Redistributed Manufacturing in Deployed Medical Care Network Plus

再分布式制造（RDM）是指“改变制造业经济和组织的技术、系统和战略，特别是在位置和规模方面”。在医疗保健领域，RDM涉及使生产更接近临床需求或使用点，增强提供个性化药物的能力。EPSRC资助的医疗保健网络中的再分布制造（RiHN-www.RiHN.org.uk）于2015年2月启动，由六所大学（UWE，拉夫堡，诺丁汉，剑桥，纽卡斯尔和布鲁内尔）组成的联盟提供，代表了社会科学和工程学的学科，并领导了一项议程，以促进英国医疗制造业的影响。RiHN确定的一个重要研究领域是在部署的医疗保健中实施RDM方法的潜在价值。虽然RDM包括从集中生产向分散生产转变的概念，但现有的研究继续假设一定程度的稳定环境条件和固定的静态位置（例如医院/诊所/家庭）。然而，RDM可以在移动的医疗场景中提供拯救生命的好处，在这些场景中，不断变化的偏远地区存在紧急和不可预见的需求，例如应对自然灾害和紧急情况（例如埃博拉危机，Cyclone Idai和最近的恐怖袭击），以及快速治疗受伤的军事人员。这通常需要从逆向供应链的角度出发，从基于患者需求的需求开始。有各种医疗条件，可以受益于快速反应治疗更接近现场的医疗紧急情况或在野战医院;这些包括（但不限于）皮肤和组织的爆炸伤、失血性休克和骨折。该项目将由一个多学科小组领导，该小组汇集了很少见面的主题专家，如创伤护理、急救医学、创新管理和制造，并将实现以下产出：- 审查当前的研究能力和知识-分享当前的突破-加强对RDM在部署的医疗护理中的使用的理解-确定和开发支持部署的行动中的治疗途径的有前途的RDM技术-捕获RDM的军事和民用紧急医疗要求和应用-系统地确定和比较需求，应用，技术和资源研究的总体成果将是创建“实践社区”，产生真实的世界示范者，涵盖在部署的医疗保健中实施RDM的业务和技术方面，带来了提高英国RDM能力的潜力，为临床医生、从业人员和患者带来了影响。该研究将有助于塑造英国国防部，国防部门的主承包商，紧急和紧急护理服务以及英国研究理事会如何进行未来的研发投资和资源配置。该项目的产出还将通过一个网站、在相关国家和国际会议上的介绍、研究中心和一份特刊（保健服务管理研究）传播，并在一次展示活动中介绍该项目的研究结果。将编写最后报告，以电子方式发送给所有有关各方，并以数字方式和通过社交媒体提供。

Re-Distributed Manufacture (RDM) is defined as: "Technology, systems and strategies that change the economics and organisation of manufacturing, particularly with regard to location and scale" . In healthcare, RDM involves bringing production closer to the point of clinical need or use, enhancing the capability to deliver personalised medicine. The EPSRC funded Re-Distributed Manufacturing in Healthcare Network (RiHN- www.RiHN.org.uk) was launched in Feb 2015 and delivered by a consortium of six universities (UWE, Loughborough, Nottingham, Cambridge, Newcastle & Brunel), representing disciplines from both the social sciences and engineering and led an agenda to advance the impact of UK medical manufacturing. One area of significant research interest identified by RiHN has been the potential value of implementing RDM approaches in deployed medical care. Whilst RDM includes the notion of a shift from centralised towards decentralised production, extant research continues to assume a degree of stable environmental conditions and fixed static location (e.g. hospitals/clinics/home). However, RDM can deliver life-saving benefits in mobile medical scenarios, where there is urgent and unforeseen demand in changing and remote locations, such as in response to natural disasters and emergencies (e.g. the Ebola crisis, Cyclone Idai and recent terrorist attacks), and the rapid treatment of injured military personnel in the field. This often requires a reverse supply chain perspective, starting with the requirement based on patient need. There are a variety of medical conditions that could benefit from rapid response treatments closer to the site of a medical emergency or in field hospitals; these include (but not limited to) blast injuries to skin and tissue, haemorrhagic shock and fractures.The project will be led by a multi-disciplinary team bringing together subject matter experts that rarely meet, such as experts in trauma care, emergency medicine, innovation management and manufacturing, and will achieve the following outputs:- A review of current research capability and knowledge- sharing of current breakthroughs- Enhancing understanding of the use of RDM in deployed medical care- Identification of and development of promising RDM technologies that support treatment pathways in deployed operations- Capture of military and civilian emergency medical requirements and applications for RDM- Systematic identification and comparison of needs, applications, technologies and resourcesThe overall outcome for the research will be the creation of 'communities of practice', producing real world demonstrators covering both the business and technical aspects of implementing RDM in deployed medical care, bringing the potential to advance the UK's capability in RDM, delivering impact to clinicians, practitioners and patients. The research will help shape how the UK Ministry of Defence, prime contractors in the defence sector, emergency and urgent care services and UK Research Council proceed with future R&D investment and resourcing. The outputs of the project will also be disseminated through a website, presentations at relevant national and international conferences, and research centres and a Special Issue journal (Health Services Management Research) and presenting the findings of the project at a showcase event. A final report will be produced, sent electronically to all interested parties, and made available digitally and via social media.