CheckUp Health - Saving Black, Asian and Minority Ethnic Lives

黑人、亚洲人和少数民族(BAME)比高加索人更有可能患有高血压(HBP)或2型糖尿病(T2D)。英国约有400万T2D患者(英国糖尿病，2020)。南亚人T2D的可能性是南亚人的6倍，非洲人/非洲-加勒比人的可能性是非洲人的3倍(同上)。一半的T2D患者患有高血压，这在非洲/非洲-加勒比裔黑人中发生的可能性是白人的3-4倍(盐分行动，2020)。HBP/T2D引起的健康问题每年花费NHS GB 21亿英镑(公共卫生英格兰，2017)。每十年，HBP/T2D监测不力导致英国损失约7,000个经质量调整的寿命年(PHE，2017)。这些损失是不可持续的，需要解决方案。迫切需要改善HBP/T2D预防和治疗(南亚健康基金会，2020)，以避免BAME死亡，并降低NHS对这些疾病的成本。BAME人群中HBP/T2D的远程监测解决方案可以解决新冠肺炎暴露的医疗不平等问题；减少需要干预的病例(Kim，2020年)；并为国民保健系统节省以前因疾病监测不力而花费的数百万美元。我们提供了一种替代方案，以解决目前在新冠肺炎大流行期间未能对BAME人群进行HBP/T2D监测的高成本和低效方法。通过体检，BAME HBP/T2D患者可以自我监测并远程向医疗专业人员报告。Check Up通过提供远程监控，减少了BAME HBP/T2D患者需要预约全科医生的时间，节省了NHS的资金，并减少了BAME HBP/T2D患者暴露于新冠肺炎的风险。

Black, Asian and Minority Ethnic (BAME) people are more likely than Caucasians to have high blood pressure (HBP) or Type2 diabetes (T2D). The UK has ~4 million people with T2D (Diabetes UK, 2020). T2D is up to 6 times more likely in South Asians and 3 times more likely in Africans/Africa-Caribbeans (Ibid). Half of T2D sufferers have HBP, which is 3-4 times more likely to occur in black people of African/Africa-Caribbean descent than white people (Action on Salt, 2020). Health issues resulting from HBP/T2D cost the NHS £2.1bn annually (Public Health England, 2017). Every decade, poor monitoring of HBP/T2D causes the loss of ~7,000 quality adjusted UK life years (PHE, 2017). These losses are unsustainable and need a solution.Improvements in HBP/T2D prevention and treatment are desperately needed (South Asian Health Foundation, 2020) to avoid BAME deaths and reduce the cost of these diseases to the NHS. A remote monitoring solution for HBP/T2D in the BAME population could address healthcare inequalities exposed by Covid-19; reduce cases requiring intervention (Kim, 2020); and save the NHS millions previously spent on the fallout of poor disease monitoring. Critically, it could save BAME lives.We offer an alternative solution to the current, high-cost and ineffective approach to HBP/T2D monitoring that is failing the BAME population during the Covid-19 pandemic. Through CheckUp, BAME HBP/T2D patients self-monitor and remotely report to healthcare professionals. CheckUp reduces required GP appointments for BAME HBP/T2D patients, saving the NHS money and reducing the exposure of BAME HBP/T2D to Covid-19 by providing remote monitoring.