Evidence map›Paper›PMID 40375144›Full record

ArticleBMC primary care2025

How to improve support for people with (complex) multiple-problems through social prescribing in a vulnerable neighborhood; professionals', experts-by-experience' and clients' perspectives.

C Bos, S Vader, N van Vooren, K Jerković-Ćosić, B Keij

Abstract read
In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

C BosNational Institute for Public Health and the Environment (RIVM), Centre for Public Health, Healthcare and Society, Department of Population Health & Health Services Research, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands. cheryl.bos@hu.nl.
S VaderNational Institute for Public Health and the Environment (RIVM), Centre for Public Health, Healthcare and Society, Department of Population Health & Health Services Research, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands.
N van VoorenNational Institute for Public Health and the Environment (RIVM), Centre for Public Health, Healthcare and Society, Department of Population Health & Health Services Research, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands.
K Jerković-ĆosićResearch Group Innovation in Preventive Healthcare, HU University of Applied Sciences Utrecht, Heidelberglaan 7, Utrecht, 3584 CS, The Netherlands.
B KeijNational Institute for Public Health and the Environment (RIVM), Centre for Public Health, Healthcare and Society, Department of Population Health & Health Services Research, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComparative analysis of literature on social prescribing implementation suggests that strategies for implementing social prescribing for people with (complex) multiple-problems may differ significantly from those for people with mild-psychosocial issues. Similar findings have been observed in the Netherlands, where a SP program has been developed in 2018. This study examines the perspectives of health and care professionals, experts-by-experience, and clients regarding the design and implementation of social prescribing in vulnerable neighborhoods in order to better support people with (complex) multiple-problems.

methodsThis study includes the first steps of the participatory action research methodology. During the research, 26 semi-structured interviews and observations were applied to gain insight among professionals, experts-by-experience and clients.

resultsThe findings indicate that support for people with (complex) multiple-problems requires more than a referral to already existing activities and services. Experts-by-experience and clients highlighted the necessity for a tailored based approach that considers clients' unique circumstances, e.g. the clients' living environment, particularly for those with (complex) multiple-problems and having a multicultural backgrounds. While all participants recognized the importance of addressing wider health needs, they also identified several challenges in doing so. Key themes for improving the support for individuals with (complex)multiple-problems are related to fragmentation due to insufficient collaboration, and to how wider health needs can best be addressed and by whom.

conclusionWhile there is a clear willingness to enhance support for people with multiple-problems, findings reveal significant challenges faced by all parties involved. A key issue identified is the mismatch between what clients need and what professionals are able to provide. Ultimately, a tailored approach is essential for effectively addressing the complex and wider health needs of both individuals and populations, in order to improve their overall health and well-being outcomes. This approach may be feasible by providing clients with (complex) multiple-problem with a single case manager as first point of entry.

Indexed as

Social SupportVulnerable PopulationsAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedNetherlandsQualitative ResearchResidence CharacteristicsSocial PrescribingAddressing wider health needsIntegrated careParticipatory action researchPerson-centred careSocial prescribing, implementation, multiple (complex) problems

Identifiers

PMID40375144
PMCPMC12080036

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.