ArticleBMJ open2020
Effects of participating in community assets on quality of life and costs of care: longitudinal cohort study of older people in England.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Is social prescribing feasible in Türkiye? Young family doctors' perspectives: a focus group study.BMC primary care · 2026Article
- Coverage and quality of patient participation groups: a mixed-methods analysis of Care Quality Commission reports.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Acceptability of a social prescribing program (REDE D+) for self-care and health literacy among people with type 2 diabetes mellitus-a qualitative study.Frontiers in public health · 2026Article
- Evaluating the Role of Food Security in the Context of Quality of Life in Underserved Communities: The ISAC Approach.Nutrients · 2025Article
- Social prescribing for people living with long-term health conditions: a scoping review.Systematic reviews · 2025Article
- Knowledge, attitudes, and practice of primary care professionals regarding community activities: a descriptive study.Family practice · 2025Article
- Bridging health and society: Transforming Canadian health care through social prescribing.Canadian family physician Medecin de famille canadien · 2025Article
- Article
- Estimating the heterogeneous health and well-being returns to social participation.Health economics · 2023Article
- The social capital penalty paid by teetotallers.SSM - population health · 2023Article
- Predictors of social participation: evidence from repeated cross-sectional population surveys in England.Journal of public health (Oxford, England) · 2023Article
- Impact of COVID-19 on social prescribing across an Integrated Care System: A Researcher in Residence study.Health & social care in the community · 2022Article
- Observational
- Understanding the implementation of interventions to improve the management of frailty in primary care: a rapid realist review.BMJ open · 2022Review
- The challenges of integrating signposting into general practice: qualitative stakeholder perspectives on care navigation and social prescribing in primary care.BMC primary care · 2022Article
- Complements or substitutes? Associations between volumes of care provided in the community and hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Clinicians' and patients' experiences of managing heart failure during the COVID-19 pandemic: a qualitative study.BJGP open · 2021Article
- Community Activities in Primary Care: A Literature Review.Journal of primary care & community healthReview
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesImproving outcomes for older people with long-term conditions and multimorbidity is a priority. Current policy commits to substantial expansion of social prescribing to community assets, such as charity, voluntary or community groups. We use longitudinal data to add to the limited evidence on whether this is associated with better quality of life or lower costs of care.
designProspective 18-month cohort survey of self-reported participation in community assets and quality of life linked to administrative care records. Effects of starting and stopping participation estimated using double-robust estimation.
settingParticipation in community asset facilities. Costs of primary and secondary care.
participants4377 older people with long-term conditions.
interventionParticipation in community assets. PRIMARY AND SECONDARY OUTCOME MEASURES: Quality-adjusted life years (QALYs), healthcare costs and social value estimated using net benefits.
resultsStarting to participate in community assets was associated with a 0.017 (95% CI 0.002 to 0.032) gain in QALYs after 6 months, 0.030 (95% CI 0.005 to 0.054) after 12 months and 0.056 (95% CI 0.017 to 0.094) after 18 months. Cumulative effects on care costs were negative in each time period: £-96 (95% CI £-512 to £321) at 6 months; £-283 (95% CI £-926 to £359) at 12 months; and £-453 (95% CI £-1366 to £461) at 18 months. The net benefit of starting to participate was £1956 (95% CI £209 to £3703) per participant at 18 months. Stopping participation was associated with larger negative impacts of -0.102 (95% CI -0.173 to -0.031) QALYs and £1335.33 (95% CI £112.85 to £2557.81) higher costs after 18 months.
conclusionsParticipation in community assets by older people with long-term conditions is associated with improved quality of life and reduced costs of care. Sustaining that participation is important because there are considerable health changes associated with stopping. The results support the inclusion of community assets as part of an integrated care model for older patients.
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