{"id":3172,"date":"2020-09-17T09:52:03","date_gmt":"2020-09-17T09:52:03","guid":{"rendered":"\/?p=3172"},"modified":"2020-09-17T09:52:03","modified_gmt":"2020-09-17T09:52:03","slug":"waiting-times-reach-record-levels","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/cs_cz\/waiting-times-reach-record-levels\/","title":{"rendered":"\u010cekac\u00ed doby dosahuj\u00ed rekordn\u00ed \u00farovn\u011b"},"content":{"rendered":"

Vzhledem k tomu, \u017ee \u010dekac\u00ed doby na elektivn\u00ed chirurgick\u00e9 a diagnostick\u00e9 postupy st\u00e1le rostou, co lze ud\u011blat pro vy\u0159e\u0161en\u00ed probl\u00e9mu?<\/p>\n

Nejnov\u011bj\u0161\u00ed \u00fadaje zve\u0159ejn\u011bn\u00e9 NHS England, kter\u00e9 pokr\u00fdvaj\u00ed obdob\u00ed do \u010dervence 2020, ukazuj\u00ed, \u017ee \u010dekac\u00ed doby se nad\u00e1le rychle prodlu\u017euj\u00ed, p\u0159esto\u017ee po\u010det nov\u00fdch doporu\u010den\u00ed z\u016fst\u00e1v\u00e1 n\u00edzk\u00fd a \u00farove\u0148 aktivity se zvy\u0161uje.<\/p>\n

Jak ukazuje graf, celkov\u00fd po\u010det lid\u00ed na \u010dekac\u00ed listin\u011b v b\u0159eznu a dubnu do\u010dasn\u011b poklesl, v\u011bt\u0161inou kv\u016fli poklesu doporu\u010den\u00ed, ale nyn\u00ed pomalu, ale stabiln\u011b roste. D\u016fle\u017eit\u011bj\u0161\u00ed v\u0161ak je, \u017ee se podstatn\u011b prodlou\u017eila doba, po kterou pacienti \u010dekaj\u00ed na l\u00e9\u010dbu.\n\"\"\nV \u010dervenci byl po\u010det lid\u00ed, kte\u0159\u00ed byli na \u010dekac\u00edch listin\u00e1ch d\u00e9le ne\u017e 18 t\u00fddn\u016f, nejvy\u0161\u0161\u00ed od za\u010d\u00e1tku evidence, a to 2,15 milionu. To znamen\u00e1, \u017ee v\u00edce ne\u017e polovina t\u011bch, kte\u0159\u00ed \u010dekaj\u00ed na l\u00e9\u010dbu \u2013 53% \u2013 \u010dek\u00e1 na l\u00e9\u010dbu d\u00e9le ne\u017e 18 t\u00fddn\u016f. P\u0159ed pandemi\u00ed bylo toto procento p\u0159ibli\u017en\u011b 13\u2013141 TP4T z celkov\u00e9ho po\u010dtu v \u201enorm\u00e1ln\u00edm\u201c m\u011bs\u00edci.<\/p>\n

Krom\u011b toho v\u00edce ne\u017e 83 000 pacient\u016f \u010dekalo na l\u00e9\u010dbu do \u010dervence 2020 d\u00e9le ne\u017e rok. To byl podstatn\u00fd n\u00e1r\u016fst ve srovn\u00e1n\u00ed s p\u0159edchoz\u00edm rokem a p\u0159edstavoval nejvy\u0161\u0161\u00ed po\u010det 52-t\u00fddenn\u00edch \u010dekatel\u016f od roku 2008.<\/p>\n

P\u0159esto\u017ee jsou v datech ur\u010dit\u00e1 pozitiva, konkr\u00e9tn\u011b to, \u017ee \u00farove\u0148 aktivity obecn\u011b a po\u010det nov\u00fdch doporu\u010den\u00ed vzrostly, je p\u0159ed n\u00e1mi je\u0161t\u011b dlouh\u00e1 cesta. V \u010dervenci, i p\u0159es v\u00fdrazn\u00fd n\u00e1r\u016fst, byly v\u00fdb\u011brov\u00e9 p\u0159ij\u00edma\u010dky na m\u00e9n\u011b ne\u017e polovin\u011b po\u010dtu p\u0159ed rokem.<\/p>\n

