{"id":34452,"date":"2024-11-26T16:32:08","date_gmt":"2024-11-26T16:32:08","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34452"},"modified":"2025-01-16T09:10:14","modified_gmt":"2025-01-16T09:10:14","slug":"a-mixed-methods-investigation-of-the-delivery-impact-and-acceptability-of-a-national-de-adoption-programme-across-clinical-commissioning-groups-in-the-english-national-health-service","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/a-mixed-methods-investigation-of-the-delivery-impact-and-acceptability-of-a-national-de-adoption-programme-across-clinical-commissioning-groups-in-the-english-national-health-service\/","title":{"rendered":"O investiga\u021bie cu metode mixte privind implementarea, impactul \u0219i acceptabilitatea unui program na\u021bional de dezadoptare \u00een cadrul Grupurilor de Comisionare Clinic\u0103 din cadrul Serviciului Na\u021bional de S\u0103n\u0103tate Englez"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Sec\u021biunea intitulat\u0103 modul-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34452\/#module-1\" class=\"anchor\"><span class=\"hidden\">Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <header class=\"local_header\">\n<div class=\"local_header__inner\">\n<h1 class=\"local_header__title\">O investiga\u021bie cu metode mixte privind implementarea, impactul \u0219i acceptabilitatea unui program na\u021bional de dezadoptare \u00een cadrul Grupurilor de Comisionare Clinic\u0103 din cadrul Serviciului Na\u021bional de S\u0103n\u0103tate Englez<\/h1>\n<p>&nbsp;<\/p>\n<\/div>\n<\/header>\n<article class=\"page_content\">\n<h2 class=\"page_content__inner\">Finan\u021bare<\/h2>\n<\/article>\n<p>Institutul Na\u021bional pentru Cercetare \u00een S\u0103n\u0103tate \u0219i \u00cengrijire (NIHR) Cercetare \u00een Domeniul Serviciilor \u0219i Furniz\u0103rii de Servicii de S\u0103n\u0103tate (HS&amp;DR) Ref. NIHR130547.<\/p>\n<h2>Care este \u00eentrebarea de cercetare?<\/h2>\n<p>\u00centrebarea cercet\u0103rii este de a \u00een\u021belege modul de implementare, impactul \u0219i acceptabilitatea programului de Interven\u021bii Bazate pe Dovezi (EBI) al NHS England \u00een cadrul CCG-urilor engleze, pentru a produce recomand\u0103ri bazate pe dovezi pentru a optimiza eforturile viitoare de renun\u021bare la \u00eengrijirea cu valoare redus\u0103.<\/p>\n<h2>Care este problema?<\/h2>\n<p>NHS (Serviciul Na\u021bional de S\u0103n\u0103tate) se afl\u0103 sub presiunea de a oferi \u00eengrijiri de \u00eenalt\u0103 calitate cu fonduri limitate. Pe m\u0103sur\u0103 ce cercet\u0103rile progreseaz\u0103, unele tratamente utilizate \u00een mod obi\u0219nuit nu func\u021bioneaz\u0103 at\u00e2t de bine pe c\u00e2t credeam anterior. Aceste tratamente pot fi numite \u2018cu valoare redus\u0103\u2019 atunci c\u00e2nd nu ofer\u0103 suficiente beneficii pentru a justifica riscurile \u0219i costurile lor.<\/p>\n<p>Oprirea \u00eengrijirilor medicale cu valoare redus\u0103 poate elibera fonduri pentru \u00eengrijiri mai benefice \u0219i poate reduce daunele inutile. Oprirea sau reducerea unui tratament este denumit\u0103 \u2018deadoption\u2019 (oprirea administr\u0103rii). Deadoption-ul ar putea \u00eensemna oprirea complet\u0103 a unui tratament sau furnizarea acestuia doar pacien\u021bilor despre care se a\u0219teapt\u0103 s\u0103 beneficieze.<\/p>\n<p>\u00cen 2019, NHS England a lansat Programul de Interven\u021bii Bazate pe Dovezi (EBI). Acesta a denumit 17 proceduri chirurgicale \u2018cu valoare redus\u0103\u2019 pe care comisarii NHS sunt obliga\u021bi s\u0103 opreasc\u0103 finan\u021barea sau s\u0103 le finan\u021beze doar dac\u0103 pacien\u021bii \u00eendeplinesc anumite criterii stabilite \u00een politicile EBI.<\/p>\n<h2>Care este scopul cercet\u0103rii?<\/h2>\n<p>Proiectul nostru \u00ee\u0219i propune s\u0103 \u00een\u021beleag\u0103 modul de implementare, impactul \u0219i acceptabilitatea programului EBI, astfel \u00eenc\u00e2t s\u0103 putem recomanda \u00eembun\u0103t\u0103\u021biri pentru eforturile viitoare de reducere a \u00eengrijirii cu valoare redus\u0103.