{"id":599,"date":"2022-07-05T14:43:00","date_gmt":"2022-07-05T14:43:00","guid":{"rendered":"https:\/\/www.vanguardhealthcare.co.uk\/?p=599"},"modified":"2023-09-14T11:42:49","modified_gmt":"2023-09-14T11:42:49","slug":"endoscopy-and-diagnostic-waiting-lists-what-can-be-done","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/bs_ba\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Liste \u010dekanja za endoskopiju i dijagnostiku: \u0161ta se mo\u017ee u\u010diniti"},"content":{"rendered":"

Dana\u0161nji NHS suo\u010den je s brojnim zna\u010dajnim pritiscima, uklju\u010duju\u0107i brzo rastu\u0107e starenje stanovni\u0161tva i komorbiditete koje mogu donijeti, nejednako \u0161irenje pristupa\u010dne skrbi u cijeloj Velikoj Britaniji i rastu\u0107i pritisak za odr\u017eivijom zdravstvenom praksom. Rastu\u0107e liste \u010dekanja bile su problem mnogo prije pandemije Covid-19, s mnogim planiranim postupcima njege koji su otkazani zbog umora i 'raspadanje'<\/a> bolni\u010dka infrastruktura. Sa listama \u010dekanja za dijagnosti\u010dke usluge 435,000<\/a> u Engleskoj u januaru 2022. godine, jasno je da su posebno na ovu specijalnost u velikoj mjeri uticala ograni\u010denja nametnuta zastarjelom infrastrukturom i prestankom endoskopskih usluga tijekom pandemije Covid-19.<\/p>\n

Tokom godina zgrade NHS-a su se prilago\u0111avale i razvijale kako bi se prilagodile rastu\u0107im zahtjevima od osnivanja zdravstvene slu\u017ebe 1948. godine, me\u0111utim zastarjela infrastruktura ima ograni\u010dene mogu\u0107nosti prilago\u0111avanja kako bi se uklopila uz napredak u zdravstvenoj praksi. Zaista, tro\u0161kovi rje\u0161avanja zaostatka u odr\u017eavanju NHS-a bili su na visini\u00a09,2 milijarde funti<\/a>\u00a0na kraju 2020\/21., me\u0111utim, zbog nedavnih poja\u010danih mjera kontrole infekcije, izvo\u0111a\u010dima je sve te\u017ee obavljati takve radove u \u017eivim NHS okru\u017eenjima. Broj klini\u010dkih incidenata koji su se dogodili zbog zastarjele infrastrukture je\u00a0utrostru\u010dio<\/a>\u00a0u posljednjih 5 godina, nedavno\u00a0izvje\u0161taj<\/a>\u00a0je prona\u0161ao.<\/p>\n

Zaista, liste \u010dekanja u bolnicama od tada su u porastu 2009<\/a>, 11 godina prije nego \u0161to je pandemija izazvala poreme\u0107aj u skrbi. U aprilu 2022. liste \u010dekanja u bolnicama dostigle su rekordnih 6,2 miliona, uz predvi\u0111anja da \u0107e do marta nastaviti da raste na 10,7 miliona. 2024<\/a>. Da se tome doda, broj pojedinaca koji \u010dekaju na klju\u010dne dijagnosti\u010dke testove u Engleskoj je iznosio 369,100<\/a> u augustu 2021. godine, s tim da se do 2022. godine ovaj broj popeo na gore spomenutih 435.000, \u0161to pokazuje pravi zaostatak sa kojim se ova specijalnost suo\u010dava. \u0160tavi\u0161e, nedavni FOI izvje\u0161taj je naglasio stanje endoskopskih usluga NHS Engleske, sa 41% od 105 ispitanika koji su izjavili da se njihovi paketi za dekontaminaciju ili pribli\u017eavaju ili prema\u0161uju preporu\u010deni 10-godi\u0161nji vijek trajanja od strane proizvo\u0111a\u010da. Od ovih Trustova, 87% nije ispunio ciljeve \u010dekanja od 6 sedmica izme\u0111u aprila 2018. i marta 2019. Ovo ilustruje da da, dok su pandemija Covid-19 i pauziranje elektivne njege \u0161irom Ujedinjenog Kraljevstva ometali liste \u010dekanja u bolnicama, to ne mo\u017ee biti u potpunosti krivo kako se pitanje prote\u017ee dalje.<\/p>\n

The UK Nacionalni popis endoskopije 2021<\/a> pregledao usluge endoskopije i dekontaminacije \u0161irom Ujedinjenog Kraljevstva, otkriv\u0161i da su 42,7% ispitanih zdravstvenih radnika zahtijevali dodatne gra\u0111evinske radove kako bi se pove\u0107ala efikasnost dekontaminacije do 20%. Osim toga, 59% ispitanika je izjavilo da su potrebni dodatni endoskopski reprocesori i ormari\u0107i za su\u0161enje kako bi se pove\u0107ao kapacitet dekontaminacije. Objekti za dekontaminaciju se redovno nalaze unutar bolni\u010dkih endoskopskih slu\u017ebi, me\u0111utim, samostalni objekti se mogu instalirati i neprimjetno povezati s glavnom bolnicom kako bi se pove\u0107ao kapacitet i osigurala ve\u0107a efikasnost endoskopskih usluga, \u010dime se smanjuju liste \u010dekanja. Ovo je posebno korisno tokom perioda renoviranja, uz uvo\u0111enje mobilnih i modularnih objekata za dekontaminaciju za odr\u017eavanje kapaciteta. Istraga je tako\u0111er otkrila da je nevoljkost da se prisustvuje i naknadno \u201enepoha\u0111anje ili DNK\u201d za procedure na drugom najvi\u0161em nivou od 2019. godine, a mogu\u0107i razlog za to je strah od zaraze Covid-19 prilikom posjete bolnici. Ovo stoga poja\u010dava potrebu za samostalnim endoskopske usluge<\/a>, odvojeno od glavnog bolni\u010dkog mjesta, koji pove\u0107avaju povjerenje pacijenata i stoga poma\u017eu u rje\u0161avanju lista \u010dekanja.<\/p>\n

