Jude: Developing a self-learning personalised pathway recommendation engine for age-related health diseases starting with bladder issues

裘德致力于重新定义健康老龄化，以膀胱护理为切入点。在英国，1400万人患有膀胱问题，如尿失禁（UI），尽管UI可发生在任何年龄，但在老年人中更普遍，包括高达40%的女性（Buckley等人，2009）（库珀等人，2015).在人口老龄化的背景下，18.4%的英国人年龄在65岁或以上，令人惊讶的是，膀胱保健和症状管理的方法只发生了微小的变化。从尿漏控制到医疗干预，与35年前一样，同样的大公司、治疗和手术正在发挥作用。上述每一种都有自己的问题;遏制产品是不可持续的，有助于垃圾填埋，药物治疗与早发性痴呆等不良后果有关，而手术是侵入性的，NHS等待时间很长。使这些问题更加复杂的是，缺乏对公众和医疗保健专业人员的创新和教育的资金，这意味着许多UI患者只能独自管理他们的症状和未经治疗。拥有UI通常会导致消极的生活方式改变，包括避免活动或社交场合，因为害怕和羞耻泄漏。许多患有UI的人生活质量差，焦虑和抑郁，导致孤独和孤立。对于我们的老龄化人口来说，这加剧了已经存在的问题。UI通常是护理院入院的一个因素。裘德的使命是改变膀胱健康的景观。在我们的研究中，我们发现有三个核心问题导致贫困;教育，管理和治疗。通过我们的裘德社区，我们提供了新产品和打破禁忌的教育。通过我们的研究，我们获得了一批健康数据。我们现在的目标是使用和扩展我们的非结构化健康数据库，以创建个性化的推荐引擎。支持这一点，将是一个以人为本的数据收集，通过护士主导的支持热线。随着时间的推移，自学引擎将能够根据每个人的个人资料对教育、产品和服务进行分类，以创建一个独特的途径。拟议的360°是膀胱健康的整体方法，包括预防，管理和治疗，包括医疗和替代治疗。这将是第一次将上述所有内容都纳入一个易于访问的空间。

Jude is committed to redefining healthy ageing, with bladder care as an entry point. In the UK 14m people suffer bladder issues such as urinary incontinence (UI) and although UI can occur at any age it is more prevalent in older adults including up to 40% of women (Buckley et al., 2009)(Cooper et al., 2015).Set against the backdrop of an ageing population, 18.4% of the UK are aged 65 or older, it is surprising that approaches to bladder healthcare and symptom management have only changed marginally. From urinary leak containment to medical interventions, the same major companies, treatments and surgeries are in play as they were 35 years ago. Each of the aforementioned presents their own issues; containment products are unsustainable, contributing to landfill, medications have been associated with adverse outcomes such as early onset dementia, whilst surgery is invasive and NHS wait times are long. Compounding these issues is a lack of funding for innovation and education for the public and healthcare professionals alike meaning many with UI are left to manage their symptoms alone and untreated. Having UI can often lead to negative lifestyle changes including avoiding activity or social occasions for fear and shame of leaking. Many people with UI suffer from a poor quality of life, anxiety and depression which contribute to loneliness and isolation. For our ageing population this exacerbates already existing issues. UI is often a factor in care home admissions. Jude is on a mission to change the landscape of bladder health. In our research we found there to be three core issues contributing to poor continence; education, management and treatment. With our Jude community we have delivered new products and taboo-breaking education. Through our research, we have acquired a pool of health data. Our ambition now is to use and expand our pool of unstructured health data, to create a personalised recommendation engine. Supporting this, will be a human centred data collection through a nurse-led support hotline. Overtime, the self-learning engine will be able to triage education, products and services against each individual's profile to create a unique pathway. The proposed 360° is a holistic approach to bladder health encompassing prevention, management and treatment both medical and alternative. The proposed will be the first time all of the above is brought into one easily accessible space.