scholarly journals Implementation of social prescribing to reduce frequent attender consultation rates in primary care

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X703109
Author(s):  
Adam Jeyes ◽  
Laura Pugh
Keyword(s):  
Primary Care ◽  
Well Being ◽  
Social Needs ◽  
High Risk Population ◽  
Computer Search ◽  
Social Risk ◽  
Consultation Rate ◽  
Post Intervention ◽  
Social Prescribing ◽  
The Impact

BackgroundThe impact of social determinants on health has been established. Evidence shows that addressing social needs through link workers can improve wellbeing and consultation rates. This is of importance since demand on primary care appointments is high and access to primary care is pivotal to the NHS as a whole.AimTo evaluate whether frequently-attending patients who might benefit from social prescribing, can be recognised through a computer search of risks for isolation, loneliness, or social pressures and whether a social intervention has an effect on wellbeing and consultation rate.MethodPatients highlighted as frequent attenders (≥20 GP/nurse practitioner [NP] appointments in past 12 months) were screened for appropriateness of referral to link worker. A social risk tool was applied to select patients most at risk of social isolation. Patients who agreed had a pre- and post-intervention wellness score calculated. Number of appointments pre- and post-intervention were also recorded and matched by month. Post-intervention questionnaires allowed collation of qualitative data analysing patient opinions of the scheme.ResultsThere was an average increase in wellbeing score post-intervention of 0.8/5. The average reduction in appointments for GPs and NPs combined was 5.1 appointment/patient (37% reduction) at 6 months and 12.9 appointments/patient at 1 year (53% reduction).ConclusionThe numbers in this project are small, but it supports the growing evidence that social prescribing can improve patient well-being and sustained reduced demand for GP and NP appointments. It supports the suggestion that computer searches can delineate a high-risk population.

scholarly journals The Happy Campaign: Assessing the Effects of a Community-Wide Intervention on Older Adults Living in Public Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 338-339
Author(s):  
Amy Gourley ◽  
Mignon Montpetit ◽  
LaKeesha James-Smith
Keyword(s):  
Public Housing ◽  
Developmental Psychology ◽  
Community Setting ◽  
Well Being ◽  
Preliminary Evidence ◽  
Future Research ◽  
Social Risk ◽  
Moderate Increase ◽  
Post Intervention ◽  
The Impact

Abstract In the field of developmental psychology, the Stress-and-Coping model (Lazarus & Folkman, 1984) posits that individual differences in biological, psychological, and social risk and protective factors serve to increase or buffer the impact of stressful experiences on psychological well-being later in life. Importantly, research suggests that residents of public housing generally experience more risk factors than elders at large (Rabins, et al. 1996). The present study examines the impact of a programmatic intervention, The Happy Campaign, on individuals living in public housing in a small Midwestern city (aged 51-90 years; Mage= 63.3 years; SDage= 8.6 years). Goals of the Happy Campaign were to improve residents’ coping skills and increase perceived support. Results demonstrated significant improvement in key aspects of well-being post-intervention; these included significant increases in exercise (p = .04), self-reported health (p = .01), as well as decreases in negative affect (p= .008). Data also show a moderate increase in residents’ hope post-intervention (p = .06). Although future research is needed to account for confounding variables that arose in conducting research in this community setting, these data provide preliminary evidence that a broad-based, environmental intervention may offset the myriad risks faced by particularly vulnerable elders, and even augment well-being.

scholarly journals The impact of the Luton social prescribing programme on mental well-being: a quantitative before-and-after study

2019 ◽  
Author(s):  
Julia V Pescheny ◽  
Laura H Gunn ◽  
Yannis Pappas ◽  
Gurch Randhawa
Keyword(s):  
Well Being ◽  
Evidence Base ◽  
Future Research ◽  
Service Users ◽  
Psychosocial Needs ◽  
Post Intervention ◽  
Social Prescribing ◽  
Before And After ◽  
The Impact ◽  
Mental Well Being

