{"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\/tr\/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":"\u0130ngiliz Ulusal Sa\u011fl\u0131k Hizmetleri&#039;ndeki Klinik Komisyon Gruplar\u0131 genelinde ulusal bir uygulama sonland\u0131rma program\u0131n\u0131n uygulanmas\u0131, etkisi ve kabul edilebilirli\u011fine ili\u015fkin karma y\u00f6ntemli bir ara\u015ft\u0131rma."},"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=\"Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34452\/#module-1\" class=\"anchor\"><span class=\"hidden\">Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/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\">\u0130ngiliz Ulusal Sa\u011fl\u0131k Hizmetleri&#039;ndeki Klinik Komisyon Gruplar\u0131 genelinde ulusal bir uygulama sonland\u0131rma program\u0131n\u0131n uygulanmas\u0131, etkisi ve kabul edilebilirli\u011fine ili\u015fkin karma y\u00f6ntemli bir ara\u015ft\u0131rma.<\/h1>\n<p>&nbsp;<\/p>\n<\/div>\n<\/header>\n<article class=\"page_content\">\n<h2 class=\"page_content__inner\">Finansman<\/h2>\n<\/article>\n<p>Ulusal Sa\u011fl\u0131k ve Bak\u0131m Ara\u015ft\u0131rma Enstit\u00fcs\u00fc (NIHR) Sa\u011fl\u0131k Hizmeti ve Sunumu Ara\u015ft\u0131rmas\u0131 (HS&amp;DR) Ref. NIHR130547.<\/p>\n<h2>Ara\u015ft\u0131rma sorusu nedir?<\/h2>\n<p>Ara\u015ft\u0131rma sorusu, \u0130ngiltere&#039;deki CCG&#039;ler genelinde NHS England&#039;\u0131n Kan\u0131ta Dayal\u0131 M\u00fcdahaleler (EBI) program\u0131n\u0131n uygulanmas\u0131n\u0131, etkisini ve kabul edilebilirli\u011fini anlamak ve d\u00fc\u015f\u00fck de\u011ferli bak\u0131mdan vazge\u00e7me y\u00f6n\u00fcndeki gelecekteki \u00e7abalar\u0131 optimize etmek i\u00e7in kan\u0131ta dayal\u0131 \u00f6neriler \u00fcretmektir.<\/p>\n<h2>Sorun nedir?<\/h2>\n<p>\u0130ngiliz Ulusal Sa\u011fl\u0131k Sistemi (NHS), s\u0131n\u0131rl\u0131 kaynaklarla y\u00fcksek kaliteli bak\u0131m sunma bask\u0131s\u0131 alt\u0131nda. Ara\u015ft\u0131rmalar ilerledik\u00e7e, yayg\u0131n olarak kullan\u0131lan baz\u0131 tedavilerin daha \u00f6nce d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fcz kadar etkili olmad\u0131\u011f\u0131 ortaya \u00e7\u0131k\u0131yor. Bu tedaviler, risklerini ve maliyetlerini hakl\u0131 \u00e7\u0131karacak kadar fayda sa\u011flamad\u0131klar\u0131nda &#039;d\u00fc\u015f\u00fck de\u011ferli&#039; olarak adland\u0131r\u0131labilir.<\/p>\n<p>De\u011feri d\u00fc\u015f\u00fck olan bak\u0131m\u0131n durdurulmas\u0131, daha faydal\u0131 bak\u0131m i\u00e7in fonlar\u0131n serbest b\u0131rak\u0131lmas\u0131n\u0131 sa\u011flayabilir ve gereksiz zararlar\u0131 azaltabilir. Bir tedavinin durdurulmas\u0131 veya azalt\u0131lmas\u0131na &#039;tedaviyi b\u0131rakma&#039; denir. Tedaviyi b\u0131rakma, bir tedavinin tamamen durdurulmas\u0131 veya yaln\u0131zca fayda g\u00f6rmesi beklenen hastalara uygulanmas\u0131 anlam\u0131na gelebilir.<\/p>\n<p>2019 y\u0131l\u0131nda NHS England, Kan\u0131ta Dayal\u0131 M\u00fcdahaleler (EBI) Program\u0131n\u0131 ba\u015flatt\u0131. Bu program, NHS yetkililerinin fonlamay\u0131 durdurmas\u0131 veya yaln\u0131zca hastalar\u0131n EBI politikalar\u0131nda belirtilen belirli kriterleri kar\u015f\u0131lamas\u0131 durumunda fonlamas\u0131 gereken 17 &#039;d\u00fc\u015f\u00fck de\u011ferli&#039; cerrahi prosed\u00fcr\u00fc belirledi.<\/p>\n<h2>Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n<p>Projemiz, d\u00fc\u015f\u00fck de\u011ferli bak\u0131m\u0131n azalt\u0131lmas\u0131na y\u00f6nelik gelecekteki \u00e7al\u0131\u015fmalara iyile\u015ftirmeler \u00f6nerebilmek i\u00e7in EBI program\u0131n\u0131n uygulanmas\u0131n\u0131, etkisini ve kabul edilebilirli\u011fini anlamay\u0131 ama\u00e7lamaktad\u0131r.