Implementing a social prescribing program in primary care units in Portugal

Bibliographic Details
Main Author: Hoffmeister, Louíse Viecili
Publication Date: 2024
Other Authors: Gama, Ana, Gonçalves, Barbara, Figueiredo, Cristiano, Cordeiro, João V., Polley, Marie, de Moura, Gisela Souto, Dias, Sónia
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/169717
Summary: Publisher Copyright: © 2024 Hoffmeister et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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spelling Implementing a social prescribing program in primary care units in Portugala qualitative study exploring enablers, barriers and lessons learned from the perspectives of stakeholders involved in the program implementationGeneralSDG 3 - Good Health and Well-beingPublisher Copyright: © 2024 Hoffmeister et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Social prescribing (SP) is a promising intersectoral strategy of integrated and person-centered care that can improve individual health and well-being by going beyond medical treatment, potentially reducing overall disease burden on health system. SP addresses health and social determinants of health by linking patients to community responses, i.e. services and initiatives fostering social interaction, physical activity and creativity, among other health-promoting aspects, provided by local public, private, and non-profit entities. There is limited research on the implementation processes of SP beyond the UK, hindering improvement and scale-up. This study aims to identify enablers and barriers of implementation of an SP program conducted in Portugal. A participatory and qualitative approach was used to assess the implementation of an SP program in health units. Semi-structured interviews were conducted with family doctors, social workers and representatives of community partners who participated in SP implementation. The Consolidated Framework for Implementation Research was used to conduct thematic analysis. The main enablers of SP implementation included its recognition as an evolution towards a holistic model of health, the personal characteristics of professionals as being proactive, motivated, and concerned with social determinants of health, and the communication strategy used to engage the stakeholders. Perceived challenges included raising users' awareness of SP and ensuring intervention adherence. Lack of preparedness for intersectoral working processes, including insufficient communication channels, limited community responses and the need for a more systematic collection of data on activities adherence and progress were also highlighted as barriers to SP implementation. SP implementation seems simple, but the results show that in practice, we are facing a complex intervention with multiple stakeholders, diverse community responses and factors influencing project success. A deeper understanding of SP specificities, local context, enablers, and barriers is vital to develop strategies for improvement and successful implementation, ensuring scalability and sustainability.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNHoffmeister, Louíse VieciliGama, AnaGonçalves, BarbaraFigueiredo, CristianoCordeiro, João V.Polley, Mariede Moura, Gisela SoutoDias, Sónia2024-07-16T22:24:38Z2024-062024-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/169717eng1932-6203PURE: 95373766https://doi.org/10.1371/journal.pone.0306404info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-07-22T01:39:11Zoai:run.unl.pt:10362/169717Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T18:38:09.760671Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Implementing a social prescribing program in primary care units in Portugal
a qualitative study exploring enablers, barriers and lessons learned from the perspectives of stakeholders involved in the program implementation
title Implementing a social prescribing program in primary care units in Portugal
spellingShingle Implementing a social prescribing program in primary care units in Portugal
Hoffmeister, Louíse Viecili
General
SDG 3 - Good Health and Well-being
title_short Implementing a social prescribing program in primary care units in Portugal
title_full Implementing a social prescribing program in primary care units in Portugal
title_fullStr Implementing a social prescribing program in primary care units in Portugal
title_full_unstemmed Implementing a social prescribing program in primary care units in Portugal
title_sort Implementing a social prescribing program in primary care units in Portugal
author Hoffmeister, Louíse Viecili
author_facet Hoffmeister, Louíse Viecili
Gama, Ana
Gonçalves, Barbara
Figueiredo, Cristiano
Cordeiro, João V.
Polley, Marie
de Moura, Gisela Souto
Dias, Sónia
author_role author
author2 Gama, Ana
Gonçalves, Barbara
Figueiredo, Cristiano
Cordeiro, João V.
Polley, Marie
de Moura, Gisela Souto
Dias, Sónia
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Hoffmeister, Louíse Viecili
Gama, Ana
Gonçalves, Barbara
Figueiredo, Cristiano
Cordeiro, João V.
Polley, Marie
de Moura, Gisela Souto
Dias, Sónia
dc.subject.por.fl_str_mv General
SDG 3 - Good Health and Well-being
topic General
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2024 Hoffmeister et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
publishDate 2024
dc.date.none.fl_str_mv 2024-07-16T22:24:38Z
2024-06
2024-06-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/169717
url http://hdl.handle.net/10362/169717
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1932-6203
PURE: 95373766
https://doi.org/10.1371/journal.pone.0306404
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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