{"id":34674,"date":"2024-11-26T17:09:25","date_gmt":"2024-11-26T17:09:25","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34674"},"modified":"2024-11-26T17:09:25","modified_gmt":"2024-11-26T17:09:25","slug":"multimorbidity-in-primary-care","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/multimorbidity-in-primary-care\/","title":{"rendered":"Birinci basamak sa\u011fl\u0131k hizmetlerinde \u00e7oklu hastal\u0131k"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Birinci basamak sa\u011fl\u0131k hizmetlerinde \u00e7oklu hastal\u0131k<\/h1>\n<\/div>\n<\/header>\n
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Finansman<\/h2>\n<\/article>\n

BNSSCG CCG Ara\u015ft\u0131rma Kapasitesi Fonlamas\u0131 (Yerel Kalk\u0131nma)<\/p>\n

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

Uzun S\u00fcreli Hastal\u0131klarda G\u00fcnl\u00fck Ya\u015famda Refah\u0131 En \u00dcst D\u00fczeye \u00c7\u0131karma (MaxWELL) m\u00fcdahalesi etkili ve maliyet etkin midir?<\/p>\n

Sorun nedir?<\/h2>\n

Uzun s\u00fcreli kronik hastal\u0131k y\u00f6netiminin b\u00fcy\u00fck \u00e7o\u011funlu\u011fu birinci basamak sa\u011fl\u0131k hizmetlerinde ger\u00e7ekle\u015fmektedir. Aile hekimleri ve birden fazla sa\u011fl\u0131k sorunu olan bireyler, tipik 10 dakikal\u0131k kons\u00fcltasyonlarda birden fazla karma\u015f\u0131k sa\u011fl\u0131k sorununu ele alman\u0131n zorluklar\u0131n\u0131 vurgulamaktad\u0131r. Uzun s\u00fcreli kronik hastal\u0131k de\u011ferlendirme randevular\u0131 genellikle daha uzun olsa da, bu randevular genellikle tek bir hastal\u0131\u011f\u0131n izlenmesi kapsam\u0131n\u0131n \u00f6tesindeki endi\u015feleri tart\u0131\u015fmak i\u00e7in kendilerini yetersiz hisseden pratisyen hem\u015firelerle yap\u0131lmaktad\u0131r. Birden fazla sa\u011fl\u0131k sorunu olan ki\u015filere destek ve bak\u0131m sa\u011flaman\u0131n NHS'ye maliyeti olduk\u00e7a y\u00fcksektir ve NHS kaynak kullan\u0131m\u0131n\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcn\u00fc olu\u015fturmaktad\u0131r. Ayr\u0131ca, birden fazla sa\u011fl\u0131k sorunu olan ki\u015filer, kendilerini "b\u00fct\u00fcn bir insan" olarak ele almayan, temel endi\u015felerini dikkate almayan veya net bir bak\u0131m plan\u0131 sunmayan, k\u00f6t\u00fc koordine edilmi\u015f bir bak\u0131m ald\u0131klar\u0131n\u0131 ve s\u00fcrekli bak\u0131m\u0131n kendileri i\u00e7in daha b\u00fcy\u00fck \u00f6nem ta\u015f\u0131mas\u0131na ra\u011fmen, genellikle daha k\u00f6t\u00fc bir bak\u0131m s\u00fcreklili\u011fi ald\u0131klar\u0131n\u0131 bildirmektedirler. Bu sorunlar\u0131n en az\u0131ndan baz\u0131lar\u0131n\u0131 ele alarak ve kaynak kullan\u0131m\u0131n\u0131 optimize ederek, birden fazla sa\u011fl\u0131k sorunu olan bireyler ve NHS \u00fczerindeki y\u00fck\u00fc azaltabilece\u011fi g\u00f6sterilebilecek bir m\u00fcdahale b\u00fcy\u00fck fayda sa\u011flayacakt\u0131r.<\/p>\n

