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Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing

Scott Watkins Orcid Logo, Julie Barnett Orcid Logo, Estelle Corbett Orcid Logo, Ruth Barden, Barbara Kasperzyk-Hordern Orcid Logo, Becki Hafner Orcid Logo

Health & Social Care in the Community, Volume: 2024, Issue: 1

Swansea University Author: Becki Hafner Orcid Logo

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DOI (Published version): 10.1155/hsc/7964343

Abstract

General practitioners (GPs) face complex decisions when choosing between prescribing medication or referring patients to social prescriptions. Increasing awareness of overprescribing and the risks of polypharmacy are a key driver of patient-centred preventative approaches to healthcare. One such app...

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Published in: Health & Social Care in the Community
ISSN: 0966-0410 1365-2524
Published: Wiley 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68432
first_indexed 2024-12-03T13:48:30Z
last_indexed 2025-01-31T20:26:42Z
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spelling 2025-01-31T15:38:56.2297808 v2 68432 2024-12-03 Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing a21042aec21e3f06d929a6a3a55f3cc0 0000-0002-7090-5150 Becki Hafner Becki Hafner true false 2024-12-03 PSYS General practitioners (GPs) face complex decisions when choosing between prescribing medication or referring patients to social prescriptions. Increasing awareness of overprescribing and the risks of polypharmacy are a key driver of patient-centred preventative approaches to healthcare. One such approach, increasingly common in the United Kingdom, is social prescribing (SP). GPs have a central role in prescribing medication or referring to a social prescription. Following a thematic analysis of data from interviews with 12 GPs, this study used the concept of mindlines to frame a consideration of their reasoning about the appropriateness of social prescriptions as adjuncts to or alternatives for medical prescriptions. We identified seven considerations that shaped their decision-making process. These factors spanned the patient’s socioeconomic circumstances, the severity of their symptoms and their expectations. Additionally, GPs factored in their time constraints, the extent to which medical options had been exhausted, and finally issues related to the SP system itself—specifically, the integration of SP workflows in GP practices and resource constraints. SP is, in theory at least, a part of the healthcare system that offers the possibility of improved health both for people and the environment. Our consideration of the role of the GP in this suggests that the challenges for design and evaluation of SP interventions that result in a reduction in medical prescriptions are considerable. Journal Article Health &amp; Social Care in the Community 2024 1 Wiley 0966-0410 1365-2524 30 11 2024 2024-11-30 10.1155/hsc/7964343 COLLEGE NANME Psychology School COLLEGE CODE PSYS Swansea University Another institution paid the OA fee Tis work was supported by the University of Bath EPSRC Impact Acceleration Account and Wessex Water Services Ltd (Project nos.: EP/EP/K503897/1 and EP/R51164X/1). 2025-01-31T15:38:56.2297808 2024-12-03T09:05:06.9603008 Faculty of Medicine, Health and Life Sciences School of Psychology Scott Watkins 0000-0002-4725-3457 1 Julie Barnett 0000-0001-5740-0863 2 Estelle Corbett 0000-0003-2197-005x 3 Ruth Barden 4 Barbara Kasperzyk-Hordern 0000-0002-6809-2875 5 Becki Hafner 0000-0002-7090-5150 6 68432__33472__755cf1b24c254dd298b30907b4a3f16a.pdf 68432.VoR.pdf 2025-01-31T15:37:02.3170346 Output 464771 application/pdf Version of Record true Copyright © 2024 Scott Watkins et al. This is an open access article distributed under the Creative Commons Attribution License. true eng https://creativecommons.org/licenses/by/4.0/
title Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
spellingShingle Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
Becki Hafner
title_short Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
title_full Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
title_fullStr Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
title_full_unstemmed Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
title_sort Prescribing Paradigms: Understanding General Practitioner Inclinations Towards Medical and Social Prescribing
author_id_str_mv a21042aec21e3f06d929a6a3a55f3cc0
author_id_fullname_str_mv a21042aec21e3f06d929a6a3a55f3cc0_***_Becki Hafner
author Becki Hafner
author2 Scott Watkins
Julie Barnett
Estelle Corbett
Ruth Barden
Barbara Kasperzyk-Hordern
Becki Hafner
format Journal article
container_title Health &amp; Social Care in the Community
container_volume 2024
container_issue 1
publishDate 2024
institution Swansea University
issn 0966-0410
1365-2524
doi_str_mv 10.1155/hsc/7964343
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
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description General practitioners (GPs) face complex decisions when choosing between prescribing medication or referring patients to social prescriptions. Increasing awareness of overprescribing and the risks of polypharmacy are a key driver of patient-centred preventative approaches to healthcare. One such approach, increasingly common in the United Kingdom, is social prescribing (SP). GPs have a central role in prescribing medication or referring to a social prescription. Following a thematic analysis of data from interviews with 12 GPs, this study used the concept of mindlines to frame a consideration of their reasoning about the appropriateness of social prescriptions as adjuncts to or alternatives for medical prescriptions. We identified seven considerations that shaped their decision-making process. These factors spanned the patient’s socioeconomic circumstances, the severity of their symptoms and their expectations. Additionally, GPs factored in their time constraints, the extent to which medical options had been exhausted, and finally issues related to the SP system itself—specifically, the integration of SP workflows in GP practices and resource constraints. SP is, in theory at least, a part of the healthcare system that offers the possibility of improved health both for people and the environment. Our consideration of the role of the GP in this suggests that the challenges for design and evaluation of SP interventions that result in a reduction in medical prescriptions are considerable.
published_date 2024-11-30T11:24:37Z
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