\"\"<\/figure>\n

Prosje\u010dan \u017eivotni vijek u Velikoj Britaniji raste iz godine u godinu, raste 0.15%<\/a> izme\u0111u 2021. i 2022., i, iako je to ne\u0161to \u0161to treba slaviti, to zna\u010di da postoji ve\u0107i broj osoba koje \u017eive s kroni\u010dnim stanjima, kao \u0161to su demencija i dijabetes, koji zahtijevaju dugotrajniju njegu. Ovo je stvorilo poja\u010dan pritisak na usluge NHS-a, posebno jer je poznato da prosje\u010dna 90-godi\u0161njakinja ko\u0161ta oko 7 puta<\/a> koliko treba brinuti o prosje\u010dnom starcu od 30 godina. Kao rezultat toga, pojavili su se pozivi za pobolj\u0161anje i implementaciju dijagnosti\u010dkih usluga \u0161irom Ujedinjenog Kraljevstva kako bi se omogu\u0107ilo ljudima da du\u017ee ostanu zdraviji i na taj na\u010din otklonili pritisak na usluge NHS-a. Osim toga, razvoj dru\u0161tvene dijagnosti\u010dke centre<\/a> \u0161irom zemlje \u0107e usluge pribli\u017eiti pacijentima, smanjuju\u0107i pritisak na akutne bolni\u010dke lokacije i pozitivno uticati na regionalne zdravstvene nejednakosti tako \u0161to \u0107e osigurati pristupa\u010dnije dijagnosti\u010dke ustanove.<\/p>\n

Nadalje, nacionalni popis UK za endoskopske usluge tako\u0111er je otkrio da, iako vrijeme \u010dekanja na procedure i dalje raste, ovdje postoje jasne regionalne razlike:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, et al, Nacionalni popis endoskopskih usluga u Velikoj Britaniji 2021, Frontline Gastroenterology Objavljeno prvi put: 09. maja 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Regionalne nejednakosti u zdravstvenoj za\u0161titi su dugo bile problem, me\u0111utim, pandemija Covid-19 i naknadni planirani zaostatak u njezi to su dodatno pogor\u0161ali. Nejednakosti u zdravstvenoj za\u0161titi je raznolik pojam koji pokriva kako je dostupnost zdravstvene za\u0161tite nejednako raspore\u0111ena izme\u0111u razli\u010ditih grupa ljudi. Kona\u010dno, zdravstvene nejednakosti odnose se na utjecaj statusa pojedinca na njegovo zdravlje. Ovo mo\u017ee uklju\u010divati zdravstveni status, dostupnost usluga njege, kvalitet njege i \u0161ire \u0161tete po zdravlje, na primjer stanovanje. Osiguravanje da su usluge njege i dijagnostike pristupa\u010dnije pacijentu pozitivno \u0107e utjecati na ishode pacijenata kroz raniju dijagnozu i, kao \u0161to je ve\u0107 spomenuto, ubla\u017eit \u0107e pritisak na glavnim bolni\u010dkim mjestima, \u010dime \u0107e pozitivno utjecati na ishode pacijenata na listama \u010dekanja za druge specijalnosti.<\/p>\n

Opredjeljenje NHS-a da isporu\u010di odr\u017eiviju infrastrukturu ogleda se u Priru\u010dnik o izgradnji 2020<\/a> gdje se detaljno opisuje \u0161ira upotreba modernih metoda izgradnje (MMC) za pomo\u0107 u postizanju neto nultih ciljeva ugljika. U jesen 2020. godine vlada se obavezala da \u0107e izgraditi 40 novih bolnica u Engleskoj do 2030. godine, sve koriste\u0107i odr\u017eive infrastrukturne prakse koje \u0107e pomo\u0107i kretanje ka dostizanju neto nulte emisije do 2040. godine. Osim toga, jo\u0161 70 bolnica \u0107e dobiti nadogradnju, sa 850 miliona funti obe\u0107anih za pobolj\u0161anje odeljenja, ustanova za mentalno zdravlje i operacionih sala. Jasno je da je velikom broju endoskopskih slu\u017ebi u Engleskoj potrebna zna\u010dajna obnova kako bi se pove\u0107ala efikasnost, a uvo\u0111enje mobilnih, modularnih i mje\u0161ovitih zdravstvenih prostora, bilo da se nalaze na lokaciji bolnice ili unutar zajednice, slu\u017ei kao vremenski efikasno i isplativo rje\u0161enje za odr\u017eavanje i pove\u0107anje kapaciteta.<\/p>","protected":false},"excerpt":{"rendered":"

S obzirom da su liste \u010dekanja za dijagnosti\u010dke usluge u Engleskoj u januaru 2022. dostigle 435.000, jasno je da su posebno na ovu specijalnost u velikoj mjeri uticala ograni\u010denja nametnuta zastarjelom infrastrukturom i prestankom endoskopskih usluga tokom pandemije Covid-19.<\/p>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nEndoscopy and diagnostic waiting lists: what can be done - Vanguard Healthcare Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vanguardhealthcare.co.uk\/bs_ba\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy and diagnostic waiting lists: what can be done - 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