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综合的初级和中等保健优化了患有CKD的人的管理 - - LUCID项目
Rupert W Major1,2, Niraj Lakhani3, Yaseen Ahmed2,4
1Department of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK.
Clinical kidney journal
|April 10, 2025
概括
莱斯特,莱斯特郡和拉特兰慢性病综合护理项目 (LUCID) 为慢性病 (CKD) 管理提供了一种高效的虚拟护理模式. 该计划加强了患者教育,药物优化和综合护理系统 (ICS) 的风险分层.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 慢性病 (CKD) 管理需要早期诊断,风险分层和药物优化.
- 英格兰的综合护理系统 (ICS) 提供了一个改变长期病情管理的机会.
- 国家卫生服务 (NHS) 的病费用很大,估计每年约为64亿英.
研究的目的:
- 设计,试点和实施ICS级的CKD虚拟护理计划.
- 改善患者和专业教育,早期疾病识别,药物优化和疾病监测.
- 建立一个高效和成本效益的模型,用于人口层面的CKD管理.
主要方法:
- 莱斯特,莱斯特郡和拉特兰慢性病综合护理项目 (LUCID) 开发.
- 虚拟多学科团队 (MDT) 会议于2022年4月进行试点,并于2023年4月扩展到一般实践中.
- 该计划的目标人口约为120万,到2024年3月,58.3%的参与率.
主要成果:
- 截至2024年3月31日,70万个人受LUCID计划的覆盖.
- 总共对821名患者进行了1085次咨询.
- 药物优化咨询占所有咨询的54.4% (590人).
结论:
- LUCID 计划展示了一种高效且具有成本效益的模型,用于在整个ICS层面管理CKD.
- 关键组成部分包括患者/专业教育,药物优化和风险分层.
- 该模型显示了潜在的适应性,用于管理其他长期的身体和心理健康状况.
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