{"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\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/previously-supported-projects\/development-of-a-virtual-chronic-kidney-disease-clinic\/","title":{"rendered":"Sanal bir Kronik B\u00f6brek Hastal\u0131\u011f\u0131 klini\u011finin geli\u015ftirilmesi"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Sanal bir Kronik B\u00f6brek Hastal\u0131\u011f\u0131 klini\u011finin geli\u015ftirilmesi<\/h1>\n

Finansman<\/h2>\n

Bristol, Kuzey Somerset ve G\u00fcney Gloucestershire CCG Ara\u015ft\u0131rma Kapasitesi Fonu (Yerel Kalk\u0131nma)<\/p>\n

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

Bristol i\u00e7in sanal bir Kronik B\u00f6brek Hastal\u0131\u011f\u0131 (vCKD) klini\u011fi nas\u0131l geli\u015ftirilebilir ve hasta veya n\u00fcfus d\u00fczeyinde istenmeyen zararlardan ka\u00e7\u0131n\u0131larak resmi olarak nas\u0131l de\u011ferlendirilebilir?<\/p>\n

Sorun nedir?<\/h2>\n

Tahminlere g\u00f6re \u0130ngiltere'de insanlar\u0131n %4-91'i kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n (KBH) 3-5 evrelerinde olup, bu da \u015fu anda 1,9-3,6 milyon ki\u015fiye denk gelmektedir ve 2036 y\u0131l\u0131na kadar 4,2 milyona \u00e7\u0131kmas\u0131 \u00f6ng\u00f6r\u00fclmektedir.<\/p>\n

Kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n erken te\u015fhisi ve uygun tedavisi, b\u00f6brek yetmezli\u011fi geli\u015fme riskini ve kardiyovask\u00fcler olay riskini azaltarak morbiditeyi \u00f6nleyebilir. Bu risklerin azalt\u0131lmas\u0131, NHS'ye \u00f6nemli maliyet tasarruflar\u0131 sa\u011flayabilir.<\/p>\n

Baz\u0131 hastalar ikinci basamak nefrolo\u011fundan destek almay\u0131 gerektirir. Giderek s\u0131k\u0131la\u015fan mali k\u0131s\u0131tlamalar alt\u0131nda artan talebi kar\u015f\u0131lamak i\u00e7in kronik b\u00f6brek hastal\u0131\u011f\u0131 poliklinik hizmetlerinin sunumunda yenilik\u00e7i de\u011fi\u015fikliklere acil ihtiya\u00e7 vard\u0131r.<\/p>\n

Barts NHS Trust, EMIS Elektronik Hasta Kayd\u0131 (EPR) platformunu kullanarak sanal bir kronik b\u00f6brek hastal\u0131\u011f\u0131 (KBH) klini\u011fi i\u015fletiyor. Kons\u00fcltasyon s\u00fcresinin k\u0131salmas\u0131 ve y\u00fcz y\u00fcze randevular i\u00e7in bekleme s\u00fcresinin azalmas\u0131 gibi ba\u015far\u0131lar elde ettiklerini bildiriyorlar.<\/p>\n

Klinik modeli ayr\u0131ca, nefrolojiye y\u00f6nlendirmeyi te\u015fvik eden birinci basamak sa\u011fl\u0131k hizmetlerinde kullan\u0131lan 'tetikleyici ara\u00e7lar\u0131' da kullanmaktad\u0131r; bu ara\u00e7lar, nefroloji bak\u0131m\u0131na eri\u015fimdeki farkl\u0131l\u0131klar\u0131 ve e\u015fitsizli\u011fi azaltma potansiyeline sahiptir.<\/p>\n

Ancak Barts vCKD klini\u011fi resmi olarak de\u011ferlendirilmedi ve baz\u0131 beklenmedik sonu\u00e7lar do\u011furdu: Nefroloji b\u00f6l\u00fcm\u00fcn\u00fcn i\u015f y\u00fck\u00fc \u00f6nemli \u00f6l\u00e7\u00fcde artt\u0131; bu art\u0131\u015f\u0131n bir k\u0131sm\u0131, \u00f6nemli \u00f6l\u00e7\u00fcde yoksunluk i\u00e7inde ya\u015fayan ve te\u015fhis edilmemi\u015f veya tedavi edilmemi\u015f kronik b\u00f6brek hastal\u0131\u011f\u0131 olan bir n\u00fcfusa bak\u0131m sa\u011flanmas\u0131ndan kaynaklan\u0131yordu.<\/p>\n

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

Bristol i\u00e7in kan\u0131ta dayal\u0131 bir vCKD klini\u011fi geli\u015ftirmek ve resmi olarak de\u011ferlendirmek.<\/p>\n

Bu sonu\u00e7lar, \u00fclke genelindeki kronik b\u00f6brek hastal\u0131\u011f\u0131 pop\u00fclasyonlar\u0131 ve b\u00f6brek merkezleri i\u00e7in ge\u00e7erli olabilir ve bu nedenle di\u011fer b\u00f6brek \u00fcnitelerinin politikalar\u0131n\u0131 ve ayakta tedavi \u015feklinde sunulan b\u00f6brek hizmetlerine ili\u015fkin ulusal politikay\u0131 etkileyecektir.<\/p>\n

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

Mevcut sevklerin ve kar\u015f\u0131lanmayan ihtiya\u00e7lar\u0131n denetlenmesi ve analiz edilmesi, ayr\u0131ca sanal bir klini\u011fin i\u015f g\u00fcc\u00fc ve \u00e7evre \u00fczerindeki etkilerinin tahmin edilmesi yoluyla bir vCKD klini\u011fine duyulan ihtiya\u00e7 belirlenecektir.<\/p>\n

vCKD klini\u011fi, mevcut vCKD klinikleri incelenerek, altyap\u0131n\u0131n s\u0131n\u0131rl\u0131l\u0131klar\u0131 belirlenerek ve hastalar, nefroloji uzmanlar\u0131, birinci basamak hekimleri ve yetkililer gibi kilit payda\u015flara dan\u0131\u015f\u0131larak tasarlanacakt\u0131r.<\/p>\n

Kronik b\u00f6brek hastal\u0131\u011f\u0131 y\u00f6netimi konusunda tavsiyeye ihtiya\u00e7 duyan hastalar\u0131 tespit etmek i\u00e7in kullan\u0131lan tahmin ara\u00e7lar\u0131 ara\u015ft\u0131r\u0131lacak ve hastalar ile klinisyenler i\u00e7in \u00f6nemli olan sonu\u00e7lar belirlenecektir.<\/p>\n

Ard\u0131ndan vCKD klini\u011fi uygulamaya konulacak ve klinik sonu\u00e7lar, lojistik sorunlar, verimlilik ve maliyet sonu\u00e7lar\u0131, hastalar\u0131n bildirdi\u011fi sonu\u00e7lar ve hastalar, birinci basamak hekimleri ve nefroloji uzmanlar\u0131yla yap\u0131lan g\u00f6r\u00fc\u015fmeler yoluyla deneyimleri de\u011ferlendirilecektir.<\/p>\n

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

Dr. Dominic Taylor, Dan\u0131\u015fman Nefrolog, Richard Bright B\u00f6brek Servisi, Kuzey Bristol NHS Trust.<\/p>\n

Daha fazla bilgi:<\/h2>\n

Dr. Dominic Taylor hakk\u0131nda<\/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 <\/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\/tr\/wp-json\/wp\/v2\/pages\/34580","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=34580"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34580\/revisions"}],"predecessor-version":[{"id":36236,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34580\/revisions\/36236"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32891"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34580"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}