STREAM 1: Accelerating Impact of Community healthCarE in Tayside (AICCET)

AICCET将使更好的预后、疾病诊断过程和治疗结果预测成为可能。这允许改进治疗计划，这是更好的患者旅程和体验的先决条件。它通过避免不必要的医院住院护理，使用不需要高度专业人员的技术实现门诊手术，从而使诊所可以更接近他们所服务的社区。通过向全科医生提供的解决方案在家中监控患者健康和管理慢性病，进一步实现了这种远离医院的医疗保健。此类干预的例子包括：1.英寸蠕虫技术提供了一种解决方案，可以降低患者的风险，使NHS工作人员更容易使用该设备，并将该程序从由专业临床医生执行的昂贵的二级护理地点转移到社区门诊环境中。公共患者参与和参与(PPIE)对于加速这项技术的影响尤其重要，具有显著减少医疗不平等的潜力，因为传统的内窥镜检查降低了对某些患者表型(高BMI、虚弱或残疾)的疗效，而结肠镜筛查减少了社会经济背景较低的人的摄入量，原因是难以到达中心医院或由于对当前程序的恐惧-导致诊断延迟和预后不良。(曼弗雷迪--邓迪大学)在可穿戴电子设备中用于检测绵羊结痂的省电算法可以应用于社区中即将进行侵入性手术的门诊患者。已有研究表明，手术前的锻炼有助于手术的积极效果。该设备将有助于减少在康复前和康复后阶段访问医院的次数，使医生能够远程监控患者在接受规定的培训活动时所取得的进展。AICCET联盟聚集了塔赛德地区的14个组织(5所大学、1所继续教育学院、5个公民团体、1家医院和2个NHS组织)，以应对社区医疗保健的挑战。该联盟与通过技术和流程解决方案实现的连续护理中发生的“左移”直接一致，这些解决方案通过同时提供更高质量的医疗保健和更低的供应成本来为患者提供最高质量的生活。AICCET正在建立机制，以加速这5所大学创造的创新研究对社区医疗保健的影响。AICCET建立了医疗技术生态系统的基础，解决了研究和创新的障碍，并增加了连接性，以加快对社区医疗的影响。

AICCET will enable better prognostics, the process by which disease is diagnosed and the outcome of treatment predicted. This allows for improved treatment planning, a pre-requisite for a better patient journey and experience. It does this by avoiding unnecessary hospital in-patient care, enabling outpatient procedures using technologies which do not require highly specialised personnel such that clinics can move closer to the community they serve. This move away from hospital based healthcare is further enabled through monitoring patient health at home and managing chronic disease with solutions provided to the GPs, all moving healthcare further into the community.Examples of such interventions include: 1. Inch-worm technology provides a solution which reduces risk to patients, makes the device easier to use by NHS staff, and moves the procedure away from a costly secondary care location performed by specialised clinicians into a community out-patient setting. Public Patient Involvement and Engagement (PPIE) is particularly important for accelerating the impact of this technology, with significant potential for reducing healthcare inequalities as traditional endoscopy has reduced efficacy in certain patient phenotypes (high BMI, infirm or living with disability) and colonoscopy screening has reduced uptake in those with a lower socio-economic background due to difficulties accessing transport to a central hospital or from fear of the current procedure - leading to late diagnosis and poor prognoses. (Manfredi - University of Dundee).2. Power frugal algorithms used in wearable electronics for the detection of scabbing in sheep can be applied to outpatients in the community who are soon to have invasive surgery. It has been shown that exercise prior to surgical operation helps positive outcome of surgery. The device will help reduce visit hospitals during the pre-habilitation and also post-habilitation phase allowing doctors to monitor remotely the progress made by the patients as they undergo prescribed training exercises.The AICCET consortium has gathered 14 organisations (5 universities, a further education college, 5 civic bodies, 1 hospital and 2 NHS organisations in the Tayside region to address the challenges of community healthcare. This consortium is in direct alignment with the "shift left" taking place in the continuum of care enabled by technological and process solutions that offer the highest quality of life for patients through the simultaneous provision of improved quality of healthcare and reduced costs of provision.AICCET is putting in place the mechanisms to accelerate impact in community healthcare of innovative research created by these 5 universities. AICCET sets up the foundations of a healthcare technology ecosystem addressing the barriers for research and innovation and increasing the connectivity to accelerate impact in community healthcare.