Mobilising novel finance models for health promotion and disease prevention

从中长期来看，政府必须提供额外预算资源的财政空间将缩小，包括医疗保健。我们的回应是，最好是先发制人，而不是修复，即鼓励为促进健康和预防疾病提供资金的新方式。融资解决方案是智能投资。这意味着分担风险和资源，在卫生生态系统内的多个层面进行大规模投资，从而产生可持续的回报和局部效益。具体目标是：1。利用现有证据，加强智能投资的框架和沟通。评估和提高组织在区域试验台测试SCI模型的准备程度。开发和测试与智能投资兼容的商业模式。开发和测试新的金融模型，以确定哪些业务模型符合预先定义的附带条件，以提供智能的投资。开发和测试一个原型协作平台，用于管理健康促进和预防方面的智能使能投资。通过跨学科的方法，我们校准和协调了3个主要工作流程：开发锚定概念的功能原型模型（智能容能投资）[WP2-4]；在现实世界环境中进行迭代测试（ES、DE、SE、英国最初公开征集第二批过渡和欠发达地区），以显示在基于税收和保险的系统中的相关性[WP5-6]；为大规模示范准备社会特许经营方案[WP7]。在这些工作流程的基础上，我们还将探索和测试基于平台的协作空间，以便有资源的公民小组和当地社区参与干预措施和服务的规划和投资决策。该项目产生了具体的成果和影响，进一步发展和吸收智能电容投资，颠覆了先进技术。

In the medium to longer-term, the fiscal space that governments have to provide additional budgetary resources will shrink, including for healthcare. Our response is that it is better to pre-empt rather than repair i.e., to incentivise new ways of financing health promotion and disease prevention. The financing solution is smart capacitating investment. This means sharing risks and resources to invest at scale across multiple levels within health ecosystems generating sustainable returns and localised benefits. The specific objectives are: 1. Draw on available evidence to strengthen how smart capacitating investment is framed and communicated 2. Assess and enhance organisational readiness for testing SCI models in the regional test-beds 3. Develop and test business models that are compatible with smart capacitating investment 4. Develop and test novel finance models to determine which of the business models align with pre-defined contingencies for delivering smart capacitating investment 5. Develop and test a prototype collaborative platform for governing smart capacitating investment in health promotion and prevention. With an interdisciplinary approach we calibrate and harmonise 3 main work streams: developing functional prototype models of the anchoring concept (smart capacitating investment) [WP2-4]; iterative testing in real world environments (ES,DE,SE,UK initially with an Open Call for a 2nd tranche of transition and less developed regions) to show relevance in tax and insurance-based systems [WP5-6]; preparing a social franchising package for large-scale demonstration [WP7]. Underpinning these workstreams, we will also explore and test platform-based collaborative spaces for the involvement of resourced citizen panels and local communities in planning and investment decisions for interventions and services. The project generates concrete outcomes and impacts for further development and uptake of smart capacitating investment that disrupts state-of-the-art.