IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v343y2024ics0277953624000455.html
   My bibliography  Save this article

What does social prescribing look like in practice? A qualitative case study informed by practice theory

Author

Listed:
  • Calderón-Larrañaga, Sara
  • Greenhalgh, Trish
  • Finer, Sarah
  • Clinch, Megan

Abstract

Social prescribing (SP) typically involves linking patients in primary care with a range of local, community-based, non-clinical services. While there is a growing body of literature investigating the effectiveness of SP in improving healthcare outcomes, questions remain about how such outcomes are achieved within the everyday complexity of community health systems. This qualitative case study, informed by practice theory, aimed to investigate how SP practices relevant to people at high risk of type 2 diabetes (T2D) were enacted in a primary care and community setting serving a multi-ethnic, socioeconomically deprived population. We collected different types of qualitative data, including 35 semi-structured interviews with primary care clinicians, link workers and SP organisations; 30 hours of ethnographic observations of community-based SP activities and meetings; and relevant documents. Data analysis drew on theories of social practice, including Feldman's (2000) notion of the organisational routine, which emphasises the creative and emergent nature of routines in practice. We identified different, overlapping ways of practising SP: from highly creative, reflective and adaptive (‘I do what it takes’), to more constrained (‘I do what I can’) or compliant (‘I do as I'm told’) approaches. Different types of practices were in tension and showed varying degrees of potential to support patients at high risk of T2D. Opportunities to adapt, try, negotiate, and ultimately reinvent SP to suit patients' own needs facilitated successful SP adoption and implementation, but required specific individual, relational, organisational, and institutional resources and conditions.

