: Systematic reviews and any published evaluation of programmes where patient referral was made from a primary care setting to a link worker or facilitator of social prescribing were eligible for inclusion. Risk of bias for included studies was undertaken independently by two reviewers and a narrative synthesis was performed. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes of interest were any measures of health and well-being and/or usage of health services. RESULTS: We included a total of 15 evaluations of social prescribing programmes. Most were small scale and limited by poor design and reporting. All were rated as a having a high risk of bias. Common design issues included a lack of comparative controls, short follow-up durations, a lack of standardised and validated measuring tools, missing data and a failure to consider potential confounding factors. Despite clear methodological shortcomings, most evaluations presented positive conclusions. CONCLUSIONS: Social prescribing is being widely advocated and implemented but current evidence fails to provide sufficient detail to judge either success or value for money. If social prescribing is to realise its potential, future evaluations must be comparative by design and consider when, by whom, for whom, how well and at what cost. TRIAL REGISTRATION NUMBER: PROSPERO Registration: CRD42015023501.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. |
Keywords: | Journal Article |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 18 Apr 2017 16:20 |
Last Modified: | 04 Dec 2024 00:13 |
Published Version: | https://doi.org/10.1136/bmjopen-2016-013384 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1136/bmjopen-2016-013384 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:115159 |