Abstract Background Social prescribing programmes expand the range of options available to primary care health professionals to address patients’ psychosocial needs, impacting on their health and well-being. The objective of this study was to assess the change in the mental well-being of service users after participation in the Luton social prescribing programme. Methods Skew-normal (SN) regression was applied to analyse the change in mental well-being post-intervention (N = 63). The short Warwick–Edinburgh mental well-being scale was used as the outcome measure. Results The SN regression found a statistically significant change (P < 0.0001) in the average difference score between baseline and post-intervention measures. However, the observed change does not appear to be of clinical relevance. No significant associations in mental well-being scores by gender, age or working status were found. Conclusion Findings of this study indicate that social prescribing may have the potential to improve the mental well-being of service users. The study findings contribute to the sparse evidence base on social prescribing outcomes by socio-demographic characteristics of participants and highlight the importance of considering subgroup analysis in future research.

scholarly journals Food Insecurity in the United States: Identification, Treatment, and Implications

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 772-773
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Connie Bales ◽  
Julie Locher
Keyword(s):  
United States ◽  
Older Adults ◽  
At Risk ◽  
Food Insecurity ◽  
Well Being ◽  
The United States ◽  
Health Clinic ◽  
High Risk Population ◽  
Geriatric Syndrome ◽  
The Impact

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.

Hunger: A Missed Opportunity for Screening in the Pediatric Emergency Department

2018 ◽  
Vol 57 (11) ◽  
pp. 1318-1325 ◽  
Author(s):  
Tamar Robinson ◽  
Leah Bryan ◽  
Veda Johnson ◽  
Terri McFadden ◽  
Sarah Lazarus ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Emergency Department ◽  
Food Insecurity ◽  
Hospital Staff ◽  
Social Needs ◽  
Social Risk ◽  
Care Hospital ◽  
Social Risk Factors ◽  
Primary Care Hospital

Background. The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED). Methods. Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED’s role in providing social support. Results. Thirty-three of 214 respondents (15.4%) reported food insecurity and are associated with economic risk factors ( P < .0001) and a lack of primary care ( P = .008). Overall, 83.2% of the ED staff believed knowing information about families’ social risk factors would help patient care and 77.6% believed that the ED staff should address families’ social needs. Conclusions. Food insecurity affects a significant portion of ED families across income ranges. Screening for food insecurity in the ED is important given association with lack of primary care. Hospital staff supports screening and intervention.

scholarly journals Household Diversity and the Impacts of COVID-19 on Families in Portugal

2021 ◽  
Vol 6 ◽  
Author(s):  
Rita Gouveia ◽  
Vasco Ramos ◽  
Karin Wall
Keyword(s):  
Online Survey ◽  
Early Stage ◽  
Well Being ◽  
Social Needs ◽  
Family Routines ◽  
Public Authorities ◽  
The Social ◽  
Household Diversity ◽  
Probabilistic Sample ◽  
The Impact

Throughout the world, the COVID-19 pandemic disrupted family routines, relationships, projects and sociability, threatening the health, income, social cohesion, and well-being of individuals and their families. Lockdown restrictions imposed during the first wave of the pandemic challenged the theories, concepts, and methods used by family sociologists and the intersecting fields of gender and social inequality. By restricting physical interactions to co-resident family members, the household regained a privileged role as a crucial social laboratory for studying the impact of COVID-19 on family life. The difficulties encountered by individuals in maintaining and dealing with close relationships across households and geographical borders, in a context in which relational proximity was discouraged by the public authorities, exposed the linked nature of family and personal relationships beyond the limits of co-residence. The main aim of this article is to investigate the social impacts of the pandemic on different types of households during the first lockdown at an early stage of the pandemic in Portugal. Drawing on an online survey applied to a non-probabilistic sample of 11,508 households between 25 and 29 March 2020, the authors combined quantitative and qualitative methods, including bi-variate inferential statistics, cluster analysis and in-depth case studies. The article distinguishes between different household types: solo, couple with and without children, extended, friendship, lone-parent families, and intermittent arrangements, such as shared custody. A cross-tabulation of the quantitative data with open-ended responses was carried out to provide a refined analysis of the household reconfigurations brought about during lockdown. The analysis showed how pre-existing unequal structural living conditions shaped the pathways leading to household reconfiguration as families sought to cope with restrictions on mobility, social distancing norms, and other lockdown measures. The findings stress that, in dealing with a crisis, multilevel welfare interventions need to be considered if governments are to cater to the differentiated social needs and vulnerabilities faced by individuals and families.