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

Bu \u00e7al\u0131\u015fma, \u00e7oklu kronik hastal\u0131\u011f\u0131 olan hastalarla kullan\u0131lmak \u00fczere aile hekimli\u011fi uygulamalar\u0131 i\u00e7in ayr\u0131nt\u0131l\u0131 ve pratik bir m\u00fcdahale (MaxWELL) geli\u015ftirecektir. MaxWELL'in, \u00e7oklu kronik hastal\u0131\u011f\u0131 olan ki\u015filerin refah\u0131n\u0131 ve de\u011ferini art\u0131rarak, sa\u011fl\u0131k ekonomisine maliyet etkinli\u011fi ve di\u011fer faydalar sa\u011flay\u0131p sa\u011flamad\u0131\u011f\u0131 de\u011ferlendirilecektir. M\u00fcdahale, aile hekimli\u011fi uygulamalar\u0131n\u0131n ve Birinci Basamak Sa\u011fl\u0131k A\u011flar\u0131n\u0131n, ki\u015fiselle\u015ftirilmi\u015f bak\u0131m, ortak karar alma ve i\u015fbirlik\u00e7i planlar etraf\u0131ndaki NHS plan\u0131n\u0131n gerekliliklerini uygulamalar\u0131na yard\u0131mc\u0131 olmak ve her uygulamada "tekerle\u011fi yeniden icat etmek" zorunda kalmamak i\u00e7in klinisyen e\u011fitimi ve organizasyonel kurulumun kolayla\u015ft\u0131r\u0131lmas\u0131n\u0131 i\u00e7erecektir.<\/p>\n

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

\u00c7al\u0131\u015fmaya, kay\u0131tl\u0131 hasta listelerinden 3 veya daha fazla kronik rahats\u0131zl\u0131\u011f\u0131 olan yeti\u015fkinleri belirleyecek olan aile hekimli\u011fi uygulamalar\u0131 dahil edilecektir. Hastalara 3 a\u015famal\u0131 kapsaml\u0131 bir y\u0131ll\u0131k de\u011ferlendirme sunulacakt\u0131r: 1) bir sa\u011fl\u0131k asistan\u0131 ile klinik bilgi ve testlerin toplanmas\u0131, 2) 1. a\u015faman\u0131n sonu\u00e7lar\u0131n\u0131n hasta ve klinisyenlerle payla\u015f\u0131lmas\u0131, ard\u0131ndan 3) belirlenen klinik sorunlar\u0131 ele alabilecek becerilere sahip uygun bir klinisyen ile hasta merkezli ve i\u015fbirlik\u00e7i bir g\u00f6r\u00fc\u015fme. Hasta taraf\u0131ndan bildirilen sonu\u00e7 \u00f6l\u00e7\u00fctleri, hizmet sunumunu izlemek i\u00e7in rutin olarak toplanan anonimle\u015ftirilmi\u015f uygulama d\u00fczeyindeki verilerle birlikte toplanacakt\u0131r. Kons\u00fcltasyonlar\u0131n video kay\u0131tlar\u0131 ve MaxWELL g\u00f6zlemleri analiz edilecek ve m\u00fcdahalenin etkisini de\u011ferlendirmek i\u00e7in hastalar, klinisyenler ve di\u011fer uygulama personeli ile g\u00f6r\u00fc\u015fmeler yap\u0131lacakt\u0131r.<\/p>\n

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

Dr. Cindy Mann, K\u0131demli Ara\u015ft\u0131rma G\u00f6revlisi, Akademik Birinci Basamak Sa\u011fl\u0131k Hizmetleri Merkezi, Bristol \u00dcniversitesi.<\/p>\n

Daha fazla bilgi:<\/h2>\n

Dr. Cindy Mann hakk\u0131nda<\/a><\/p>\n

Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in. bnssg.research@nhs.net<\/a>.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 Multimorbidity in primary care Funding BNSSCG CCG Research Capability Funding (Local development) What is the research question? Is the Maximising Wellbeing in Everyday Life with Long-term conditions (MaxWELL) intervention effective and cost-effective? What is the problem? The majority of long-term condition management takes place in primary care. GPs and individuals with multimorbidity […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34674","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34674","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=34674"}],"version-history":[{"count":1,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34674\/revisions"}],"predecessor-version":[{"id":34675,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34674\/revisions\/34675"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34674"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}