Monday , January 25 2021

In medicine, the & # 39; Social suggestion & # 39; Despite the lack of evidence, it is also catching

There was a time when the medical strategy of social observation was seen as people's curiosity, in which a doctor fills a drug prescription form with a written order to come out from the outside, maybe a little bit in the garden or invites a friend to tea. .

It makes sense. These activities are associated with improved health, and for some, chasing them can ease their difficulties and reduce pressure on the heavily cumbersome family doctors.

Now, the main stream of gimmys has gone. The British health system, where the strategy started, recently adopted it as a major government policy, and in the past year there has been a lot of increase in social suggestion in Canada.

This study is to suggest medical neuro-medical treatment to improve health issues such as social determinants, loneliness, depression and poverty. Common examples of recommendations include exercising, social interaction, walking, gardening, cooking in groups, or artistic hobbies like painting or weaving.

From November, for example, Quebec doctors have been able to visit the Montreal Museum of Fine Arts.

The Royal Ontario Museum in Toronto is scheduled to launch a pilot program in January, which offers free admission with prescriptions from social workers, healthcare or community professionals.

This strategy is conceptually seen as being rationally and confidently, especially for older people and so-called concerned wells. Less severe illnesses such as mild depression and some digestive and metabolic problems are known to provide good feedback for exercise, for example. Social isolation is also a powerful determinant of health.

However, there is no strong evidence of the effectiveness of the social suggestion, as partly the studies are small, extraordinary, qualitative and badly designed. Some studies have not shown any effect. But, some have seen an improvement in self-confidence, weight loss, emotional well-being and other factors affecting health.

Health researcher Janet Brandingling, based in Bristol, England's West University, described uncertainty in the British Journal of General Practice. "Is it yet another unhealthy role to apply (general practitioners) or society away from hospitalization on a welcome path?"

Health care funds have adopted the strategy even before the widespread adoption. In Britain, a large number of monitoring systems were recently launched to look into the effects of social remedies in blood chemistry or weight, and social-related steps.

The British Prime Minister Theresa May called this "loneliness policy" and "one of the first steps in the national goal of ending loneliness in our lifetime". Similarly, Health Secretary Matt Hancock supported a strong increase in social certainty. The way to put pressure on the heavy public health service of the Indians, a social suggestion could "be better for patients than the medicines so far."

In September, London Mayor Sadiq Khan included a social suggestion as part of a strategy that would help doctors deal with one of the five patient visits for non-medical problems.

In Ontario, the Alliance for Healthier Communities, a network of Community Health Centers, recently launched a program to measure the use and effectiveness of social suggestion strategies.

In a statement to the Policy and Communications Director of Alliance for Healthier Communities, Kate Mulligan said, "People can be their best tool for their health and well-being when they are connected with each other and with the right services." "Social suggestion Our lenses are changed by looking at patients with terms, understanding people with gifting."

A science review published on the social suggestion by branding has found that almost all patients had a history of mental health problems and were "frequent attendants" in the doctors' offices. Many had chronic conditions, such as irritable bowel syndrome, fibromyalgia or chronic fatigue. Most were female, and a common thread was a limited benefit from medical intervention.

Social certainty in the UK's study of the UK Medical Journal "BMJ Open" in 2017 "Emotional emotions of control and confidence, social isolation was reduced and a positive impact on health-related behaviors, including weight loss, healthy eating and increasing physical activity. Was found. " BMJ's review carried out 15 other surveys and most were small, poorly crafted, most prejudice risks, lack of restrictions, and short on follow-up. However, this article acknowledged: "Despite clear systemic shortcomings, most evaluations have yielded positive results."

UK University's reviews and other UK-centric studies of broadcasting have not gotten any distinction from exercise referral schemes compared to normal care, but did not worry despite a significant reduction in mild depression.

Ryan Misori, professor of family medicine at Georgetown University School of Medicine, wrote in Washington Post that "many trends begin with great, good intentions." "Before we begin to bring change, we need to ensure that there are resources, there is evidence of benefits, and we, like doctors, are well trained to enforce change without any loss."

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