Social Prescribing in Portugal: A Call to Action to Address Social and Behavioral Determinants, Boost Health Promotion and Strengthen the Sustainability of the National Health Service

葡萄牙的社会处方:呼吁采取行动,解决社会和行为决定因素,促进健康,并加强国家卫生服务的可持续性

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Abstract

BACKGROUND: Social Prescribing (SP) has gained global momentum as a promising approach of person-centered, integrated care embedded in multisectoral action. By expanding the focus from disease treatment to prevention and health promotion, SP aligns with a broader public health paradigm that emphasizes the addressing of social and behavioral determinants of health to improve health and well-being. OBJECTIVES: This brief report introduces the emergence of SP, describes the implementation of SP initiatives in Portugal, and highlights the potential for SP expansion as a strategy to enhance population health and strengthen the sustainability of the National Health Service (NHS). METHOD: This brief report draws on a review of international SP developments alongside emerging initiatives in Portugal to map the landscape of SP in the country and identify key enablers and barriers to its implementation. RESULTS: There has been a growing interest in SP in Portugal, with pilot projects emerging across regions. The academia has played a central role in providing technical-scientific support to the design, implementation, monitoring, and evaluation of these initiatives, fostering interdisciplinary collaboration and evidence-based practice. However, challenges remain in increasing awareness around SP, boosting intersectoral collaboration, securing resources, and strengthening systematic data collection for monitoring and evaluation. CONCLUSION: SP represents a timely and promising innovation for advancing person-centered integrated care and health promotion, with potential to contribute to healthy, resilient, equitable, and sustainable communities.

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