Po\u010det nov\u00fdch doporu\u010den\u00ed od kv\u011btna v\u00fdrazn\u011b vzrostl, ale z\u016fstal hluboko pod norm\u00e1ln\u00edmi \u00farovn\u011bmi a zd\u00e1 se, \u017ee o\u010dek\u00e1van\u00e1 odlo\u017een\u00e1 doporu\u010den\u00ed z obdob\u00ed od b\u0159ezna do \u010dervna je\u0161t\u011b neprob\u011bhla.\n\"\"\nV ned\u00e1vn\u00e9m\n\n \u010dl\u00e1nek v BMJ\n<\/a>\nNeil Mortensen, prezident Royal College of Surgeons of England, byl citov\u00e1n, jak \u0159ekl, \u017ee byl zklam\u00e1n, kdy\u017e vid\u011bl, \u017ee se \u010dekac\u00ed seznamy v \u010dervenci zv\u00fd\u0161ily, dva m\u011bs\u00edce pot\u00e9, co NHS zve\u0159ejnila pl\u00e1n k obnoven\u00ed b\u011b\u017en\u00e9 p\u00e9\u010de.<\/p>\n

\u0158ekl; \u201eNal\u00e9hav\u011b pot\u0159ebujeme vybudovat na\u0161e nemocni\u010dn\u00ed rezervy, pokud m\u00e1me p\u0159e\u010dkat leto\u0161n\u00ed zimu. Ch\u0159ipka spolu s pokra\u010duj\u00edc\u00edmi m\u00edstn\u00edmi epidemiemi covid-19 nesm\u00ed znovu zastavit operaci, jinak budou trp\u011bt tis\u00edce dal\u0161\u00edch." To ilustruje z\u00e1va\u017enost probl\u00e9mu a nedostatek odolnosti v rozs\u00e1hl\u00fdch oblastech britsk\u00e9ho zdravotnick\u00e9ho majetku.<\/p>\n

Posledn\u00ed endoskopick\u00e1 data vypr\u00e1v\u011bla podobn\u00fd p\u0159\u00edb\u011bh. Bylo prov\u00e1d\u011bno v\u00edce endoskopi\u00ed a gastroskopi\u00ed, p\u0159i\u010dem\u017e \u00farove\u0148 aktivity se v \u010dervnu v\u00edce ne\u017e zdvojn\u00e1sobila a v \u010dervenci vzrostla o dal\u0161\u00edch 45%, ale i tak aktivita z\u016fst\u00e1v\u00e1 hluboko pod norm\u00e1ln\u00edmi \u00farovn\u011bmi.<\/p>\n

Celkov\u00fd po\u010det lid\u00ed \u010dekaj\u00edc\u00edch na endoskopii v \u010dervenci 2020 byl kolem 216 000 \u2013 o 70% v\u00edce ne\u017e v \u010dervenci lo\u0148sk\u00e9ho roku, p\u0159i\u010dem\u017e r\u016fst nevykazoval \u017e\u00e1dn\u00e9 zn\u00e1mky zpomalen\u00ed.\n\"\"\nZat\u00edmco po\u010det lid\u00ed \u010dekaj\u00edc\u00edch d\u00e9le ne\u017e 18 t\u00fddn\u016f se mezi kv\u011btnem a \u010dervencem ust\u00e1lil, \u00farove\u0148 je abnorm\u00e1ln\u00ed a mezi t\u011bmito pacienty bude mnoho t\u011bch, jejich\u017e \u010dek\u00e1n\u00ed se nad\u00e1le prodlu\u017euje nad 18 t\u00fddn\u016f. V \u010dervenci \u010dekalo p\u0159ibli\u017en\u011b 126 000 lid\u00ed \u2013 v\u00edce ne\u017e polovina t\u011bch, kte\u0159\u00ed \u010dekali na endoskopii \u2013 v\u00edce ne\u017e 18 t\u00fddn\u016f, ve srovn\u00e1n\u00ed s p\u0159ibli\u017en\u011b 12 000 p\u0159ed rokem.<\/p>\n

