Health benefits of primary care social work for adults with complex health and social needs: a systematic review

Jules McGregor*, Stewart W. Mercer, Fiona M. Harris

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

39 Citations (Scopus)

Abstract

The prevalence of complex health and social needs in primary care patients is growing. Furthermore, recent research suggests that the impact of psychosocial distress on the significantly poorer health outcomes in this population may have been underestimated. The potential of social work in primary care settings has been extensively discussed in both health and social work literature and there is evidence that social work interventions in other settings are particularly effective in addressing psychosocial needs. However, the evidence base for specific improved health outcomes related to primary care social work is minimal. This review aimed to identify and synthesise the available evidence on the health benefits of social work interventions in primary care settings. Nine electronic databases were searched from 1990 to 2015 and seven primary research studies were retrieved. Due to the heterogeneity of studies, a narrative synthesis was conducted. Although there is no definitive evidence for effectiveness, results suggest a promising role for primary care social work interventions in improving health outcomes. These include subjective health measures and self-management of long-term conditions, reducing psychosocial morbidity and barriers to treatment and health maintenance. Although few rigorous study designs were found, the contextual detail and clinical settings of studies provide evidence of the practice applicability of social work intervention. Emerging policy on the integration of health and social care may provide an opportunity to develop this model of care.

Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalHealth and Social Care in the Community
Volume26
Issue number1
Early online date5 Apr 2016
DOIs
Publication statusPublished - 18 Dec 2017
Externally publishedYes

Keywords

  • chronic health problems
  • co-morbidity
  • health-related social work
  • primary healthcare
  • psychosocial interventions

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