{"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\/sq\/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":"Nj\u00eb hetim me metoda t\u00eb p\u00ebrziera mbi ofrimin, ndikimin dhe pranueshm\u00ebrin\u00eb e nj\u00eb programi komb\u00ebtar t\u00eb mosbir\u00ebsimit n\u00eb t\u00eb gjitha Grupet e Komisionimit Klinik n\u00eb Sh\u00ebrbimin Komb\u00ebtar Sh\u00ebndet\u00ebsor Anglez"},"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=\"Seksioni me titull module-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34452\/#module-1\" class=\"anchor\"><span class=\"hidden\">Seksioni me titull module-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\">Nj\u00eb hetim me metoda t\u00eb p\u00ebrziera mbi ofrimin, ndikimin dhe pranueshm\u00ebrin\u00eb e nj\u00eb programi komb\u00ebtar t\u00eb mosbir\u00ebsimit n\u00eb t\u00eb gjitha Grupet e Komisionimit Klinik n\u00eb Sh\u00ebrbimin Komb\u00ebtar Sh\u00ebndet\u00ebsor Anglez<\/h1>\n<p>&nbsp;<\/p>\n<\/div>\n<\/header>\n<article class=\"page_content\">\n<h2 class=\"page_content__inner\">Financimi<\/h2>\n<\/article>\n<p>Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime n\u00eb Sh\u00ebndet\u00ebsi dhe Kujdes (NIHR) K\u00ebrkime mbi Sh\u00ebrbimet dhe Ofrimin e Sh\u00ebrbimeve Sh\u00ebndet\u00ebsore (HS&amp;DR) Ref. NIHR130547.<\/p>\n<h2>Cila \u00ebsht\u00eb pyetja k\u00ebrkimore?<\/h2>\n<p>Pyetja k\u00ebrkimore \u00ebsht\u00eb t\u00eb kuptohet ofrimi, ndikimi dhe pranueshm\u00ebria e programit t\u00eb Nd\u00ebrhyrjeve t\u00eb Bazuara n\u00eb D\u00ebshmi (EBI) t\u00eb NHS England n\u00eb t\u00eb gjitha CCG-t\u00eb angleze, p\u00ebr t\u00eb prodhuar rekomandime t\u00eb bazuara n\u00eb d\u00ebshmi p\u00ebr t\u00eb optimizuar p\u00ebrpjekjet e ardhshme p\u00ebr t\u00eb hequr dor\u00eb nga kujdesi me vler\u00eb t\u00eb ul\u00ebt.<\/p>\n<h2>Cili \u00ebsht\u00eb problemi?<\/h2>\n<p>Sh\u00ebrbimi Sh\u00ebndet\u00ebsor Komb\u00ebtar (NHS) \u00ebsht\u00eb n\u00ebn presion p\u00ebr t\u00eb ofruar kujdes me cil\u00ebsi t\u00eb lart\u00eb me fonde t\u00eb kufizuara. Nd\u00ebrsa k\u00ebrkimet p\u00ebrparojn\u00eb, disa trajtime t\u00eb p\u00ebrdorura zakonisht nuk funksionojn\u00eb aq mir\u00eb sa mendonim m\u00eb par\u00eb. K\u00ebto trajtime mund t\u00eb quhen &#039;me vler\u00eb t\u00eb ul\u00ebt&#039; kur nuk ofrojn\u00eb p\u00ebrfitime t\u00eb mjaftueshme p\u00ebr t\u00eb justifikuar rreziqet dhe kostot e tyre.<\/p>\n<p>Nd\u00ebrprerja e kujdesit me vler\u00eb t\u00eb ul\u00ebt mund t\u00eb \u00e7liroj\u00eb fonde p\u00ebr kujdes m\u00eb t\u00eb dobish\u00ebm dhe t\u00eb zvog\u00ebloj\u00eb d\u00ebmet e panevojshme. Nd\u00ebrprerja ose zvog\u00eblimi i nj\u00eb trajtimi quhet &#039;vdeoption&#039;. Heqja dor\u00eb nga bir\u00ebsimi mund t\u00eb n\u00ebnkuptoj\u00eb nd\u00ebrprerjen e plot\u00eb t\u00eb nj\u00eb trajtimi ose ofrimin e tij vet\u00ebm p\u00ebr pacient\u00ebt q\u00eb pritet t\u00eb p\u00ebrfitojn\u00eb.<\/p>\n<p>N\u00eb vitin 2019, NHS England lan\u00e7oi Programin e Nd\u00ebrhyrjeve t\u00eb Bazuara n\u00eb D\u00ebshmi (EBI). Ky program em\u00ebroi 17 procedura kirurgjikale me &#039;vler\u00eb t\u00eb ul\u00ebt&#039; q\u00eb komisioner\u00ebt e NHS duhet t\u00eb ndalojn\u00eb financimin ose t&#039;i financojn\u00eb vet\u00ebm n\u00ebse pacient\u00ebt plot\u00ebsojn\u00eb kriteret e p\u00ebrcaktuara n\u00eb politikat EBI.<\/p>\n<h2>Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/h2>\n<p>Projekti yn\u00eb synon t\u00eb kuptoj\u00eb ofrimin e programit EBI, ndikimin dhe pranueshm\u00ebrin\u00eb e tij, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb mund t\u00eb rekomandojm\u00eb p\u00ebrmir\u00ebsime n\u00eb p\u00ebrpjekjet e ardhshme p\u00ebr t\u00eb zvog\u00ebluar kujdesin me vler\u00eb t\u00eb ul\u00ebt.