extract: 2026-01-01-frontiers-social-prescribing-health-economics-systematic-review

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domain: health
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tags: [social-prescribing, health-economics, cost-effectiveness, evidence-quality, international-health-systems]
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---
## Content
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## Curator Notes
PRIMARY CONNECTION: social isolation costs Medicare 7 billion annually and carries mortality risk equivalent to smoking 15 cigarettes per day making loneliness a clinical condition not a personal problem
WHY ARCHIVED: Provides the economic evidence (or lack thereof) for social prescribing, the most scaled non-clinical health intervention globally. The SROI/financial ROI divergence is a key finding for understanding which behavioral health interventions can scale under healthcare payment models.
## Key Facts
- Social prescribing systematic review included 18 studies: 5 RCTs, 1 quasi-experimental, 12 mixed-methods
- Geographic coverage: England, Wales, Ireland, Europe, Australia, New Zealand, Canada, USA
- Intervention types: exercise/loneliness prevention (n=10), coaching (n=3), nature-based (n=3), dance/movement (n=2)
- SROI ratios ranged from £1.17 to £7.08 per £1 invested
- Financial ROI ranged from 0.11 to 0.43 per £1 invested
- 28% average reduction in GP demand (range: 2-70%)
- 24% average reduction in A&E attendance (range: 8-27%)
- 15 of 17 utilization studies were uncontrolled before-and-after designs
- Mean attrition rate across studies: 38%