diff --git a/inbox/archive/.extraction-debug/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.json b/inbox/archive/.extraction-debug/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.json new file mode 100644 index 00000000..5ce61625 --- /dev/null +++ b/inbox/archive/.extraction-debug/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.json @@ -0,0 +1,24 @@ +{ + "rejected_claims": [ + { + "filename": "social-prescribing-produces-social-value-but-not-healthcare-cost-savings.md", + "issues": [ + "missing_attribution_extractor" + ] + } + ], + "validation_stats": { + "total": 1, + "kept": 0, + "fixed": 1, + "rejected": 1, + "fixes_applied": [ + "social-prescribing-produces-social-value-but-not-healthcare-cost-savings.md:set_created:2026-03-18" + ], + "rejections": [ + "social-prescribing-produces-social-value-but-not-healthcare-cost-savings.md:missing_attribution_extractor" + ] + }, + "model": "anthropic/claude-sonnet-4.5", + "date": "2026-03-18" +} \ No newline at end of file diff --git a/inbox/archive/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.md b/inbox/archive/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.md index f824f7de..47338df8 100644 --- a/inbox/archive/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.md +++ b/inbox/archive/2026-01-01-frontiers-social-prescribing-health-economics-systematic-review.md @@ -7,10 +7,14 @@ date: 2026-01-01 domain: health secondary_domains: [] format: paper -status: unprocessed +status: null-result priority: medium triage_tag: claim tags: [social-prescribing, health-economics, cost-effectiveness, evidence-quality, international-health-systems] +processed_by: vida +processed_date: 2026-03-18 +extraction_model: "anthropic/claude-sonnet-4.5" +extraction_notes: "LLM returned 1 claims, 1 rejected by validator" --- ## Content @@ -51,3 +55,15 @@ Complementary evidence on healthcare utilization (from separate reviews): ## 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%