在英格兰的初级保健系统中全国推出社会处方:使用临床实践研究数据链接数据的纵向观察研究
Feifei Bu1, Alexandra Burton2, Naomi Launders3
1Department of Behavioural Science and Health, University College London, London, UK.
The Lancet. Public health
|September 29, 2025
概括
英格兰的社会处方正在迅速扩大,到2023年将达到超过130万名患者. 虽然改善了贫困社区的获取,但吸收和拒绝的差异仍然存在,需要有针对性的战略来确保公平的社会处方.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 社会处方在英国和全球范围内是一个快速增长的倡议.
- 了解其覆盖范围和实施效果至关重要.
- 这项研究解决了有关患者人口统计和服务拒绝趋势的知识差距.
研究的目的:
- 评估英格兰初级保健系统中社会处方的纵向趋势.
- 分析增长轨迹和与目标的调整.
- 检查转诊患者的社会人口统计资料和拒绝服务的预测因素.
主要方法:
- 全国范围的纵向观察性研究,使用1736个GP实践中120万名患者的初级保健记录.
- 增长曲线建模以估计社会处方趋势 (2019-2023年).
- 多层次物流回归分析服务拒绝中的社会人口学差异.
主要成果:
- 到2023年底,超过550万个社会处方转介发生,仅在2023年就有130万个.
- 来自贫困地区的代表性显著增加 (2017-2023年间的23%至42%).
- 服务拒绝率从22%下降到12% (2019-2023),但年龄,性别和种族的差异仍然存在.
结论:
- 英格兰的社会处方已经超过了目标,证明了广泛的接受度和在接触贫困社区方面取得的进展.
- 尽管有所改善,但在可访问性和吸收方面存在很大的差异,需要有针对性的战略来解决不平等问题.
- 需要进一步的研究,以优化社会处方对不同的人口.
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