Suggested Citation

  • Calderón-Larrañaga, Sara & Greenhalgh, Trish & Finer, Sarah & Clinch, Megan, 2024. "What does social prescribing look like in practice? A qualitative case study informed by practice theory," Social Science & Medicine, Elsevier, vol. 343(C).
    • Handle: RePEc:eee:socmed:v:343:y:2024:i:c:s0277953624000455
    DOI: 10.1016/j.socscimed.2024.116601
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624000455
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2024.116601?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Martha S. Feldman & Wanda J. Orlikowski, 2011. "Theorizing Practice and Practicing Theory," Organization Science, INFORMS, vol. 22(5), pages 1240-1253, October.
    2. John Seely Brown & Paul Duguid, 2001. "Knowledge and Organization: A Social-Practice Perspective," Organization Science, INFORMS, vol. 12(2), pages 198-213, April.
    3. Greenhalgh, Trisha & Robert, Glenn & Macfarlane, Fraser & Bate, Paul & Kyriakidou, Olympia & Peacock, Richard, 2005. "Storylines of research in diffusion of innovation: a meta-narrative approach to systematic review," Social Science & Medicine, Elsevier, vol. 61(2), pages 417-430, July.
    4. Racko, Girts, 2017. "Bureaucratization and medical professionals’ values: A cross-national analysis," Social Science & Medicine, Elsevier, vol. 180(C), pages 76-84.
    5. Martha S. Feldman, 2003. "A performative perspective on stability and change in organizational routines," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 12(4), pages 727-752, August.
    6. Markus C. Becker, 2004. "Organizational routines: a review of the literature," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 13(4), pages 643-678, August.
    7. Ikujiro Nonaka, 1994. "A Dynamic Theory of Organizational Knowledge Creation," Organization Science, INFORMS, vol. 5(1), pages 14-37, February.
    8. Gale, Nicola K. & Kenyon, Sara & MacArthur, Christine & Jolly, Kate & Hope, Lucy, 2018. "Synthetic social support: Theorizing lay health worker interventions," Social Science & Medicine, Elsevier, vol. 196(C), pages 96-105.
    9. Martha S. Feldman, 2000. "Organizational Routines as a Source of Continuous Change," Organization Science, INFORMS, vol. 11(6), pages 611-629, December.
    10. Brian T. Pentland & Martha S. Feldman, 2005. "Organizational routines as a unit of analysis," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 14(5), pages 793-815, October.
    11. Potthoff, Sebastian & Kwasnicka, Dominika & Avery, Leah & Finch, Tracy & Gardner, Benjamin & Hankonen, Nelli & Johnston, Derek & Johnston, Marie & Kok, Gerjo & Lally, Phillippa & Maniatopoulos, Gregor, 2022. "Changing healthcare professionals' non-reflective processes to improve the quality of care," Social Science & Medicine, Elsevier, vol. 298(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Giada Baldessarelli & Nathalie Lazaric & Michele Pezzoni, 2022. "Organizational routines: Evolution in the research landscape of two core communities," Post-Print halshs-03718851, HAL.
    2. Rouslan Koumakhov & Adel Daoud, 2017. "Routine and reflexivity: Simonian cognitivism vs practice approach," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 26(4), pages 727-743.
    3. Paul Spee & Paula Jarzabkowski & Michael Smets, 2016. "The Influence of Routine Interdependence and Skillful Accomplishment on the Coordination of Standardizing and Customizing," Organization Science, INFORMS, vol. 27(3), pages 759-781, June.
    4. Giada Baldessarelli & Nathalie Lazaric & Michele Pezzoni, 2022. "Organizational routines: Evolution in the research landscape of two core communities," Journal of Evolutionary Economics, Springer, vol. 32(4), pages 1119-1154, September.
    5. Gilstrap, J. Bruce & Hart, Timothy A., 2020. "How employee behaviors effect organizational change and stability," Journal of Business Research, Elsevier, vol. 109(C), pages 120-131.
    6. Luciana D’Adderio, 2014. "The Replication Dilemma Unravelled: How Organizations Enact Multiple Goals in Routine Transfer," Organization Science, INFORMS, vol. 25(5), pages 1325-1350, October.
    7. Scott Sonenshein, 2016. "Routines and Creativity: From Dualism to Duality," Organization Science, INFORMS, vol. 27(3), pages 739-758, June.
    8. Scott F. Turner & Violina Rindova, 2012. "A Balancing Act: How Organizations Pursue Consistency in Routine Functioning in the Face of Ongoing Change," Organization Science, INFORMS, vol. 23(1), pages 24-46, February.
    9. Martha S. Feldman & Brian T. Pentland & Luciana D’Adderio & Nathalie Lazaric, 2016. "Beyond Routines as Things: Introduction to the Special Issue on Routine Dynamics," Organization Science, INFORMS, vol. 27(3), pages 505-513, June.
    10. McLaren, Josie & Appleyard, Tony & Mitchell, Falconer, 2016. "The rise and fall of management accounting systems: A case study investigation of EVA™," The British Accounting Review, Elsevier, vol. 48(3), pages 341-358.
    11. Arie Y. Lewin & Silvia Massini & Carine Peeters, 2011. "Microfoundations of Internal and External Absorptive Capacity Routines," Organization Science, INFORMS, vol. 22(1), pages 81-98, February.
    12. Roberto Grandinetti, 2022. "A Routine-Based Theory of Routine Replication," Sustainability, MDPI, vol. 14(14), pages 1-23, July.
    13. Anja Danner-Schröder & Daniel Geiger, 2016. "Unravelling the Motor of Patterning Work: Toward an Understanding of the Microlevel Dynamics of Standardization and Flexibility," Organization Science, INFORMS, vol. 27(3), pages 633-658, June.
    14. Paula A. Jarzabkowski & Jane K. Lê & Martha S. Feldman, 2012. "Toward a Theory of Coordinating: Creating Coordinating Mechanisms in Practice," Organization Science, INFORMS, vol. 23(4), pages 907-927, August.
    15. Rodrigo Canales, 2011. "Rule bending, sociological citizenship, and organizational contestation in microfinance," Regulation & Governance, John Wiley & Sons, vol. 5(1), pages 90-117, March.
    16. Dutta, Dev K. & Malhotra, Shavin & Zhu, PengCheng, 2016. "Internationalization process, impact of slack resources, and role of the CEO: The duality of structure and agency in evolution of cross-border acquisition decisions," Journal of World Business, Elsevier, vol. 51(2), pages 212-225.
    17. Jeremy Aroles & Christine McLean, 2016. "Rethinking Stability and Change in the Study of Organizational Routines: Difference and Repetition in a Newspaper-Printing Factory," Organization Science, INFORMS, vol. 27(3), pages 535-550, June.
    18. Katharina Dittrich & Stéphane Guérard & David Seidl, 2016. "Talking About Routines: The Role of Reflective Talk in Routine Change," Organization Science, INFORMS, vol. 27(3), pages 678-697, June.
    19. Philip Stiles & Jonathan Trevor & Elaine Farndale & Shad S. Morris & Jaap Paauwe & Guenter Stahl & Patrick Wright, 2015. "Changing Routine: Reframing Performance Management within a Multinational," Journal of Management Studies, Wiley Blackwell, vol. 52(1), pages 63-88, January.
    20. Kathrin Sele & Simon Grand, 2016. "Unpacking the Dynamics of Ecologies of Routines: Mediators and Their Generative Effects in Routine Interactions," Organization Science, INFORMS, vol. 27(3), pages 722-738, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:343:y:2024:i:c:s0277953624000455. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.