Fallaize Rosalind, Macready Anna L, Butler Laurie T, Ellis Judi A, Berezowska Aleksandra, Fischer Arnout R H, Walsh Marianne C, Gallagher Caroline, Stewart-Knox Barbara J, Kuznesof Sharon, Frewer Lynn J, Gibney Mike J, Lovegrove Julie A
Hugh Sinclair Unit of Human Nutrition and Institute for Cardiovascular and Metabolic Research, University of Reading,Whiteknights, ReadingRG6 6AP,UK.
Department of Psychology,University of Reading,Earley Gate, Whiteknights,ReadingRG6 6AL,UK.
Br J Nutr. 2015 Apr 28;113(8):1271-9. doi: 10.1017/S0007114515000045. Epub 2015 Mar 27.
Personalised nutrition (PN) has the potential to reduce disease risk and optimise health and performance. Although previous research has shown good acceptance of the concept of PN in the UK, preferences regarding the delivery of a PN service (e.g. online v. face-to-face) are not fully understood. It is anticipated that the presence of a free at point of delivery healthcare system, the National Health Service (NHS), in the UK may have an impact on end-user preferences for deliverances. To determine this, supplementary analysis of qualitative data obtained from focus group discussions on PN service delivery, collected as part of the Food4Me project in the UK and Ireland, was undertaken. Irish data provided comparative analysis of a healthcare system that is not provided free of charge at the point of delivery to the entire population. Analyses were conducted using the 'framework approach' described by Rabiee (Focus-group interview and data analysis. Proc Nutr Soc 63, 655-660). There was a preference for services to be led by the government and delivered face-to-face, which was perceived to increase trust and transparency, and add value. Both countries associated paying for nutritional advice with increased commitment and motivation to follow guidelines. Contrary to Ireland, however, and despite the perceived benefit of paying, UK discussants still expected PN services to be delivered free of charge by the NHS. Consideration of this unique challenge of free healthcare that is embedded in the NHS culture will be crucial when introducing PN to the UK.
个性化营养（PN）有降低疾病风险以及优化健康状况和身体表现的潜力。尽管先前的研究表明英国民众对PN概念接受度良好，但对于PN服务的提供方式（例如在线服务与面对面服务）的偏好尚未得到充分了解。预计英国免费的国民医疗服务体系（NHS）的存在可能会对终端用户对服务提供方式的偏好产生影响。为了确定这一点，对作为英国和爱尔兰“Food4Me”项目一部分收集的关于PN服务提供的焦点小组讨论的定性数据进行了补充分析。爱尔兰的数据提供了一个在服务提供时并非对全体人口免费的医疗体系的对比分析。分析采用了拉比伊描述的“框架方法”（焦点小组访谈与数据分析。《营养学会会刊》63卷，655 - 660页）。人们更倾向于由政府主导并提供面对面服务，这种方式被认为能增强信任和透明度，并增加价值。两国都认为为营养建议付费会增强遵循指导方针的决心和动力。然而，与爱尔兰不同，尽管英国受访者意识到付费的好处，但他们仍期望NHS免费提供PN服务。在将PN引入英国时，考虑NHS文化中所固有的这种免费医疗的独特挑战至关重要。
