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Assessment of patients’ profiles and factors associated with uptake in social prescribing in Portugal
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Orientador(es)
Resumo(s)
Noncommunicable diseases (NCDs) are shaped by modifiable and nonmodifiable factors. Addressing them requires multisectoral strategies that complement clinical care. Social prescribing (SP) enables health professionals to identify health needs that might benefit from community supports and refer patients to services that promote well-being. This study examined the characteristics of patients referred to an SP programme in Lisbon, Portugal, and factors associated with uptake. We conducted a cross-sectional study including all referrals to two Family Health Units from September 2018 to December 2022, using referral forms and electronic health records. Logistic regression was applied to identify factors linked to uptake, defined as attending at least one SP appointment. Of 1022 referrals, 55.1% resulted in uptake. Compared with patients aged 0–25 years, uptake was more likely among those aged 51–75 years (OR 1.65; 95% CI 0.99–2.75) and those aged > 75 years (OR 2.21; 95% CI 1.42–3.46). Referrals for social or financial reasons (vs. no referred for this reason) (OR 1.47; 95% CI 1.12–1.92), having one chronic disease (OR 1.67; 95% CI 1.13–2.48) or two to three chronic diseases (OR 1.55; 95% CI 1.05–2.29) (vs. no chronic condition), and referrals during the COVID-19 period (vs. prepandemic) (OR 1.47; 95% CI 1.12–1.93) were also associated with uptake. Identifying which patients are more likely to engage can inform targeted outreach to improve participation and ensure the sustainability of SP initiatives.
Descrição
Funding Information: The present publication was funded by Funda\u00E7\u00E3o Ci\u00EAncia e Tecnologia, IP national support through CHRC (UIDP/04923/2020) and NOVA National School of Public Health\u2014NOVA University of Lisbon. The first author was supported by a PhD research Grant (FCT PhD Research Studentships 2020.09556.BD) from Funda\u00E7\u00E3o para a Ci\u00EAncia e a Tecnologia, Portugal. A.G. was supported by FCT\u2014Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia, I.P. by project reference CEECINST/00042/2021/CP1773/CT0001 and DOI identifier 10.54499/CEECINST/00042/2021/CP1773/CT0001. This study is part of a larger research project cofunded by Lisbon City Council, Portugal. We sincerely thank all the health professionals and social workers in the FHU project for their collaboration in data collection for this study. Funding Information: The present publication was funded by Funda\u00E7\u00E3o Ci\u00EAncia e Tecnologia, IP national support through CHRC (UIDP/04923/2020) and NOVA National School of Public Health\u2014NOVA University of Lisbon. The first author was supported by a PhD research Grant (FCT PhD Research Studentships 2020.09556.BD) from Funda\u00E7\u00E3o para a Ci\u00EAncia e a Tecnologia, Portugal. A.G. was supported by FCT\u2014Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia, I.P. by project reference CEECINST/00042/2021/CP1773/CT0001 and DOI identifier 10.54499/CEECINST/00042/2021/CP1773/CT0001. This study is part of a larger research project cofunded by Lisbon City Council, Portugal. Publisher Copyright: Copyright © 2025 Louíse Viecili Hoffmeister et al. Health & Social Care in the Community published by John Wiley & Sons Ltd.
Palavras-chave
binary regression noncommunicable diseases patient uptake social prescribing Social Sciences (miscellaneous) Sociology and Political Science Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being