CONCEPT OF EMPLOYEES’ WELL-BEING AS A TOOL FOR DEVELOPING SOCIAL GUARANTEES IN RUSSIAN COMPANIES

2020 ◽  
Vol 10 (9) ◽  
pp. 2095-2103
Author(s):  
I.V. Kovalev ◽  
Keyword(s):  
Professional Growth ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Developed Countries ◽  
Social Needs ◽  
Social Programs ◽  
Office Visits ◽  
Human Needs ◽  
Collective Agreements ◽  
The Impact

The article examines the content of the current collective agreements of Russian companies. The features of social guarantees of some enterprises are described; the features associated with their activities, location, form of ownership are specified. An analysis of the differences between social guarantees of enterprises operating in the Russian Federation and in developed countries is carried out. Examples of social support for workers in American and German corporations, their features and the result of the impact of social programs on the productivity of these companies are given. The concept of the concept of employee well-being is revealed, the components of this concept are described. The article provides a general analysis of human well-being, refers to the “theory of the hierarchy of needs” by Abraham Maslow, according to which human needs form a hierarchical system, where each need has its own level of significance. As they are satisfied, they give way to other needs. Five key human needs are formulated: human physiological needs; the need for comfort and safety; social needs; the need for respect; the need for self-knowledge. Only by satisfying the last need, a person will be motivated to increase the productivity of his enterprise. An integral part of the concept of well-being for an employee of foreign companies is consultations by experts in various fields of knowledge, trainings for personal and professional growth, programs for a healthy lifestyle and proper nutrition, a free schedule of office visits, and much more. The article provides positive examples from the implementation of this concept in the social programs of foreign enterprises. In the final part of the article, conclusions are drawn and the results of a study on the occupancy rate of collective agreements in Russian companies are presented.

scholarly journals COVID-19 at the Deep End: A Qualitative Interview Study of Primary Care Staff Working in the Most Deprived Areas of England during the COVID-19 Pandemic

2021 ◽  
Vol 18 (16) ◽  
pp. 8689
Author(s):  
Claire Norman ◽  
Josephine M. Wildman ◽  
Sarah Sowden
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Care Staff ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Social Prescribing ◽  
Qualitative Interview Study ◽  
The Impact ◽  
Primary Care Staff ◽  
Deprived Areas

COVID-19 is disproportionately impacting people in low-income communities. Primary care staff in deprived areas have unique insights into the challenges posed by the pandemic. This study explores the impact of COVID-19 from the perspective of primary care practitioners in the most deprived region of England. Deep End general practices serve communities in the region’s most socioeconomically disadvantaged areas. This study used semi-structured interviews followed by thematic analysis. In total, 15 participants were interviewed (11 General Practitioners (GPs), 2 social prescribing link workers and 2 nurses) with Deep End careers ranging from 3 months to 31 years. Participants were recruited via purposive and snowball sampling. Interviews were conducted using video-conferencing software. Data were analysed using thematic content analysis through a social determinants of health lens. Our results are categorised into four themes: the immediate health risks of COVID-19 on patients and practices; factors likely to exacerbate existing deprivation; the role of social prescribing during COVID-19; wider implications for remote consulting. We add qualitative understanding to existing quantitative data, showing patients from low socioeconomic backgrounds have worse outcomes from COVID-19. Deep End practitioners have valuable insights into the impact of social distancing restrictions and remote consulting on patients’ health and wellbeing. Their experiences should guide future pandemic response measures and any move to “digital first” primary care to ensure that existing inequalities are not worsened.

scholarly journals Assessment of the Impact of Road Transport Change on the Security of the Urban Social Environment

