Multi-dimensional Health Risk Appraisal for Older People: embedding promotion of health and well-being in practice

目前的政策强调量身定制的方法来预防健康不良，在卫生和地方政府之间建立伙伴关系，以及促进老年人福祉的地方解决方案。然而，关于实现这些目标的最佳办法的证据有限。这项研究将评估使用一个新的自我评估系统的可行性和成本，以确定老年人的健康、社会、经济和环境需求，并促进老年人的福祉。该系统被称为？老年人多维度风险评估？（MRAO）。它提供全面的评估，定制个性化的个人反馈？满足这些需求的国家和地方资源信息。有需要的人将由国民保健服务、社会护理或志愿团体的人联系，如果他们愿意，他们可以支持他们满足他们的需要。这可能包括，例如，健康的生活方式建议，帮助老年人的福利/财务或当地社会/教育团体的建议。这项研究涉及形成当地？工作组？与老年人、国民保健系统成员（全科医生、社区护士）、地方政府（社会护理、交通、规划、住房/环境）和志愿者/社区组织合作。将向这些群体介绍对老年人进行的MRAO匿名评估的综合结果，以便利用这一信息建议改变服务，更好地满足当地老年人的需求。这是一项可行性研究，以了解这一进程是否能在实践中发挥作用，是否有可能在促进老年人福祉方面产生积极变化。MRAO系统已经开发，但尚未实施？真实的？设置.我们将看看在MRAO评估之前和之后3个月，老年人的需求，生活质量，残疾和福祉是否存在差异。我们将了解建立/运行MRAO和工作组的成本。我们将利用收集到的信息来设计未来更大规模的MRAO试验，以测试这是否是一种可以在全国推荐的具有成本效益的方法。我们会观察/访问工作小组，以评估不同界别/机构如何合作，利用MRAO满足本地需求，并就最佳做法提供指导。我们将采访参加过他们的经历的老年人;询问是什么帮助和阻碍了他们保持幸福。这项研究的信息可能会对政策和实践产生重大影响，以确保老年人得到支持，防止问题恶化，并使他们能够为社区做出贡献。

Current policy emphasises tailored approaches to preventing ill-health, working in partnerships across health and local government, and local solutions to promoting wellbeing for older people. There is however limited evidence on the best approaches to meet these aims. This study will assess the feasibility and costs of a using a new self-assessment system to identify health, social, economic and environmental needs and promote well-being among older people. The system is called ?Multi-dimensional Risk Appraisal for Older people? (MRAO). It provides comprehensive assessment, tailored personalised feedback on individual?s needs and information on resources nationally and locally to meet these needs. Those with needs would be contacted by someone from NHS, social care or voluntary groups who could support them in meeting their need, if they wished. This might include, for example, healthy lifestyle advice, advice on help with benefits/finances or local social/educational groups for older people. The study involves forming local ?working groups? with older people, members from NHS (GPs, community nurses), local government (social care, transport, planning, housing/environment) and voluntary/community organisations. The combined anonymous results of MRAO assessments with older people will be presented to these groups, to use this information to recommend changes in services to more closely meet the needs of older people living locally. This is a feasibility study, to see if this process can work in practice, with the potential to make positive changes in promoting well-being among older people. The MRAO system has already been developed but not implemented in ?real? settings. We will see if there are differences in needs, quality of life, disability and well-being among older people from before and 3 months after the MRAO assessments. We will find out how much setting up/running the MRAO and working groups costs. We will use information collected to design a future bigger trial of MRAO, to test if this is a cost-effective approach that can be recommended across the country. We will observe/interview working groups to evaluate how different sectors/agencies can work together to meet local needs using MRAO and provide guidance on best practice. We will interview older people who have taken part about their experiences; asking what helps and hinders them in sustaining well-being. The information from this study would potentially have a big impact on policy and practice in making sure that older people receive support to prevent problems getting worse and in enabling them to contribute to their communities.