Equal, equitable or exacerbating inequalities: patterns and predictors of social prescribing referrals in 160 128 UK patients.
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| Title: | Equal, equitable or exacerbating inequalities: patterns and predictors of social prescribing referrals in 160 128 UK patients. |
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| Authors: | Bu, Feifei (AUTHOR), Hayes, Daniel (AUTHOR), Burton, Alexandra (AUTHOR), Fancourt, Daisy (AUTHOR) |
| Source: | British Journal of Psychiatry. Feb2025, Vol. 226 Issue 2, p91-99. 9p. |
| Subjects: | Socioeconomic disparities in health, Equality, Social determinants of health, Regression analysis, Social background |
| Abstract: | Background: Social prescribing is growing rapidly globally as a way to tackle social determinants of health. However, whom it is reaching and how effectively it is being implemented remains unclear. Aims: To gain a comprehensive picture of social prescribing in the UK, from referral routes, reasons, to contacts with link workers and prescribed interventions. Method: This study undertook the first analyses of a large database of administrative data from over 160 000 individuals referred to social prescribing across the UK. Data were analysed using descriptive analyses and regression modelling, including logistic regression for binary outcomes and negative binomial regression for count variables. Results: Mental health was the most common referral reason and mental health interventions were the most common interventions prescribed. Between 72% and 85% of social prescribing referrals were from medical routes (primary or secondary healthcare). Although these referrals demonstrated equality in reaching across sociodemographic groups, individuals from more deprived areas, younger adults, men, and ethnic minority groups were reached more equitably via non-medical routes (e.g. self-referral, school, charity). Despite 90% of referrals leading to contact with a link worker, only 38% resulted in any intervention being received. A shortage of provision of community activities – especially ones relevant to mental health, practical support and social relationships – was evident. There was also substantial heterogeneity in how social prescribing is implemented across UK nations. Conclusions: Mental health is the leading reason for social prescribing referrals, demonstrating its relevance to psychiatrists. But there are inequalities in referrals. Non-medical referral routes could play an important role in addressing inequality in accessing social prescribing and therefore should be prioritised. Additionally, more financial and infrastructural resource and strategic planning are needed to address low intervention rates. Further investment into large-scale data platforms and staff training are needed to continue monitoring the development and distribution of social prescribing. [ABSTRACT FROM AUTHOR] |
| Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 183761679 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Equal, equitable or exacerbating inequalities: patterns and predictors of social prescribing referrals in 160 128 UK patients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bu%2C+Feifei%22">Bu, Feifei</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hayes%2C+Daniel%22">Hayes, Daniel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burton%2C+Alexandra%22">Burton, Alexandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fancourt%2C+Daisy%22">Fancourt, Daisy</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Feb2025, Vol. 226 Issue 2, p91-99. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Socioeconomic+disparities+in+health%22">Socioeconomic disparities in health</searchLink><br /><searchLink fieldCode="DE" term="%22Equality%22">Equality</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Social+background%22">Social background</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Social prescribing is growing rapidly globally as a way to tackle social determinants of health. However, whom it is reaching and how effectively it is being implemented remains unclear. Aims: To gain a comprehensive picture of social prescribing in the UK, from referral routes, reasons, to contacts with link workers and prescribed interventions. Method: This study undertook the first analyses of a large database of administrative data from over 160 000 individuals referred to social prescribing across the UK. Data were analysed using descriptive analyses and regression modelling, including logistic regression for binary outcomes and negative binomial regression for count variables. Results: Mental health was the most common referral reason and mental health interventions were the most common interventions prescribed. Between 72% and 85% of social prescribing referrals were from medical routes (primary or secondary healthcare). Although these referrals demonstrated equality in reaching across sociodemographic groups, individuals from more deprived areas, younger adults, men, and ethnic minority groups were reached more equitably via non-medical routes (e.g. self-referral, school, charity). Despite 90% of referrals leading to contact with a link worker, only 38% resulted in any intervention being received. A shortage of provision of community activities – especially ones relevant to mental health, practical support and social relationships – was evident. There was also substantial heterogeneity in how social prescribing is implemented across UK nations. Conclusions: Mental health is the leading reason for social prescribing referrals, demonstrating its relevance to psychiatrists. But there are inequalities in referrals. Non-medical referral routes could play an important role in addressing inequality in accessing social prescribing and therefore should be prioritised. Additionally, more financial and infrastructural resource and strategic planning are needed to address low intervention rates. Further investment into large-scale data platforms and staff training are needed to continue monitoring the development and distribution of social prescribing. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1192/bjp.2024.141 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 91 Subjects: – SubjectFull: Socioeconomic disparities in health Type: general – SubjectFull: Equality Type: general – SubjectFull: Social determinants of health Type: general – SubjectFull: Regression analysis Type: general – SubjectFull: Social background Type: general Titles: – TitleFull: Equal, equitable or exacerbating inequalities: patterns and predictors of social prescribing referrals in 160 128 UK patients. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bu, Feifei – PersonEntity: Name: NameFull: Hayes, Daniel – PersonEntity: Name: NameFull: Burton, Alexandra – PersonEntity: Name: NameFull: Fancourt, Daisy IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 00071250 Numbering: – Type: volume Value: 226 – Type: issue Value: 2 Titles: – TitleFull: British Journal of Psychiatry Type: main |
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