STREAM 1: Accelerating Impact of Community healthCarE in Tayside (AICCET)

AICCET将实现更好的预后，即诊断疾病的过程和预测治疗结果。这允许改进治疗计划，这是更好的患者旅程和体验的先决条件。为此，它避免了不必要的住院治疗，使门诊程序能够使用不需要高度专业化人员的技术，从而使诊所能够更接近它们所服务的社区。通过在家中监测患者的健康状况，并通过向全科医生提供解决方案来管理慢性疾病，进一步实现了从基于医院的医疗保健的转变，所有这些都将医疗保健进一步推向社区。此类干预措施的例子包括：1。寸虫技术提供了一种解决方案，降低了患者的风险，使设备更容易被NHS工作人员使用，并将手术从由专业临床医生执行的昂贵的二级护理地点转移到社区门诊环境中。公众患者参与和参与（PPIE）对于加速该技术的影响尤其重要，具有减少医疗保健不平等的巨大潜力，因为传统内窥镜检查在某些患者表型(高BMI，体弱多病（或残疾人）和结肠镜检查减少了社会经济背景较低的人的接受率，因为他们难以前往中心医院，或者害怕目前的程序——导致诊断晚和预后差。（曼弗雷迪-邓迪大学）可穿戴电子设备中用于检测绵羊疥疮的节电算法可以应用于即将进行侵入性手术的社区门诊患者。已有研究表明，手术前的锻炼有助于手术的积极结果。该设备将有助于减少在康复前和康复后的住院次数，允许医生远程监控患者在接受规定的训练练习时取得的进展。AICCET联盟在泰赛德地区聚集了14个组织（5所大学、一所继续教育学院、5个公民机构、1所医院和2个国民保健制度组织），以应对社区保健的挑战。该联盟与技术和流程解决方案支持的连续护理中的“左移”直接一致，通过同时提供更高质量的医疗保健和降低提供成本，为患者提供最高质量的生活。AICCET正在建立机制，以加速这5所大学的创新研究对社区医疗保健的影响。AICCET为医疗保健技术生态系统奠定了基础，解决了研究和创新的障碍，并增加了连通性，以加速对社区医疗保健的影响。

AICCET will enable better prognostics, the process by which disease is diagnosed and the outcome of treatment predicted. This allows for improved treatment planning, a pre-requisite for a better patient journey and experience. It does this by avoiding unnecessary hospital in-patient care, enabling outpatient procedures using technologies which do not require highly specialised personnel such that clinics can move closer to the community they serve. This move away from hospital based healthcare is further enabled through monitoring patient health at home and managing chronic disease with solutions provided to the GPs, all moving healthcare further into the community.Examples of such interventions include: 1. Inch-worm technology provides a solution which reduces risk to patients, makes the device easier to use by NHS staff, and moves the procedure away from a costly secondary care location performed by specialised clinicians into a community out-patient setting. Public Patient Involvement and Engagement (PPIE) is particularly important for accelerating the impact of this technology, with significant potential for reducing healthcare inequalities as traditional endoscopy has reduced efficacy in certain patient phenotypes (high BMI, infirm or living with disability) and colonoscopy screening has reduced uptake in those with a lower socio-economic background due to difficulties accessing transport to a central hospital or from fear of the current procedure - leading to late diagnosis and poor prognoses. (Manfredi - University of Dundee).2. Power frugal algorithms used in wearable electronics for the detection of scabbing in sheep can be applied to outpatients in the community who are soon to have invasive surgery. It has been shown that exercise prior to surgical operation helps positive outcome of surgery. The device will help reduce visit hospitals during the pre-habilitation and also post-habilitation phase allowing doctors to monitor remotely the progress made by the patients as they undergo prescribed training exercises.The AICCET consortium has gathered 14 organisations (5 universities, a further education college, 5 civic bodies, 1 hospital and 2 NHS organisations in the Tayside region to address the challenges of community healthcare. This consortium is in direct alignment with the "shift left" taking place in the continuum of care enabled by technological and process solutions that offer the highest quality of life for patients through the simultaneous provision of improved quality of healthcare and reduced costs of provision.AICCET is putting in place the mechanisms to accelerate impact in community healthcare of innovative research created by these 5 universities. AICCET sets up the foundations of a healthcare technology ecosystem addressing the barriers for research and innovation and increasing the connectivity to accelerate impact in community healthcare.