Call to embed social prescribing into entire patient journey

Social determinants of health should be embedded into the entire patient journey from initial registration throughout ongoing care, the RACGP has said.


It called for this to be done through embedding social prescribing into medical software systems and integrating validated tools into practice workflows.

Australia is facing a growing loneliness epidemic with around one in three adults and two in five young people affected by social isolation.

The health impact of loneliness is worse than smoking 15 cigarettes a day and it is now recognised as an independent risk factor for many chronic, noncommunicable diseases.

It is linked to an estimated 870,000 deaths globally each year.

Social determinants of health include:

  • social inclusion, isolation and loneliness
  • financial, housing and transport security
  • food security and safety at home
  • family and relationship supports
  • employment, education and work status
  • stress levels and physical activity.

These can account for 30-55% of health outcomes.

RELATED: Social prescribing โ€“ a new way to treat loneliness

Dr Kuljit Singh, Chair of RACGP Specific Interests Social Prescribing, said and GPs are best placed to address issues relating to loneliness and social isolation.

โ€œGPs donโ€™t just treat disease, we care for people within the context of their lives,โ€ she said. 

โ€œLoneliness, isolation, financial stress and lack of community connection all have profound impacts on physical and mental health. Social prescribing helps address these issues by recognising community connection as part of the treatment.

โ€œGeneral practice canโ€™t respond to unmet social need if we donโ€™t routinely identify it.โ€

Validated tools such as the UCLA Loneliness Scale could be integrated into everyday practice workflows, enabling GPs to better understand patientsโ€™ lived circumstances and deliver care that reflects what matters to them, the Collage said.

Recognising community connection as healthcare is a critical step, Dr Singh said. 

โ€œActivities involving movement, nature, arts, culture, education and heritage are not extras, they are evidence-based interventions.

โ€œSocial prescribing is not a โ€˜nice to haveโ€™, it is a must have if we are to curb the rise of chronic physical, mental and social illness affecting Australians and our communities.โ€


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