Fast ASsessment and Treatment in Healthcare (FAST Healthcare)

英国国民健康保险制度在其成立65周年(2013年)出版了一本名为《国民健康保险制度属于人民：行动的呼吁》的出版物。它阐明了提供最高标准的患者护理的愿望，而现实是，运行NHS英格兰的预计总成本将从2013年的950亿GB上升到2020年的1370亿GB，而同期资源只会上升到1080亿GB。导致成本上升的因素有很多，《行动呼吁》强调，成人社会护理、社区服务和医院之间的护理衔接不畅就是其中之一。该项目旨在解决这一问题。NHS目前根据需要为患者提供不同级别的医疗保健，从全科医生手术和社区卫生中心的非专科治疗到当地或地区医院的专门治疗。随着患者从社区治疗转向以医院为基础的治疗，治疗的时间和成本都会增加。因此，重要的是尽可能靠近自己的社区治疗患者，只要这是有效的，因为这将降低成本。耐心的体验也有好处。将治疗转移到社区提供的水平增加了患者的参与。这意味着他们得到了更好的信息，因为他们必须为自己承担更大的责任。因此，降低医疗成本并不意味着更差的服务。恰恰相反，通过开发临床诊断和治疗过程的新方法，可以实现改善患者体验和降低成本的潜力。这可以通过采用基于系统工程的方法来设计这种新方法来实现，然后通过适当的技术和医学进步来实现，并允许在整个医疗服务中以联合的方式提供全面的护理。结果将是医疗保健中的快速评估和治疗(FAST Healthcare)。快速评估对这一过程至关重要。无论病人在什么时候进入医疗系统，都需要决定治疗应该如何进行，随后应该如何以及在哪里提供治疗。医疗保健系统的整体视角将允许从社区到医院的无缝护理。因此，我们的目标可以概括为：在公共卫生部门启动以系统为基础的系统工程方法，提供联合治疗。

NHS England produced a publication in its 65th anniversary year (2013) entitled 'The NHS Belongs to the People: A Call to Action'. It articulates the aspiration to deliver the very highest standards of patient care against the reality that the projected total cost of running NHS England will rise from £95Bn in 2013 to £137Bn in 2020, whilst the resource will only rise to £108Bn in the same period. There are a number of factors that are leading to rising costs, and the Call to Action highlights poorly joined-up care between adult social care, community services and hospitals as one of these. This project aims to address this issue.The NHS currently delivers healthcare to patients across a number of different levels depending on need, from non-specialist treatment in GP surgeries and community health centres through to specialised treatment at local or regional hospitals. As a patient moves from community treatment towards hospital-based treatment, both the length of time for treatment and the cost increase. Therefore, it is important that patients are treated as close to their own communities as possible for as long as that is effective as this will reduce cost. There is a benefit to patient experience too. Moving treatment back to a community-delivered level increases patient involvement. This means that they are better informed as they have to take greater responsibility for themselves. Therefore, reducing the cost of healthcare does not mean a poorer service. Quite the reverse can be true and the potential to both improve the experience of patients and reduce the cost could be made possible by developing a new methodology for the clinical diagnostics and treatment process.This can be realised by taking a systems-based engineering approach to designing such a new methodology which is then enabled by appropriate technological and medical advances and permits a holistic approach to care delivered in a joined-up fashion across the health service.The result will be Fast ASsessment and Treatment in Healthcare (FAST Healthcare). Fast assessment is essential to the process. At whatever point a patient enters the healthcare system, a decision is required as to how treatment should progress and subsequently how and where it should be delivered. A holistic view of the healthcare system would permit seamless care from communities to hospitals. This is then followed up by fast delivery of treatment, and overall optimised treatment.Our Aim can therefore be summarised as follows: to initiate systems-based engineered methodologies for providing joined-up treatment in the public health sector.