{"id":34473,"date":"2024-11-26T16:35:23","date_gmt":"2024-11-26T16:35:23","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34473"},"modified":"2025-01-16T10:22:11","modified_gmt":"2025-01-16T10:22:11","slug":"developing-evidence-based-optimal-testing-strategies-to-monitor-long-term-conditions-in-primary-care","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/developing-evidence-based-optimal-testing-strategies-to-monitor-long-term-conditions-in-primary-care\/","title":{"rendered":"Birinci basamak sa\u011fl\u0131k hizmetlerinde uzun s\u00fcreli hastal\u0131klar\u0131n izlenmesi i\u00e7in kan\u0131ta dayal\u0131 optimal test stratejileri geli\u015ftirmek."},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Birinci basamak sa\u011fl\u0131k hizmetlerinde uzun s\u00fcreli hastal\u0131klar\u0131n izlenmesi i\u00e7in kan\u0131ta dayal\u0131 optimal test stratejileri geli\u015ftirmek.<\/h1>\n<\/div>\n<\/header>\n
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<\/h2>\n

Finansman<\/h2>\n<\/article>\n

Ulusal Sa\u011fl\u0131k Enstit\u00fcs\u00fc (NIHR) Uygulamal\u0131 Ara\u015ft\u0131rma Program\u0131 Hibeleri (PGfAR) Ref. NIHR201616<\/p>\n

Ara\u015ft\u0131rma sorusu nedir?<\/h2>\n

Birinci basamak sa\u011fl\u0131k hizmetlerinde uzun s\u00fcreli hastal\u0131klar\u0131n (hipertansiyon, tip 2 diyabet ve kronik b\u00f6brek hastal\u0131\u011f\u0131) izlenmesi i\u00e7in yap\u0131lan testleri nas\u0131l optimize edebiliriz?<\/p>\n

Sorun nedir?<\/h2>\n

NHS'de yap\u0131lan kan testlerinin say\u0131s\u0131 art\u0131yor. Bu kan testlerinin yar\u0131s\u0131ndan fazlas\u0131, uzun s\u00fcreli hastal\u0131klar\u0131n (LTC) takibi amac\u0131yla genel t\u0131p uygulamalar\u0131nda ger\u00e7ekle\u015ftiriliyor.<\/p>\n

Kan testleri gereksiz olabilir, endi\u015feye yol a\u00e7abilir ve ihtiya\u00e7 duyulmayan ek testlere ve tedavilere neden olabilir. Ancak test yap\u0131lmamas\u0131, yanl\u0131\u015f olabilecek \u015feylerin g\u00f6zden ka\u00e7mas\u0131na neden olabilir.<\/p>\n

Kronik hastal\u0131\u011f\u0131 olan ki\u015filerin durumlar\u0131n\u0131 izlemek i\u00e7in hangi testlerin yap\u0131lmas\u0131 gerekti\u011fine dair mevcut k\u0131lavuzlar, ara\u015ft\u0131rma kan\u0131tlar\u0131ndan ziyade uzman g\u00f6r\u00fc\u015f\u00fcne dayanmaktad\u0131r.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n

Genel t\u0131p prati\u011finde y\u00fcksek tansiyon, diyabet ve kronik b\u00f6brek hastal\u0131\u011f\u0131 olan ki\u015fileri izlemek i\u00e7in kan\u0131ta dayal\u0131 test stratejileri geli\u015ftirmek istiyoruz. Bu sayede hastalar, doktorlar ve hem\u015fireler bu durumlar i\u00e7in en iyi testleri, hastalar\u0131 ne s\u0131kl\u0131kla test etmeleri gerekti\u011fini ve sonu\u00e7lar\u0131 nas\u0131l kullanacaklar\u0131n\u0131 bileceklerdir.<\/p>\n

