Reducing Health inequalities and enabling self care for all

NHS种族和健康观察站最近强调了英国的种族不平等。例如，2019年英格兰和威尔士由心血管疾病引起的所有死亡人数中，有24%是黑人和少数民族。此外，南亚人患冠心病的死亡率比一般人群高40%，南亚人和黑人患2型糖尿病的可能性比白人高2-4 *。英国黑人、亚洲人和少数族裔（BAME）的人检测呈阳性并死于COVID-19的可能性更高。英国公共卫生部的一份报告称，对COVID-19确诊病例的生存分析显示，在考虑了性别、年龄、贫困和地区的影响后，孟加拉国裔人的死亡风险是英国白人的两倍左右。与英国白人相比，中国人、印度人、巴基斯坦人、其他亚洲人、加勒比人和其他黑人的死亡风险高出10%至50%。为了向前推进，报告和专家们提出了一些建议，以应对这给联合王国带来的挑战。其中一项建议（建议5）特别指出，要制定和实施具有文化竞争力的COVID-19教育和预防运动。另一项重要建议是（建议6）加快努力，针对具有文化能力的非传染性疾病健康促进和疾病预防方案，促进健康体重、体育活动、戒烟、精神健康和有效管理慢性疾病，包括糖尿病、高血压和哮喘。在Innovate UK的支持下，Health Fabric创建了一个名为“Unity”的新平台来实现这些建议。创新项目“89932：人工智能支持自我管理以解决健康不平等问题”使我们能够创建一个新的基于人工智能的新自我管理平台，以满足BAME社区尚未满足的自我管理其长期状况的需求。该平台允许所有服务用户，包括BAME出身的人，使用统一应用程序以多种语言管理他们的长期状况，该应用程序已在单一GP实践中进行了测试。本应用程序的目的是在地方当局范围内扩展这项初步工作，为数千名公民实现自我护理和独立生活护理的新模式，跨多元文化社区管理现有条件，通过预防性健康改善健康和福祉，并加强全科医生实施提供的临床服务。

The NHS Race and Health observatory recently highlighted ethnic inequalities in the UK. Examples included that 24% of all deaths in England and Wales in 2019 that were caused by cardio vascular disease were in black and ethnic groups. Also South Asians have a 40% higher death rate from CHD than the general population, and south Asian and black people are 2-4\* more likely to develop type 2 diabetes than white people.People of British Black, Asian, and minority ethnic (BAME) origin are at a higher likelihood of testing positive and dying with COVID-19\.A report from Public Health England stated that an analysis of survival among confirmed COVID-19 cases showed that, after accounting for the effect of sex, age, deprivation and region, people of Bangladeshi ethnicity had around twice the risk of death when compared to people of White British ethnicity. People of Chinese, Indian, Pakistani, Other Asian, Caribbean and Other Black ethnicity had between 10 and 50% higher risk of death when compared to White British.In order to move forward, the report and experts made a number of recommendations to meet the challenge that this provided to the UK. In particular one of the recommendations ( recommendation 5 ) stated that was to develop and implement culturally competent COVID-19 education and prevention campaigns. Another key recommendation was to ( recommendation 6 ) Accelerate efforts to target culturally competent health promotion and disease prevention programmes for non-communicable diseases promoting healthy weight, physical activity, smoking cessation, mental wellbeing and effective management of chronic conditions including diabetes, hypertension and asthma.With support from Innovate UK, Health Fabric has created a new platform called 'Unity' to fulfil these recommendations. Innovate Project '89932: AI enabled self-management to address health inequalities' has enabled us to create a new AI based new self-management platform, that meets the unmet need of BAME communities to self-manage their long-term conditions.The platform allows all service users, including people of BAME origin to manage their long-term conditions in multiple languages with the Unity App which was tested in a single GP Practice.The purpose of this application is to scale this initial work across an local authority to enable self-care and new models of care for independent living for 1000's of citizens, across multicultural communities to manage existing conditions and improve health and wellbeing through preventative health, and enhance the clinical service provided by the GP implementation.