{"id":34580,"date":"2024-11-26T16:53:59","date_gmt":"2024-11-26T16:53:59","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34580"},"modified":"2025-01-19T20:57:12","modified_gmt":"2025-01-19T20:57:12","slug":"development-of-a-virtual-chronic-kidney-disease-clinic","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/fr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/previously-supported-projects\/development-of-a-virtual-chronic-kidney-disease-clinic\/","title":{"rendered":"D\u00e9veloppement d'une clinique virtuelle pour les maladies r\u00e9nales chroniques"},"content":{"rendered":"
Section intitul\u00e9e module-1<\/span><\/a>
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D\u00e9veloppement d'une clinique virtuelle pour les maladies r\u00e9nales chroniques<\/h1>\n

Financement<\/h2>\n

Financement des capacit\u00e9s de recherche du CCG de Bristol, North Somerset et South Gloucestershire (d\u00e9veloppement local)<\/p>\n

Quelle est la question de recherche ?<\/h2>\n<\/div>\n<\/header>\n

How can a virtual Chronic Kidney Disease (vCKD) clinic for Bristol be developed and formally evaluated, avoiding unintended harm at the patient or population level?<\/p>\n

Quel est le probl\u00e8me ?<\/h2>\n

It is estimated that 4-9% of people in England have Chronic Kidney Disease (CKD) stages 3-5, currently equivalent to 1.9-3.6 million people, with a predicted increase to 4.2 million by 2036.<\/p>\n

Early detection of CKD and appropriate management can prevent morbidity by reducing the risk of developing kidney failure and the risk of cardiovascular events. Reducing these risks could deliver significant cost savings to the NHS.<\/p>\n

Some patients require input from a secondary care nephrologist. There is an urgent need for innovative change in the delivery of CKD outpatient services in order to meet increasing demands under tightening financial constraints.<\/p>\n

Barts NHS Trust runs a virtual CKD clinic using the EMIS Electronic Patient Record (EPR) platform. They report successes, including reduced time for consultant review and reduced waiting time for face-to-face appointments.<\/p>\n

The clinic model also uses primary care \u2018trigger tools\u2019 prompting referral to nephrology, which have the potential to reduce variation and inequity in access to nephrology care.<\/p>\n

However, the Barts vCKD clinic was not formally evaluated and had some unexpected results: the workload of the nephrology department increased significantly, partly attributable to the provision of care to a population with significant deprivation and undiagnosed or untreated CKD.<\/p>\n

Quel est l'objectif de la recherche ?<\/h2>\n

To develop and formally evaluate an evidence-based vCKD clinic for Bristol.<\/p>\n

The results may be applicable to CKD populations and renal centres nationwide, and as such will influence other renal unit policies and national policy on outpatient delivery of renal services.<\/p>\n

Comment cela sera-t-il r\u00e9alis\u00e9 ?<\/h2>\n

The need for a vCKD clinic will be established by auditing and analysing current referrals and unmet needs and by estimating the effects of a virtual clinic on the workforce and environment.<\/p>\n

The vCKD clinic will be designed by investigating current vCKD clinics, establishing the limitations of infrastructure and by consulting key stakeholders such as patients, nephrologists, primary care practitioners, and commissioners.<\/p>\n

Predictive tools to detect patients in need of CKD management advice will be investigated, and outcomes important to patients and clinicians will be identified.<\/p>\n

The vCKD clinic will then be implemented and assessed by looking at clinical outcomes, logistical issues, efficiency and cost outcomes, patient-reported outcomes, and interviews with patients, primary care practitioners and nephrologists about their experiences.<\/p>\n

Qui dirige la recherche ?<\/h2>\n

Dr Dominic Taylor, Consultant Nephrologist, Richard Bright Renal Service, North Bristol NHS Trust.<\/p>\n

Informations compl\u00e9mentaires\u00a0:<\/h2>\n

About Dr Dominic Taylor<\/a><\/p>\n

Pour plus d'informations ou pour participer \u00e0 ce projet, veuillez envoyer un courriel. bnssg.research@nhs.net<\/a>.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 Development of a virtual Chronic Kidney Disease clinic Funding Bristol, North Somerset and South Gloucestershire CCG Research Capability Funding (Local development) What is the research question? How can a virtual Chronic Kidney Disease (vCKD) clinic for Bristol be developed and formally evaluated, avoiding unintended harm at the patient or population level? What […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32891,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34580","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/comments?post=34580"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34580\/revisions"}],"predecessor-version":[{"id":36236,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/34580\/revisions\/36236"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/pages\/32891"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/media?parent=34580"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/fr\/wp-json\/wp\/v2\/tags?post=34580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}