Bu durum, genel t\u0131p uygulamalar\u0131ndan kaynaklar\u0131 serbest b\u0131rakabilir, hastalar i\u00e7in gereksiz testleri azaltabilir ve uzun s\u00fcreli bak\u0131m\u0131n genel y\u00f6netimini iyile\u015ftirebilir.<\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n

Be\u015f y\u0131ll\u0131k bir program \u00f6neriyoruz. \u0130lk olarak, mevcut ara\u015ft\u0131rma bulgular\u0131n\u0131 ve aile hekimli\u011fi uygulamalar\u0131ndan elde edilen verilerin analizini inceleyece\u011fiz. Testlerin hasta sonu\u00e7lar\u0131n\u0131 iyile\u015ftirip iyile\u015ftirmedi\u011fini ve ne s\u0131kl\u0131kla kullan\u0131lmalar\u0131 gerekti\u011fini incelemek i\u00e7in matematiksel modeller olu\u015fturaca\u011f\u0131z.<\/p>\n

Ard\u0131ndan, hastalarla, pratisyen hekimlerle ve hem\u015firelerle testler hakk\u0131ndaki g\u00f6r\u00fc\u015fleri ve test uygulamalar\u0131nda de\u011fi\u015fiklik yap\u0131lmas\u0131 konusundaki d\u00fc\u015f\u00fcnceleri hakk\u0131nda r\u00f6portaj yapaca\u011f\u0131z.<\/p>\n

Sonraki ad\u0131mda, yeni test stratejisini kullananlar\u0131 desteklemek amac\u0131yla hastalar, doktorlar ve hem\u015firelerle birlikte bilgilendirme bro\u015f\u00fcrleri veya \u00e7evrimi\u00e7i k\u0131lavuzlar haz\u0131rlayaca\u011f\u0131z.<\/p>\n

Son olarak, yeni test stratejimizi bir dizi aile hekimli\u011fi uygulamas\u0131nda hayata ge\u00e7irerek ve bunlar\u0131 al\u0131\u015f\u0131lagelmi\u015f test uygulamalar\u0131n\u0131 izleyenlerle kar\u015f\u0131la\u015ft\u0131rarak de\u011ferlendirece\u011fiz. Yeni politikan\u0131n nas\u0131l benimsendi\u011fini g\u00f6rmek i\u00e7in aile hekimli\u011fi uygulamalar\u0131 aras\u0131ndaki test oranlar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131raca\u011f\u0131z.<\/p>\n

Ayr\u0131ca, test sistemindeki de\u011fi\u015fiklikler nedeniyle hastalar\u0131n durumlar\u0131nda bir k\u00f6t\u00fcle\u015fme olup olmad\u0131\u011f\u0131n\u0131 kontrol etmek i\u00e7in hastane ziyaretleri ve aile hekimi g\u00f6r\u00fc\u015fmeleri gibi hasta sonu\u00e7lar\u0131n\u0131 da inceleyece\u011fiz.<\/p>\n

Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n

Do\u00e7ent Doktor Penny Whiting, Bristol \u00dcniversitesi Halk Sa\u011fl\u0131\u011f\u0131 Bilimleri B\u00f6l\u00fcm\u00fc.<\/p>\n

Daha fazla bilgi:<\/h2>\n

Dr. Penny Whiting<\/a><\/p>\n

Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen e-posta g\u00f6nderin. bnssg.research@nhs.net<\/a>.<\/p>\n

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'n\u0131n g\u00f6r\u00fc\u015flerini yans\u0131tmayabilir.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 Developing evidence based optimal testing strategies to monitor long term conditions in primary care Funding National Institute for Health (NIHR) Programme Grants for Applied Research (PGfAR) Ref. NIHR201616 What is the research question? How do we optimise tests for monitoring long-term conditions (LTC; hypertension, type 2 diabetes and chronic kidney disease) in […]<\/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-34473","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34473","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=34473"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34473\/revisions"}],"predecessor-version":[{"id":36107,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34473\/revisions\/36107"}],"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=34473"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}