{"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\/ro\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/previously-supported-projects\/development-of-a-virtual-chronic-kidney-disease-clinic\/","title":{"rendered":"Dezvoltarea unei clinici virtuale pentru boli renale cronice"},"content":{"rendered":"
Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a>
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Dezvoltarea unei clinici virtuale pentru boli renale cronice<\/h1>\n

Finan\u021bare<\/h2>\n

Finan\u021barea capacit\u0103\u021bii de cercetare CCG pentru Bristol, North Somerset \u0219i South Gloucestershire (Dezvoltare local\u0103)<\/p>\n

Care este \u00eentrebarea de cercetare?<\/h2>\n<\/div>\n<\/header>\n

Cum poate fi dezvoltat\u0103 \u0219i evaluat\u0103 formal o clinic\u0103 virtual\u0103 pentru boala renal\u0103 cronic\u0103 (vCKD) \u00een Bristol, evit\u00e2nd daunele neinten\u021bionate la nivel de pacient sau popula\u021bie?<\/p>\n

Care este problema?<\/h2>\n

Se estimeaz\u0103 c\u0103 4-91% dintre persoanele din Anglia au boal\u0103 renal\u0103 cronic\u0103 (BRC) \u00een stadiile 3-5, echivalentul \u00een prezent a 1,9-3,6 milioane de persoane, cu o cre\u0219tere prev\u0103zut\u0103 la 4,2 milioane p\u00e2n\u0103 \u00een 2036.<\/p>\n

Depistarea precoce a bolii cronice de rinichi (BCR) \u0219i tratamentul adecvat pot preveni morbiditatea prin reducerea riscului de a dezvolta insuficien\u021b\u0103 renal\u0103 \u0219i a riscului de evenimente cardiovasculare. Reducerea acestor riscuri ar putea genera economii semnificative de costuri pentru NHS.<\/p>\n

Unii pacien\u021bi necesit\u0103 consulta\u021bia unui nefrolog din asisten\u021ba medical\u0103 secundar\u0103. Exist\u0103 o nevoie urgent\u0103 de schimb\u0103ri inovatoare \u00een furnizarea serviciilor ambulatorii pentru BRC, pentru a satisface cerin\u021bele tot mai mari din cauza constr\u00e2ngerilor financiare tot mai stricte.<\/p>\n

Barts NHS Trust administreaz\u0103 o clinic\u0103 virtual\u0103 pentru boli cronice cronice (BCR) utiliz\u00e2nd platforma EMIS Electronic Patient Record (EPR). Ace\u0219tia raporteaz\u0103 succese, inclusiv reducerea timpului pentru consulta\u021biile cu medicul specialist \u0219i reducerea timpului de a\u0219teptare pentru program\u0103rile fa\u021b\u0103 \u00een fa\u021b\u0103.<\/p>\n

Modelul clinic utilizeaz\u0103, de asemenea, \u2018instrumente de declan\u0219are\u2019 \u00een asisten\u021ba medical\u0103 primar\u0103 care determin\u0103 trimiterea c\u0103tre nefrologie, ceea ce are poten\u021bialul de a reduce varia\u021bia \u0219i inegalitatea \u00een accesul la \u00eengrijirea nefrologic\u0103.<\/p>\n

Cu toate acestea, clinica Barts vCKD nu a fost evaluat\u0103 oficial \u0219i a avut unele rezultate nea\u0219teptate: volumul de munc\u0103 al departamentului de nefrologie a crescut semnificativ, par\u021bial atribuibil furniz\u0103rii de \u00eengrijiri unei popula\u021bii cu deprivare semnificativ\u0103 \u0219i CKD nediagnosticat\u0103 sau netratat\u0103.<\/p>\n

Care este scopul cercet\u0103rii?<\/h2>\n

Dezvoltarea \u0219i evaluarea formal\u0103 a unei clinici de vCKD bazate pe dovezi pentru Bristol.<\/p>\n

Rezultatele pot fi aplicabile popula\u021biilor de boli renale cronice (BCR) \u0219i centrelor renale la nivel na\u021bional \u0219i, ca atare, vor influen\u021ba alte politici ale unit\u0103\u021bilor renale \u0219i politica na\u021bional\u0103 privind furnizarea ambulatorie de servicii renale.<\/p>\n

Cum se va realiza acest lucru?<\/h2>\n

Necesitatea unei clinici vCKD va fi stabilit\u0103 prin auditarea \u0219i analizarea trimiterilor actuale \u0219i a nevoilor neacoperite \u0219i prin estimarea efectelor unei clinici virtuale asupra for\u021bei de munc\u0103 \u0219i a mediului.<\/p>\n

Clinica vCKD va fi proiectat\u0103 prin investigarea clinicilor vCKD actuale, stabilirea limitelor infrastructurii \u0219i consultarea p\u0103r\u021bilor interesate cheie, cum ar fi pacien\u021bi, nefrologi, medici de familie \u0219i medic.<\/p>\n

Vor fi investigate instrumente predictive pentru detectarea pacien\u021bilor care necesit\u0103 consiliere \u00een gestionarea BRC \u0219i vor fi identificate rezultatele importante pentru pacien\u021bi \u0219i medici.<\/p>\n

Clinica vCKD va fi apoi implementat\u0103 \u0219i evaluat\u0103 prin analizarea rezultatelor clinice, a problemelor logistice, a rezultatelor privind eficien\u021ba \u0219i costurile, a rezultatelor raportate de pacien\u021bi \u0219i a interviurilor cu pacien\u021bii, medicii de familie \u0219i nefrologii despre experien\u021bele lor.<\/p>\n

Cine conduce cercetarea?<\/h2>\n

Dr. Dominic Taylor, medic consultant nefrolog, Serviciul Neurologic Richard Bright, North Bristol NHS Trust.<\/p>\n

Informa\u021bii suplimentare:<\/h2>\n

Despre Dr. Dominic Taylor<\/a><\/p>\n

Pentru mai multe informa\u021bii sau pentru a v\u0103 implica \u00een acest proiect, trimite\u021bi un e-mail la 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\/ro\/wp-json\/wp\/v2\/pages\/34580","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=34580"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34580\/revisions"}],"predecessor-version":[{"id":36236,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34580\/revisions\/36236"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/32891"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=34580"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=34580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}