Designed for Independence – a new model of (self)-care in medicines management among older people

专为独立而设计——老年人药物管理的（自我）护理新模式

• 批准号: 10027401
• 金额: $ 91.85万
• 依托单位: CONNECTED HEALTH SYSTEMS LTD
• 依托单位国家: 英国
• 项目类别: Collaborative R&D
• 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=10027401
• 关键词: Designed; Independence; new; model; self

The UK (and global) issue of medication non-adherence -- people not taking their prescribed medicines -- poses a major challenge to health and social care, leading to poor health outcomes, medicines wastage, and a strain on already burdened health and social care systems. 50% of medicines prescribed for long-term health conditions are not taken as intended (NHS, 2018).An acknowledged approach to combatting non-adherence is Medicines Optimisation (MO) -- where individualised data on the impact of medication is known, so people receive the right medicines, at the right time. This includes empowering and enabling people to self-care -- more easily report side-effects and move to medicines that _work_ _for them_. Currently, there is no workable MO focused service model in social care. This project aims to address this.Our 16-month project is business-led by technology specialists Connected Health Systems Ltd (CHS) and demand-led by Oxfordshire County Council (OCC) to meet the under-provision of an MO service within health and social care.CHS will use their proven technology -- an assistive technology used at home which identifies _if, when and what_ quantity of medicines have been taken. This information goes into an intelligent platform, LOOP, which provides data on adherence to the service user's carer. This system has been designed to be accessible by vulnerable populations in urban and rural areas.This project combines this technology with OCC's Reablement Service to create a new model of self-care. Reablement supports service users to live independently. However, to ensure adherence they currently conduct daily face-to-face medication visits to older people's homes, limiting a service user's ability to self-care. The proposed project will reduce these through remote monitoring of medicines adherence, enabling targeted face-to-face, rather than routine, visits from Reablement.To get this right, person-centred design is key. 40-50 service users will be actively part of iterating (adapting) the design of this new model by using versions of the service and feeding back to our Oxford AHSN evaluation partners on how effectively it allows them to self-manage their medicines and communicate back to Reablement about e.g., medicine side effects or other reasons that might impact on taking their medicines.All this new knowledge will be fed into the new service model design, leading to the development of a new service model of care, co-designed and delivered in Oxfordshire with the aim of scaling-up and rolling out across the UK.

英国（以及全球）的药物不遵医嘱问题——人们不遵医嘱服药——对卫生和社会保健构成了重大挑战，导致健康结果不佳、药物浪费，并给本已负担沉重的卫生和社会保健系统带来压力。50%的长期健康处方药物没有按预期服用（NHS， 2018年）。应对不遵医嘱的公认方法是药物优化（MO），即了解药物影响的个性化数据，以便人们在正确的时间获得正确的药物。这包括赋予人们自我护理的权力，让他们更容易报告副作用，并转而使用对自己有效的药物。目前，社会关怀中还没有可行的以MO为中心的服务模式。这个项目旨在解决这个问题。我们为期16个月的项目由技术专家互联健康系统有限公司（CHS）主导业务，由牛津郡议会（OCC）主导需求，以满足健康和社会护理领域MO服务的不足。卫生服务中心将使用他们经过验证的技术——一种在家中使用的辅助技术，该技术可以识别是否、何时以及服用了多少药物。这些信息进入智能平台LOOP，该平台提供服务用户的护理依从性数据。这一系统的设计是为了让城市和农村地区的弱势群体都能使用。该项目将这项技术与OCC的康复服务相结合，创造了一种新的自我护理模式。reableement支持业务用户独立生活。然而，为了确保坚持，他们目前每天到老年人家中进行面对面的药物访问，限制了服务使用者自我护理的能力。拟议的项目将通过远程监测药物依从性来减少这种情况，使Reablement能够进行有针对性的面对面访问，而不是常规访问。要做到这一点，以人为本的设计是关键。40-50个服务用户将积极参与迭代（适应）这个新模式的设计，使用不同版本的服务，并反馈给我们的牛津AHSN评估合作伙伴，以了解它如何有效地允许他们自我管理他们的药物，并就药物副作用或其他可能影响他们服药的原因与Reablement沟通。所有这些新知识都将被输入到新的服务模式设计中，从而导致一种新的护理服务模式的发展，在牛津郡共同设计和交付，目的是在整个英国推广和推广。