<\/p>\n<h2>Cum se va realiza acest lucru?<\/h2>\n<p>Vom realiza acest lucru \u00een trei etape, studiind dou\u0103 proceduri: chirurgia um\u0103rului \u0219i a \u00eencheieturii m\u00e2inii.<\/p>\n<ul>\n<li>Etapa 1 examineaz\u0103 schimb\u0103rile \u00een \u00eengrijirea NHS \u00eenainte \u0219i dup\u0103 emiterea politicilor EBI.<br \/>\nVom studia modific\u0103rile num\u0103rului de opera\u021biuni efectuate pentru fiecare procedur\u0103 EBI \u0219i modific\u0103rile altor opera\u021biuni care pot fi efectuate \u00een schimb.<\/li>\n<li>Etapa 2 va explora ac\u021biunile comisarilor \u0219i medicilor ca r\u0103spuns la programul EBI. De asemenea, va explora opiniile comisarilor, medicilor \u0219i pacien\u021bilor cu privire la consecin\u021bele \u0219i acceptabilitatea acestor ac\u021biuni. Vom intervieva comisari, medici de familie \u0219i speciali\u0219ti pentru a \u00een\u021belege ce s-a f\u0103cut ca r\u0103spuns la politicile EBI \u0219i opiniile lor cu privire la consecin\u021bele \u0219i acceptabilitatea acestor ac\u021biuni. De asemenea, vom intervieva pacien\u021bii lua\u021bi \u00een considerare pentru interven\u021bii chirurgicale pentru a explora experien\u021bele \u0219i satisfac\u021bia lor fa\u021b\u0103 de \u00eengrijire \u0219i vom \u00eenregistra audio consulta\u021biile clinice \u00een care procedurile sunt discutate cu pacien\u021bii pentru a studia ce se \u00eent\u00e2mpl\u0103 \u00een \u00eengrijirea de prim\u0103 linie. Vom examina o gam\u0103 larg\u0103 de politici ale CCG-urilor pentru accesarea procedurilor EBI \u0219i vom trimite un chestionar CCG-urilor din Anglia pentru a surprinde ac\u021biunile \u00eentreprinse ca r\u0103spuns la programul EBI.<\/li>\n<li>Etapa 3 va combina rezultatele cercet\u0103rii de mai sus \u0219i va analiza concluziile cu dovezi actualizate. Apoi, vom colabora cu pacien\u021bi, medici, comisari \u0219i factori de decizie politic\u0103 pentru a redacta recomand\u0103ri care s\u0103 sus\u021bin\u0103 reducerea la timp \u0219i acceptabil\u0103 a \u00eengrijirii cu valoare sc\u0103zut\u0103.<\/li>\n<\/ul>\n<h2>Cine conduce cercetarea?<\/h2>\n<p>Dr. Leila Rooshenas, lector universitar \u00een \u0219tiin\u021be calitative ale s\u0103n\u0103t\u0103\u021bii, \u0218tiin\u021be ale s\u0103n\u0103t\u0103\u021bii popula\u021biei, Universitatea din Bristol.<\/p>\n<h2>Informa\u021bii suplimentare:<\/h2>\n<p><a href=\"https:\/\/research-information.bris.ac.uk\/en\/persons\/leila-rooshenas\" target=\"_blank\" rel=\"nofollow noopener\">Dr. Leila Rooshenas<\/a><\/p>\n<p>Pentru mai multe informa\u021bii sau pentru a v\u0103 implica \u00een acest proiect, contacta\u021bi <a href=\"mailto:bnssg.research@nhs.net\" target=\"_blank\" rel=\"noopener\">bnssg.research@nhs.net<\/a>.<\/p>\n<p>Opiniile exprimate sunt cele ale autorului (autorilor) \u0219i nu neap\u0103rat cele ale NIHR sau ale Departamentului de S\u0103n\u0103tate \u0219i Asisten\u021b\u0103 Social\u0103.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 A mixed-methods investigation of the delivery, impact and acceptability of a national de-adoption programme across Clinical Commissioning Groups in the English National Health Service &nbsp; Funding National Institute for Health and Care Research (NIHR) Health Service &amp; Delivery Research (HS&amp;DR) Ref. NIHR130547. What is the research question? The research question is to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34452","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=34452"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34452\/revisions"}],"predecessor-version":[{"id":36096,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34452\/revisions\/36096"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=34452"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=34452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}