2021 ◽  
Vol 13 (22) ◽  
pp. 12630
Author(s):  
Rolandas Vitkūnas ◽  
Renata Činčikaitė ◽  
Ieva Meidute-Kavaliauskiene
Keyword(s):  
Social Environment ◽  
Social Impact ◽  
Well Being ◽  
Road Transport ◽  
Social Needs ◽  
Urban Transport ◽  
Green Economy ◽  
Transport Sector ◽  
The Social ◽  
The Impact

In the context of accelerating urbanisation, cities must ensure a viable economy, social well-being, and a healthy environment. Transport is one of the key conditions for economic development and meeting the needs of countries, regions, and cities. However, transport must meet not only the physiological but also the social needs of society, one of which is environmental security. Urban transport accounts for around 40% of CO2 emissions and 70% of other pollutants from road transport. Thus, one of the most difficult issues for any city to address when building bypasses is the growing number of cars in the city, traffic congestion, and the reduction of all greenhouse gas emissions. The documents adopted in July 2020 aim to revitalise the EU’s economy by moving towards a green economy and sustainability. In addition to the systematic and comparative analysis of concepts published in the scientific literature, the article also presents an analysis of the concepts of the sustainable city and sustainable transport, as well as a study of the social impact of bypasses and the assessment of the security of the social environment in the Baltic capitals. The aim of the article is to assess the impact of the growing number of vehicles on the security of the city’s social environment. Research results show that the number of pollutants and a direct dependence between the number of pollutants and the driving speed were established. Therefore, it needs to make investments in the transport sector: improving roads, the construction of bypasses, and the technical parameters of purchased cars.

scholarly journals The effects of Enhanced Primary Healthcare interventions on primary care providers job satisfaction

2019 ◽  
Author(s):  
Wen Jun Wong ◽  
Aisyah Mohd Norzi ◽  
Swee Hung Ang ◽  
Chee Lee Chan ◽  
Faeiz Syezri Adzmin Jaafar ◽  
...  
Keyword(s):  
Primary Care ◽  
Job Satisfaction ◽  
Primary Healthcare ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Intervention Group ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers ◽  
Post Intervention

Abstract Background In response to address the rising burden of cardiovascular risk factors, Malaysian government has implemented Enhanced Primary Healthcare (EnPHC) interventions in July 2017 at public clinics level. Healthcare providers (HCPs) play crucial roles in healthcare service delivery and health system reform can influence HCPs’ job satisfaction. However, studies evaluating HCPs’ job satisfaction following primary care transformation remain scarce in low- and middle-income countries. This study aims to evaluate the effects of EnPHC interventions on HCPs. Methods This is a quasi-experimental study conducted in 20 intervention and 20 matched control clinics. We surveyed all healthcare providers who were directly involved in patient management. A self-administered questionnaire which included six questions on job satisfaction were distributed at baseline (April and May 2017) and post-intervention (March and April 2019). Difference-in-differences analysis was used in the multivariable linear regression model in which we adjusted for providers and clinics characteristics to detect the changes in job satisfaction following EnPHC interventions. Results A total of 1042 and 1215 HCPs responded at baseline and post-intervention respectively. At post-intervention, the intervention group reported higher level of stress and change in score between two groups was -0.14 (β= -0.139; 95% CI -0.266,-0.012; p =0.032). In subgroup analysis, nurses from intervention group experienced increase in work stress following EnPHC interventions (β= -0.223; 95% CI -0.419,-0.026; p =0.026). Additionally, the same group also responded that they were less likely to perceive their profession as well-respected at post-intervention (β= -0.175; 95% CI -0.331,-0.019; p =0.027). Conversely, allied health professionals from intervention group were more likely to report a good balance between work and effort (β= 0.386; 95% CI 0.033,0.738; p =0.032) after implementing EnPHC interventions. Conclusions Our findings suggest that EnPHC interventions had resulted in some untoward effect on HCPs’ job satisfaction. Job dissatisfaction can have detrimental effects on the organisation and healthcare system. Therefore, provider experience and well-being should be considered before introducing healthcare delivery reforms to avoid overburdening of HCPs.

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