Scaling Alvie's Digital Health Coaching & Specialist Support Programme

癌症治疗是坚韧的，往往需要频繁的医院访问，并造成健康问题。存在健康问题的人有更高的并发症风险，导致计划外的医院就诊和更长的住院时间。个性化的健康改善计划，专注于身体，营养和情绪健康，被称为prehistory，已被证明是非常有益的。然而，由于成本高和不便，它们并不广泛，只有不到10%的患者能够获得，阿尔维于2019年由一位具有丰富肿瘤学经验的癌症外科医生和护士创立，旨在改变这一点。他们使用数字优先的方法来改善获得更好的健康，无论位置。阿尔维提供为期10周的健康教练服务。每个病人都有一个真实的教练，并根据需要获得专业的联合健康专业人员（AHPs）和护士。该计划对800多名病人产生了积极的影响，帮助他们变得更加积极，减少焦虑，提高生活质量，甚至减少住院时间。阿尔维的方法是独一无二的，因为它将专家指导与改变行为的策略相结合，使每个人都能更容易地实现更好的健康。该公司已与NHS、私人医疗保险公司和企业建立了合作伙伴关系，并发表了支持他们方法的同行评议研究。但是，该系统存在瓶颈。c.他们40%的互动依赖于通过阿尔维应用程序和门户网站进行的实时视频对话，难以满足不断增长的需求。为了克服这一点，我们计划从基于视频的不灵活咨询转向异步方式。我们已经开始使用聊天支持，但计划引入机器学习和大型语言模型来扩展这种方法，并显着扩大我们的覆盖范围。这一变化将使服务更高效，并打破地理和时间障碍，将医疗保健从集中模式转变为以患者为中心的“随时随地”模式。这一创新将改善患者的治疗效果，并使经过临床验证的专业支持广泛可用。这是迈向更以病人为中心和更容易接近的未来的一步。它还将促进扩展到癌症以外的其他医疗条件，例如心脏病，复杂手术和手术准备/恢复。阿尔维的目标是使医疗保健和支持变得容易，使人们能够优化他们的健康，并有一个更顺利，更好的恢复。该项目是一种开拓、部署和测试新技术、收集数据并满足重大医疗保健和社会需求的方式，同时实现良好的健康成果和患者体验。

Cancer treatment is tough, often requiring frequent hospital visits and causing health problems. People with existing health issues have a higher risk of complications, leading to unplanned hospital visits and longer stays.Personalised health improvement programmes that focus on physical, nutritional, and emotional well-being, known as prehabilitation, have shown to be very beneficial. However, they are not widely available, with less than 10% of patients having access, due to high costs and inconvenience.Alvie, founded in 2019 by a cancer surgeon and nurse with extensive experience in oncology, aims to change this. They use a digital-first approach to improve access to better health, regardless of location.Alvie provides a 10-week health coaching service. Each patient is matched to a real coach, and needs-based access to specialist Allied Health Professionals (AHPs) and nurses.The programme has had a positive impact on over 800 patients, helping them become more active, reduce anxiety, improve their quality of life, and even spend less time in hospital. Alvie's approach is unique because it combines expert guidance with strategies for changing behaviour, making it easier for everyone to achieve better health.The company has formed partnerships with the NHS, private medical insurers, and corporations and has published peer-reviewed research supporting their approach.But, there's a bottleneck in the system. c.40% of their interactions rely on real-time video conversations through the Alvie App and Portal, making it hard to meet the growing demand.To overcome this, we plan to move away from inflexible video-based consultations to an asynchronous approach. We've already started using chat support but plan to introduce machine learning and large language models to scale this approach and significantly expand our reach. This change will make the service more efficient and also break down geographical and time barriers, shifting healthcare from a centralised model to a patient-centered, "anywhere-based" one.This innovation will improve patient outcomes and make specialised, clinically-validated support widely available. It's a step towards a more patient-centric and accessible future. It will also facilitate expansion into other medical conditions beyond cancer, e.g. cardiac, complex surgery and preperation / recovery from surgery.Alvie's goal is to make healthcare and support accessible, empowering people to optimise their health and have a smoother, better recovery. This project is a way to pioneer, deploy and test new technologies, collect data, and address a significant healthcare and societal need whilst simultaneously achieving great health outcomes and patient experience.