Person-centred Integrated Care (PIC) Networks supporting Healthy Ageing in Place

以人为本的综合护理 (PIC) 网络支持健康养老

• 批准号: MR/Y010922/1
• 负责人: Sarah Harper
• 金额: $ 42.21万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FY010922%2F1
• 关键词: Person; centred; Integrated; Care; PIC

The UK has an ageing population with increasingly complex health and care needs, linked to growing rates of long-term illness and multi-morbidity that are disproportionately high in the most deprived communities. The resources for formal health and care services such as the NHS and Local Authorities providing social care, are not keeping pace with demand . Prevention of transitions to poor health and higher care needs, and reduction of health inequalities between the most and least deprived groups in society, is essential for the long-term sustainability of the health and care system. The key challenge that we will address is how to prevent or delay transitions to more intensive forms of care as people age, and how to mitigate the impact of those transitions when they do occur. There is a growing evidence that local-level community based support, such as voluntary organisations and connection services such as social prescribing, play a key role in supporting people's health and well-being as they age. Over the past year we have established a multi-disciplinary cross-sector team uniting inputs from medical statistics, health economics, sociology, anthropology and design. Through this collaboration we have developed the concept of Person-centred Integrated Care (PIC) Networks, tailored to existing assets of diverse local settings, as novel interventions to support older people's health and wellbeing as they age in place. This draws on our understanding of the co-design of health and care interventions for communities and the impact of the environment on health and wellbeing as individuals age. This project is proof-of-concept and feasibility research, where we aim to elucidate the role and efficacy of local person-centred integrated care networks in delaying transitions to more intensive levels of care needs, and ameliorating care needs on transition. The study will take the example of the Leeds Neighbourhood Network, which has already been demonstrated to have local efficacy and has been considered by another city council (Birmingham), and explore whether this network model is generalisable, scalable and sustainable.Oxfordshire, the city of Oxford, surrounding small towns and rural communities, has been selected for its diversity of socio-economic and geographic communities in which to test the feasibility of establishing new PIC Networks from the principles of the Leeds model. This project will employ a mixture of qualitative and quantitative research methods across five complementary, concurrent work packages: statistical and economic analysis of population health data sets to develop a set of indicators for evaluation of PIC Networks; qualitative interviews and workshops for stakeholder engagement to identify key people and organisations who might comprise a local PIC Network; design and ethnographic methods to map local assets for potential inclusion in PIC Networks, including the built environment and technological resources, and connectivity between them; and co-creation techniques for citizen engagement on potential outcomes of PIC Network implementation that promote older people's health and wellbeing. Findings from the four concurrent Work Packages will be brought together through two knowledge exchange workshops with key stakeholders, in which we will co-develop and agree recommendations for implementing PIC Networks. This will allow us to devise an appropriate policy agenda which supports inclusively designed PIC Networks as part of a strategy to promote health in later life, and delay age-related transitions into frailty and ill-health.

英国的人口老龄化，健康和护理需求越来越复杂，与最贫困的社区中不成比例的长期疾病和多种疾病率不断增长有关。 NHS和提供社会护理的地方当局等正式卫生和护理服务的资源并没有跟上需求的步伐。预防过渡到健康和更高的护理需求的过渡，以及社会中最贫困群体之间最不贫困的群体之间的健康不平等，对于健康和护理体系的长期可持续性至关重要。我们将要解决的主要挑战是如何预防或延迟过渡到随着年龄的增长，以及如何减轻这些过渡的影响。越来越多的证据表明，基于本地社区的支持，例如志愿组织和社会处方等连接服务，在随着年龄的增长来支持人们的健康和福祉。在过去的一年中，我们建立了一个多学科跨部门团队，将医疗统计学，健康经济学，社会学，人类学和设计的意见团结在一起。通过这项合作，我们开发了以人为本的综合护理（PIC）网络的概念，该概念是针对当地各种现有环境的现有资产量身定制的，作为支持老年人的健康和福祉的新颖干预措施。这借鉴了我们对社区健康和护理干预措施的共同设计以及环境对个人年龄段的健康和福祉的影响。该项目是概念验证和可行性研究，我们旨在阐明以当地人为中心的综合护理网络在延迟过渡到更密集的护理需求以及改善过渡中的护理需求方面的作用和功效。该研究将以利兹邻里网络为例，利兹邻里网络已被证明具有本地功效，并已由另一个市议会（伯明翰）考虑，并探索该网络模型是否可以普遍，可扩展和可持续性。牛津大学周围的小城镇和农村社区的成员因其社会经济和地理社区的多样性而被选中，以测试从利兹模型原理建立新的PIC网络的可行性。该项目将在五个互补的，并发的工作包中采用定性和定量研究方法的混合：人口健康数据集的统计和经济分析，以开发一组评估PIC网络的指标；定性访谈和讲习班，用于利益相关者参与，以确定可能构成本地PIC网络的关键人物和组织；设计和民族志方法绘制本地资产，以便将其包含在PIC网络中，包括建筑环境和技术资源以及它们之间的连通性；以及共同创造的技术，以促进PIC网络实施的潜在结果，从而促进老年人的健康和福祉。四个并发工作包的发现将通过与关键利益相关者的两个知识交流研讨会一起汇总在一起，我们将共同开发并同意实施PIC网络的建议。这将使我们能够制定一个适当的政策议程，该议程支持包含包含的PIC网络，这是促进以后生活的战略的一部分，并将与年龄相关的过渡延迟到脆弱和健康状况。