Tato \u010d\u00edsla jsou alarmuj\u00edc\u00ed, ale ne neo\u010dek\u00e1van\u00e1, a i kdy\u017e je pravd\u011bpodobn\u00e9, \u017ee aktivita b\u011bhem srpna a z\u00e1\u0159\u00ed d\u00e1le vzrostla, teprve uvid\u00edme, zda to bude m\u00edt vliv na \u010dekac\u00ed doby.<\/p>\n

\u010c\u00edsla z\u00e1rove\u0148 nazna\u010duj\u00ed, \u017ee bychom mohli sm\u011b\u0159ovat k n\u00e1ro\u010dn\u00e9 podzimn\u00ed a zimn\u00ed sez\u00f3n\u011b a \u017ee doh\u00e1n\u011bn\u00ed bude neuv\u011b\u0159iteln\u011b t\u011b\u017ek\u00e9. Pomal\u00e9 obnovov\u00e1n\u00ed voliteln\u00e9ho seznamu \u010dekatel\u016f poskytuje informaci o tom, jak dlouho by mohlo trvat, ne\u017e se dokonce odhal\u00ed cel\u00fd rozsah odlo\u017een\u00e9 popt\u00e1vky z obdob\u00ed blokov\u00e1n\u00ed.<\/p>\n

Tak \u010di onak, kapacita bude muset b\u00fdt podstatn\u011b pos\u00edlena, pokud m\u00e1 m\u00edt NHS n\u011bjakou \u0161anci zkr\u00e1tit \u010dekac\u00ed doby na elektivn\u00ed o\u0161et\u0159en\u00ed a procedury. Flexibiln\u00ed zdravotnick\u00e1 infrastruktura, jako je mobiln\u00ed a modul\u00e1rn\u00ed\n\n opera\u010dn\u00ed s\u00e1ly\n<\/a>\na procedur\u00e1ln\u00ed m\u00edstnosti, mohou poskytnout rychl\u00e9 a efektivn\u00ed \u0159e\u0161en\u00ed pro eskalaci \u010dekac\u00edch listin.<\/p>\n

Je tak\u00e9 jasn\u00e9, \u017ee tato situace bude trvat del\u0161\u00ed dobu a pot\u0159ebuje v\u00edce ne\u017e kr\u00e1tkodobou n\u00e1pravu. Modul\u00e1rn\u00ed budovu, kde se nach\u00e1z\u00ed opera\u010dn\u00ed s\u00e1l, o\u0161et\u0159ovna nebo odd\u011blen\u00ed, lze postavit t\u00e9m\u011b\u0159 st\u00e1l\u00e9mu standardu ve velmi kr\u00e1tk\u00e9 dob\u011b a lze ji tak\u00e9 nakonfigurovat a dokon\u010dit tak, aby vyhovovala po\u017eadavk\u016fm ka\u017ed\u00e9ho klienta. Takov\u00e1 budova poskytuje dal\u0161\u00ed prostor pro Covid-light a dal\u0161\u00ed uji\u0161t\u011bn\u00ed pro pacienty t\u00edm, \u017ee nab\u00edz\u00ed zcela samostatn\u00fd vchod a recepci a tak\u00e9 samostatnou cestu pro pacienty do hlavn\u00ed nemocnice.<\/p>","protected":false},"excerpt":{"rendered":"

Nejnov\u011bj\u0161\u00ed \u00fadaje zve\u0159ejn\u011bn\u00e9 NHS England, kter\u00e9 pokr\u00fdvaj\u00ed obdob\u00ed do \u010dervence 2020, ukazuj\u00ed, \u017ee \u010dekac\u00ed doby se nad\u00e1le rychle prodlu\u017euj\u00ed, p\u0159esto\u017ee po\u010det nov\u00fdch doporu\u010den\u00ed z\u016fst\u00e1v\u00e1 n\u00edzk\u00fd a \u00farove\u0148 aktivity se zvy\u0161uje.<\/p>","protected":false},"author":1,"featured_media":1124,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[4,122,136,138],"class_list":["post-3172","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-modular","tag-operating-theatre","tag-surgical-complexes","tag-ward"],"acf":[],"yoast_head":"\nWaiting times reach record levels - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"The latest figures released by NHS England, which cover the period up to July 2020, shows waiting times reach record levels\" \/>\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\/cs_cz\/waiting-times-reach-record-levels\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Waiting times reach record levels - 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