Development of prototype management system for COPD and Diabetes

英国人口老龄化给英国国民健康保险制度带来了巨大压力。随着人口的增长，患有影响其健康的长期疾病(LTC)的人数稳步增加。NHS在治疗这些疾病上的比例成本是惊人的：整个NHS预算的70%花在了管理30%人口的LTC上。从货币上看，这一数字被计算为每年用于管理1540万患者的770亿GB。由于80%-90%的LTCs患者护理是由患者及其家人承担的，自我管理方法的改进将导致全科医生就诊和住院次数的减少，并提高对治疗方案的依从性。这个项目将开发一个原型系统来监测生物特征，如血压和氧饱和度水平，并将信息传输回NHS，以帮助管理长期情况(LTC)，改善患者结果，同时降低护理成本。为了实现这一目标，SPIRIT Healthcare(SH)将建立在一个成功的系统--“Clinitouch”的基础上，他们已经在莱斯特实施了该系统，用于管理50名慢性阻塞性肺疾病(COPD)患者。这项试验证明，Clinitouch能够减少65%-95%的紧急住院人数，通过避免87次住院，在26周内节省了超过353,000 GB。它是如此的成功，以至于SH被委托在莱斯特向更多的患者推出这项服务。SH将把他们的Clinitouch患者界面平台从一个笨重而笨重的单元转变为一个直观的平台，可以在平板电脑上运行，通过蓝牙与各种生物识别监控外围设备接口。为了这个开发原型项目的目的，SH将以COPD或糖尿病患者为目标。如果计划外入院人数减少65%是可以在全国范围内实现的，那么非计划内COPD入院费用将减少到1.42亿GB。

The ageing UK population is putting an enormous strain on the NHS. As the population growsolder, the number of people living with a long-term condition (LTC) that affects their healthincreases steadily. The proportional costs to the NHS in treating these conditions isstaggering: 70% of the entire NHS budget is spent managing the LTC’s of 30% of thepopulation. Monetarily, this amount was calculated to be £77bn per year spent managing15.4m patients.As 80% - 90% of all care for people with LTCs is undertaken by patients and their families,improvements in self-management methods will result in a reduced number of GP visits andadmissions to hospital, and increased compliance with treatment regimens. This project willdevelop a prototype system to monitor biometric signs, such as blood pressure and oxygensaturation levels, and transmit the information back to the NHS, to aid management of longtermconditions (LTCs) and improve patient outcomes, whilst reducing costs of care.To achieve this, Spirit Healthcare (SH) will build upon a successful system, the ‘Clinitouch’,which they have already implemented in Leicester for the management of 50 patients withchronic obstructive pulmonary disorder (COPD). This trial proved that Clinitouch was able toreduce emergency hospital admissions by 65-95%, saving in excess of £353,000 in 26 weeksby averting 87 hospital admissions. It was so successful that SH have been commissioned toroll out the service to more patients across Leicester.SH will transform their Clinitouch patient interface platform from a bulky and cumbersomeunit into an intuitive platform that will run on a tablet computer that interfaces (via Bluetooth)with various biometric-monitoring peripherals. For the purposes of this development ofprototype project, SH will target patients with COPD or diabetes. If the 65% reduction inunplanned admissions was achievable on a national basis, the £407m bill for unplannedCOPD admissions would reduce to £142m.