Revolutionising access to preventive healthcare for hard-to-reach patients

**Appt-Health(Appt)是一家成熟的社会企业，有着成功的创新记录**Appt是一家使命锁定的社会企业，提供创新的患者参与服务。我们通过以下几个方面增加公众对预防性医疗保健的参与，并减少健康不平等：*行为科学*无障碍邀请*NHS整合**预防性医疗保健对于管理常见的老龄化投诉至关重要**长期和慢性疾病是常见老龄化投诉的来源。国民健康保险制度的预防方案旨在及早发现这些情况，以便采取预防行动并进行有效的自我管理。但这些方案的效果不佳。**对预防的接受程度低构成了结构性和行为挑战**老年人越来越有可能患有一种或多种长期或慢性疾病。这意味着随着我们的人口老龄化，对这些方案的需求每年都在增加。但从这些计划中受益最多的人往往最不可能获得这些计划。年龄和剥夺是影响低接受预防性卫生保健的重要解释变量。表现不佳是由行为和结构障碍造成的。初级保健网络(PCN)采用“呼叫和召回”流程来克服这些障碍，并使公众参与到预防性保健计划中。但这些流程是无效的。**Appt的创新回应了从以前的创新项目中吸取的教训**在我们之前的SBRI Social Ventures项目中，我们成功地设计、构建和实施了目标定位引擎，使Appt摆脱了一刀切的患者参与方式。试验表明，肺癌筛查的接受率增加了43%，同时节省了NHS的资金。**各个年龄段的人都有改善，但对于老年患者还需要做更多的工作**我们丰富的数据集表明，Appt的服务全面提高了参与度，但接受率仍然随着年龄和贫困的增加而下降。这个项目专注于生活在高贫困地区的50-80岁的人：通常是那些从预防性医疗保健中获益最多的人。**我们将在以前项目的研究基础上，增加目标群体的参与度**我们将建立工具来确定目标群体并预测最佳参与度策略。我们将把与目标群体共同设计的新的、可访问的预订渠道整合到APPT的战略中，包括：*电话召回*基于信函的召回

**Appt-Health (Appt) is an established social enterprise with a track-record of successful innovation**Appt is a mission-locked social enterprise offering an innovative patient engagement service. We increase public participation in preventive healthcare and reduce health inequalities by combining:* Behavioural science* Accessible invitations* NHS integrations**Preventive healthcare is crucial for management of the common complaints of ageing**Long-term and chronic conditions are a source of the common complaints of ageing. NHS prevention programmes are designed to identify these conditions early, allowing preventive action to be taken and to enable effective self-management. But these programmes are underperforming.**Low uptake of prevention poses structural and behavioural challenges**Older adults are increasingly likely to live with one or more long term or chronic condition. This means that need for these programmes is increasing every year as our population ages. But the individuals who would most benefit from these programmes are often the least likely to access them. Age and deprivation are significant explanatory variables influencing low uptake of preventive healthcare.Underperformance results from behavioural and structural barriers. Primary Care Networks (PCNs) employ 'call and recall' processes to overcome these barriers and engage the public in preventive healthcare programmes. But these processes are ineffective.**Appt's innovation responds to the lessons-learned in previous innovation projects**In our previous SBRI Social Ventures project, we successfully designed, built, and implemented a targeting engine, allowing Appt to move away from the one-size-fits-all approach to patient engagement. Trials demonstrated a 43% increase in lung cancer screening uptake, while saving the NHS money.**Improvements were seen across age groups, but more must be done for older patients**Our rich dataset shows that Appt's service improves engagement across the board, but still, uptake rates fall as age and deprivation increases.This project is focused on 50-80-year-olds living in high-deprivation areas: frequently those with most gain from preventive healthcare.**We will build on the research in our previous project to increase target group uptake**We will build tools to identify target groups and predict the best engagement strategy. We will integrate new, accessible booking channels, co-designed with target groups, into Appt's strategies, including:* Over-the-phone recall* Letter-based recall