What does the literature mean by social prescribing? A critical review using discourse analysis

被引：37

作者：

Calderon-Larranaga, Sara ^{[1
,2
]}

Greenhalgh, Trish ^{[3
]}

Finer, Sarah ^{[1
,4
]}

Clinch, Megan ^{[1
]}

机构：

[1] Queen Mary Univ London, Ctr Primary Care & Mental Hlth, Wolfson Inst Populat Hlth, Yvonne Carter Bldg,58 Turner St, London E1 2AB, England

[2] Mile End Hosp, Bromley Bow Hlth Partnership, 20 Pl Hlth Ctr, London, England

[3] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Radcliffe Observ Quarter, Radcliffe Primary Care Bldg, Oxford, England

[4] Barts Hlth NHS Trust, Newham Univ Hosp, London, England

来源：

SOCIOLOGY OF HEALTH & ILLNESS | 2022年 / 44卷 / 4-5期

基金：

英国经济与社会研究理事会;

关键词：

discourse analysis; literature review; primary health care; social prescribing; GENERAL-PRACTICE; HEALTH INEQUALITIES; PRIMARY-CARE; VOLUNTARY; COLLABORATION; PRESCRIPTION; CONTINUITY; AUSTERITY; PEOPLE; IMPACT;

D O I：

10.1111/1467-9566.13468

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Social prescribing (SP) seeks to enhance the role of the voluntary and community sector in addressing patients' complex needs in primary care. Using discourse analysis, this review investigates how SP is framed in the scientific literature and explores its consequences for service delivery. Theory driven searches identified 89 academic articles and grey literature that included both qualitative and quantitative evidence. Across the literature three main discourses were identified. The first one emphasised increasing social inequalities behind escalating health problems and presented SP as a response to the social determinants of health. The second one problematised people's increasing use of health services and depicted SP as a means of enhancing self-care. The third one stressed the dearth of human and relational dimensions in general practice and claimed that SP could restore personalised care. Discourses circulated unevenly in the scientific literature, conditioned by a wider political rationality which emphasised individual responsibility and framed SP as 'solution' to complex and contentious problems. Critically, this contributed to an oversimplification of the realities of the problems being addressed and the delivery of SP. We propose an alternative 'care-based' framing of SP which prioritises (and evaluates) holistic, sustained and accessible practices within strengthened primary care systems.

引用

页码：848 / 868

页数：21

共 101 条

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