Enabling Self Management for COVID 19 high risk groups

在2019冠状病毒病大流行早期，很明显，患有心脏病、慢性呼吸道疾病、糖尿病、癌症和高血压等多种疾病的人在临床上特别容易感染COVID-19。现在也很清楚的是，英国黑人、亚洲人和少数民族（BAME）的人检测呈阳性并死于COVID-19的可能性更高。英国公共卫生部最近的一份报告指出，对COVID-19确诊病例的生存分析表明，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。Health Fabric一直是数字健康领域的先驱。我们目前的平台通过了NHS应用程序库的认证，拥有2000多名不同条件的用户。NHS图书馆上的应用程序受到患者和从业者的信任，因为它们在有效性，临床安全性，遵守临床法规，数据保护，安全性，可用性和可访问性，互操作性和技术稳定性方面进行了严格的尽职调查。因此，我们对有效自我管理的数据点有了深刻的理解。

Early during the COVID-19 pandemic, it became clear that people with multiple conditions such as heart disease, chronic respiratory disease, diabetes, cancer and high blood pressure are particularly clinically vulnerable to COVID 19\.What has also now become clear is that people of British Black, Asian, and minority ethnic (BAME) origin are at a higher likelihood of testing positive and dying with COVID-19\.A recent 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.Health Fabric has been a pioneer in the Digital Health space. Our current platform accredited on the NHS App Library and has over 2000 users across different conditions. The apps on the NHS library are trusted by patients and practitioners as they have gone through an exacting level of due diligence on compliance around Effectiveness, Clinical Safety, Adherence to clinical regulation, Data Protection, Security, Usability & Accessibility, Interoperability, and Technical Stability. As a result, we have a deep understanding of the data points around effective self-management.