<\/p>\n<h2>Si do t\u00eb arrihet kjo?<\/h2>\n<p>Do ta arrijm\u00eb k\u00ebt\u00eb n\u00eb tre faza, duke studiuar dy procedura: kirurgjin\u00eb e shpatull\u00ebs dhe t\u00eb ky\u00e7it t\u00eb dor\u00ebs.<\/p>\n<ul>\n<li>Faza 1 shqyrton ndryshimet n\u00eb kujdesin e NHS-s\u00eb para dhe pas l\u00ebshimit t\u00eb politikave EBI.<br \/>\nNe do t\u00eb studiojm\u00eb ndryshimet n\u00eb numrin e operacioneve t\u00eb kryera p\u00ebr secil\u00ebn procedur\u00eb EBI dhe ndryshimet n\u00eb operacionet e tjera q\u00eb mund t\u00eb kryhen n\u00eb vend t\u00eb k\u00ebsaj.<\/li>\n<li>Faza 2 do t\u00eb shqyrtoj\u00eb veprimet e komisioner\u00ebve dhe mjek\u00ebve n\u00eb p\u00ebrgjigje t\u00eb programit EBI. Gjithashtu do t\u00eb shqyrtoj\u00eb pik\u00ebpamjet e komisioner\u00ebve, mjek\u00ebve dhe pacient\u00ebve n\u00eb lidhje me pasojat dhe pranueshm\u00ebrin\u00eb e k\u00ebtyre veprimeve. Ne do t\u00eb intervistojm\u00eb komisioner\u00eb, mjek\u00eb t\u00eb p\u00ebrgjithsh\u00ebm dhe specialist\u00eb p\u00ebr t\u00eb kuptuar se \u00e7far\u00eb \u00ebsht\u00eb b\u00ebr\u00eb n\u00eb p\u00ebrgjigje t\u00eb politikave t\u00eb EBI-s\u00eb dhe pik\u00ebpamjet e tyre n\u00eb lidhje me pasojat dhe pranueshm\u00ebrin\u00eb e k\u00ebtyre veprimeve. Ne gjithashtu do t\u00eb intervistojm\u00eb pacient\u00ebt q\u00eb po merren n\u00eb konsiderat\u00eb p\u00ebr nd\u00ebrhyrje kirurgjikale p\u00ebr t\u00eb shqyrtuar p\u00ebrvojat dhe k\u00ebnaq\u00ebsin\u00eb e tyre me kujdesin dhe do t\u00eb regjistrojm\u00eb konsultat klinike audio ku diskutohen procedurat me pacient\u00ebt p\u00ebr t\u00eb studiuar se \u00e7far\u00eb ndodh n\u00eb kujdesin n\u00eb vij\u00ebn e par\u00eb. Ne do t\u00eb shqyrtojm\u00eb nj\u00eb p\u00ebrzgjedhje t\u00eb gjer\u00eb t\u00eb politikave t\u00eb CCG-ve p\u00ebr aksesin n\u00eb procedurat EBI dhe do t&#039;u d\u00ebrgojm\u00eb nj\u00eb anket\u00eb CCG-ve n\u00eb t\u00eb gjith\u00eb Anglin\u00eb p\u00ebr t\u00eb kapur veprimet e nd\u00ebrmarra n\u00eb p\u00ebrgjigje t\u00eb programit EBI.<\/li>\n<li>Faza 3 do t\u00eb kombinoj\u00eb rezultatet nga hulumtimi i m\u00ebsip\u00ebrm dhe do t\u00eb shqyrtoj\u00eb gjetjet me prova t\u00eb p\u00ebrdit\u00ebsuara. M\u00eb pas do t\u00eb punojm\u00eb me pacient\u00ebt, klinicist\u00ebt, komisioner\u00ebt dhe politik\u00ebb\u00ebr\u00ebsit p\u00ebr t\u00eb shkruar rekomandime p\u00ebr t\u00eb mb\u00ebshtetur reduktimin n\u00eb koh\u00eb dhe t\u00eb pranuesh\u00ebm t\u00eb kujdesit me vler\u00eb t\u00eb ul\u00ebt.<\/li>\n<\/ul>\n<h2>Kush po e udh\u00ebheq hulumtimin?<\/h2>\n<p>Dr. Leila Rooshenas, Lektore n\u00eb Shkenc\u00ebn e Sh\u00ebndetit Cil\u00ebsor, Shkencat e Sh\u00ebndetit t\u00eb Popullsis\u00eb, Universiteti i Bristolit.<\/p>\n<h2>Informacione t\u00eb m\u00ebtejshme:<\/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>P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t&#039;u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, kontaktoni <a href=\"mailto:bnssg.research@nhs.net\" target=\"_blank\" rel=\"noopener\">bnssg.research@nhs.net<\/a>.<\/p>\n<p>Pik\u00ebpamjet e shprehura jan\u00eb ato t\u00eb autorit\/autor\u00ebve dhe jo domosdoshm\u00ebrisht ato t\u00eb NIHR ose t\u00eb Departamentit t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Kujdesit Social.<\/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\/sq\/wp-json\/wp\/v2\/pages\/34452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=34452"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34452\/revisions"}],"predecessor-version":[{"id":36096,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34452\/revisions\/36096"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=34452"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}