Revolutionising access to preventive healthcare for hard-to-reach patients

彻底改变难以接触到的患者获得预防性医疗保健的机会

• 批准号: 10055701
• 金额: $ 58.08万
• 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: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=10055701
• 关键词: Revolutionising; access; preventive; healthcare; hard

**Appt-Health (Appt) is an established social enterprise with a track-record of successful innovation**Appt is a mission-locked social enterprise offering an innovative patient engagement service. We increase public participation in preventive healthcare and reduce health inequalities by combining:* Behavioural science* Accessible invitations* NHS integrations**Preventive healthcare is crucial for management of the common complaints of ageing**Long-term and chronic conditions are a source of the common complaints of ageing. NHS prevention programmes are designed to identify these conditions early, allowing preventive action to be taken and to enable effective self-management. But these programmes are underperforming.**Low uptake of prevention poses structural and behavioural challenges**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 individuals who would most benefit from these programmes are often the least likely to access them. Age and deprivation are significant explanatory variables influencing low uptake of preventive healthcare.Underperformance results from behavioural and structural barriers. Primary Care Networks (PCNs) employ 'call and recall' processes to overcome these barriers and engage the public in preventive healthcare programmes. But these processes are ineffective.**Appt's innovation responds to the lessons-learned in previous innovation projects**In our previous SBRI Social Ventures project, we successfully designed, built, and implemented a targeting engine, allowing Appt to move away from the one-size-fits-all approach to patient engagement. Trials demonstrated a 43% increase in lung cancer screening uptake, while saving the NHS money.**Improvements were seen across age groups, but more must be done for older patients**Our rich dataset shows that Appt's service improves engagement across the board, but still, uptake rates fall as age and deprivation increases.This project is focused on 50-80-year-olds living in high-deprivation areas: frequently those with most gain from preventive healthcare.**We will build on the research in our previous project to increase target group uptake**We will build tools to identify target groups and predict the best engagement strategy. We will integrate new, accessible booking channels, co-designed with target groups, into Appt's strategies, including:* Over-the-phone recall* Letter-based recall

**Appt-Health（Appt）是一家老牌社会企业，拥有成功创新的记录 **Appt是一家使命锁定的社会企业，提供创新的患者参与服务。我们增加公众参与预防性医疗保健和减少健康不平等相结合：* 行为科学 * 合理的邀请 * NHS整合 ** 预防性医疗保健是至关重要的管理常见的投诉老龄化 ** 长期和慢性疾病是常见的投诉老龄化的来源。国民保健服务预防方案旨在及早发现这些情况，以便采取预防行动，并使有效的自我管理成为可能。但这些方案的执行情况不佳。** ** 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。但最能从这些方案中受益的人往往是最不可能获得这些方案的人。年龄和贫困是影响预防保健接受率低的重要解释变量，表现不佳是行为和结构障碍造成的。初级保健网络（PCN）采用“呼叫和召回”程序来克服这些障碍，并使公众参与预防性保健计划。但这些方法都是无效的 **。Appt的创新是对以往创新项目经验教训的回应 ** 在我们之前的SBRI Social Ventures项目中，我们成功设计、构建并实施了一个定位引擎，使Appt摆脱了一刀切的患者参与方式。试验表明，肺癌筛查摄取增加了43%，同时节省了NHS的资金。各年龄组都有改善，但老年患者还需要做更多的工作 ** 我们丰富的数据集显示，Appt的服务全面提高了参与度，但随着年龄和贫困程度的增加，使用率仍会下降。该项目关注生活在高度贫困地区的50-80岁人群：通常是那些从预防性医疗保健中获益最多的人。**我们将在以前项目的研究基础上增加目标群体的吸收 ** 我们将建立工具来识别目标群体并预测最佳参与战略。我们将与目标群体共同设计的新的、可访问的预订渠道整合到Appt的战略中，包括：* 通过电话召回 * 基于信函的召回