A Systematic Review of Social Work in General Practice: Opportunities and Challenges

J Evid Based Soc Work (2019). 2023 Apr 23:1-41. doi: 10.1080/26408066.2023.2202665. Online ahead of print.

Abstract

Purpose: This study identified the nature of social work practice in primary health care and described the reported patient outcomes, benefits, challenges, and enablers of social work in general practice [GP] settings.

Method: A systematic literature review applying the Prisma framework was conducted.

Results: A total of 26 studies met the inclusion criteria. Social work practice in GP assists in delivering positive health outcomes for patients, improved patient care, offers value for money, and supports interdisciplinary teams. Identified challenges include funding impediments, organizational barriers, and a lack of understanding of and undervaluing the social work role.

Discussion and conclusions: The review outlined the benefits of social work practice in GP practices; however, these must be further evidenced. Funding for social workers in primary health care was identified as a challenge when it was lacking, and as an enabler when it was available. Further research to evidence the patient outcomes and overall benefits, the fiscal value of social work and funding pathways in primary health care is recommended.

Keywords: GP; Social work; general practitioners; interdisciplinary practice; patient care; primary health care; social workers.