<\/p>\n<h2>Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n<p>Bunu \u00fc\u00e7 a\u015famada ger\u00e7ekle\u015ftirece\u011fiz ve omuz ve bilek ameliyatlar\u0131 olmak \u00fczere iki y\u00f6ntemi inceleyece\u011fiz.<\/p>\n<ul>\n<li>1. A\u015fama, EBI politikalar\u0131n\u0131n yay\u0131nlanmas\u0131ndan \u00f6nce ve sonra NHS (Ulusal Sa\u011fl\u0131k Sistemi) bak\u0131m\u0131nda meydana gelen de\u011fi\u015fiklikleri inceler.<br \/>\nHer bir EBI prosed\u00fcr\u00fc i\u00e7in ger\u00e7ekle\u015ftirilen i\u015flem say\u0131s\u0131ndaki de\u011fi\u015fiklikleri ve bunun yerine yap\u0131labilecek di\u011fer i\u015flemlerdeki de\u011fi\u015fiklikleri inceleyece\u011fiz.<\/li>\n<li>2. A\u015fama, EBI program\u0131na yan\u0131t olarak komisyon \u00fcyelerinin ve doktorlar\u0131n eylemlerini inceleyecektir. Ayr\u0131ca, komisyon \u00fcyelerinin, doktorlar\u0131n ve hastalar\u0131n bu eylemlerin sonu\u00e7lar\u0131 ve kabul edilebilirli\u011fi hakk\u0131ndaki g\u00f6r\u00fc\u015flerini de ele alacakt\u0131r. EBI politikalar\u0131na yan\u0131t olarak neler yap\u0131ld\u0131\u011f\u0131n\u0131 ve bu eylemlerin sonu\u00e7lar\u0131 ve kabul edilebilirli\u011fi hakk\u0131ndaki g\u00f6r\u00fc\u015flerini anlamak i\u00e7in komisyon \u00fcyeleri, pratisyen hekimler ve uzmanlarla g\u00f6r\u00fc\u015fmeler yapaca\u011f\u0131z. Ayr\u0131ca, ameliyat i\u00e7in de\u011ferlendirilen hastalarla g\u00f6r\u00fc\u015ferek bak\u0131m deneyimlerini ve memnuniyetlerini ara\u015ft\u0131raca\u011f\u0131z ve \u00f6n saflarda neler oldu\u011funu incelemek i\u00e7in hastalarla prosed\u00fcrlerin tart\u0131\u015f\u0131ld\u0131\u011f\u0131 klinik kons\u00fcltasyonlar\u0131 ses kayd\u0131na alaca\u011f\u0131z. \u00c7ok \u00e7e\u015fitli CCG&#039;lerin EBI prosed\u00fcrlerine eri\u015fim politikalar\u0131n\u0131 inceleyece\u011fiz ve EBI program\u0131na yan\u0131t olarak al\u0131nan eylemleri yakalamak i\u00e7in \u0130ngiltere genelindeki CCG&#039;lere bir anket g\u00f6nderece\u011fiz.<\/li>\n<li>3. A\u015fama, yukar\u0131daki ara\u015ft\u0131rmalar\u0131n sonu\u00e7lar\u0131n\u0131 bir araya getirecek ve bulgular\u0131 g\u00fcncel kan\u0131tlarla de\u011ferlendirecektir. Ard\u0131ndan, d\u00fc\u015f\u00fck de\u011ferli bak\u0131m\u0131n zaman\u0131nda ve kabul edilebilir \u015fekilde azalt\u0131lmas\u0131n\u0131 desteklemek i\u00e7in hastalar, klinisyenler, yetkililer ve politika yap\u0131c\u0131larla birlikte \u00f6neriler yazaca\u011f\u0131z.<\/li>\n<\/ul>\n<h2>Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n<p>Dr. Leila Rooshenas, Bristol \u00dcniversitesi Niteliksel Sa\u011fl\u0131k Bilimleri, Halk Sa\u011fl\u0131\u011f\u0131 Bilimleri B\u00f6l\u00fcm\u00fc \u00d6\u011fretim \u00dcyesi.<\/p>\n<h2>Daha fazla bilgi:<\/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>Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in. <a href=\"mailto:bnssg.research@nhs.net\" target=\"_blank\" rel=\"noopener\">bnssg.research@nhs.net<\/a>.<\/p>\n<p>Burada ifade edilen g\u00f6r\u00fc\u015fler yazar(lar)a aittir ve NIHR veya Sa\u011fl\u0131k ve Sosyal Bak\u0131m Bakanl\u0131\u011f\u0131&#039;n\u0131n g\u00f6r\u00fc\u015flerini yans\u0131tmayabilir.<\/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\/tr\/wp-json\/wp\/v2\/pages\/34452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34452"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34452\/revisions"}],"predecessor-version":[{"id":36096,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34452\/revisions\/36096"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34452"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}