An alternative to the 'one-size-fits -all' approach to public engagement in preventive healthcare, leading to healthier ageing for all

公众参与预防性医疗保健的“一刀切”方法的替代方案，为所有人带来更健康的老龄化

• 批准号: 10020635
• 金额: $ 19万
• 依托单位: APPT-HEALTH LTD
• 依托单位国家: 英国
• 项目类别: Small Business Research Initiative
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=10020635
• 关键词: alternative; size; fits; approach; public

**We know preventive healthcare is crucial for managing the common complaints of ageing**To manage the common complaints of ageing is to understand them. For long-term and chronic conditions (a major source of the common complaints of ageing) this is best achieved by attending NHS prevention programmes. These programmes identify these conditions early, allowing preventive action to be taken, or help individuals to self-manage an existing condition.**High public engagement in prevention is a structural and behavioural challenge**The problem is that not everyone benefits from these programmes. Older adults are increasingly likely to live with one or more long term or chronic condition. This means that need for these programmes is increasing every year as our population ages. But the preventive healthcare programmes that manage or screen for these conditions are underperforming.The causes for underperformance are both behavioural (how do you get a high proportion of individuals to participate?) and structural (how do you get care providers to prioritise prevention?).These causes intersect in the 'call and recall' process, which NHS GP practices follow to engage the public in preventive programmes. This includes outbound letters, SMS or emails typically asking the recipient to 'please call the practice'.We have identified this process as the major blocker to effective preventive healthcare. It creates several barriers for patients accessing appointments:* "I don't understand what I'm being offered"* "I try to call the GP but can't get through"* "I never received the invitation"* "The times offered don't work for me"A one-size-fits-all approach is usually taken but, too often, that leaves people out.**Our innovation is a movement away from 'one-size-fits-all'**Appt-Health (Appt) is an established social enterprise with a track-record of successful innovation. Building on top of Appt's established patient engagement platform, we will prototype a 'targeting engine'. This will mean that different cohorts of patients will receive different appointment invitation workflows.This innovation serves two purposes. It allows us to:1. carry out controlled trials, to compare which invitation strategies work best.2. target separate demographic cohorts with an invitation strategy that is most suited to them.We will use this prototype targeting engine to carry out six controlled trials to evaluate different invitation strategies. These strategies will be informed by user needs, identified by research. By understanding which invitation strategies work best for which patient cohorts, we will revolutionise the way we think about patient engagement.

** 我们知道预防性保健对管理常见的老龄化问题至关重要 ** 要管理常见的老龄化问题，就要了解它们。对于长期和慢性疾病（常见的老龄问题的一个主要来源），最好通过参加国民保健服务预防方案来实现。这些方案及早发现这些疾病，以便采取预防行动，或帮助个人自我管理现有疾病。公众高度参与预防是一个结构性和行为挑战 ** 问题是并非所有人都从这些计划中受益。老年人越来越有可能患有一种或多种长期或慢性疾病。这意味着随着我国人口老龄化，对这些方案的需求每年都在增加。但管理或筛查这些疾病的预防性医疗保健项目表现不佳。表现不佳的原因既有行为方面的原因（如何让高比例的个人参与？）和结构（你如何让护理提供者优先考虑预防？）。这些原因在“呼叫和召回”过程中相互交叉，NHS全科医生的做法是让公众参与预防方案。这包括通常要求收件人“请致电诊所”的出站信件、短信或电子邮件。我们已将此过程确定为有效预防性医疗保健的主要障碍。它为病人预约造成了几个障碍：*“我不明白我被提供了什么”*“我试图给全科医生打电话，但打不通”*“我从来没有收到邀请”*“提供的时间对我不起作用“通常采取一刀切的方法，但往往把人排除在外。我们的创新是一场远离“一刀切”的运动 **Appt-Health（Appt）是一家成熟的社会企业，拥有成功创新的记录。在Appt已建立的患者参与平台的基础上，我们将建立一个“目标引擎”的原型。这意味着不同的患者队列将收到不同的预约邀请工作流程。它允许我们：1.进行对照试验，比较哪种邀请策略效果最好。我们将使用这个原型定位引擎进行六个对照试验，以评估不同的邀请策略。这些战略将根据研究确定的用户需求制定。通过了解哪些邀请策略最适合哪些患者群体，我们将彻底改变我们对患者参与的思考方式。