Social Prescribing in Portugal: A Call to Action to Address Social and Behavioral Determinants, Boost Health Promotion and Strengthen the Sustainability of the National Health Service

Abstract

Abstract – Background: Social Prescribing (SP) has gained global momentum as a promising approach of person-centered, integrated care embedded in multisectoral action. By expanding the focus from disease treatment to prevention and health promotion, SP aligns with a broader public health paradigm that emphasizes the addressing of social and behavioral determinants of health to improve health and well-being. Objectives: This brief report introduces the emergence of SP, describes the implementation of SP initiatives in Portugal, and highlights the potential for SP expansion as a strategy to enhance population health and strengthen the sustainability of the National Health Service (NHS). Method: This brief report draws on a review of international SP developments alongside emerging initiatives in Portugal to map the landscape of SP in the country and identify key enablers and barriers to its implementation. Results: There has been a growing interest in SP in Portugal, with pilot projects emerging across regions. The academia has played a central role in providing technical-scientific support to the design, implementation, monitoring, and evaluation of these initiatives, fostering interdisciplinary collaboration and evidence-based practice. However, challenges remain in increasing awareness around SP, boosting intersectoral collaboration, securing resources, and strengthening systematic data collection for monitoring and evaluation. Conclusion: SP represents a timely and promising innovation for advancing person-centered integrated care and health promotion, with potential to contribute to healthy, resilient, equitable, and sustainable communities.