{"id":3621,"date":"2021-02-02T10:31:15","date_gmt":"2021-02-02T10:31:15","guid":{"rendered":"\/?p=3621"},"modified":"2021-02-02T10:31:15","modified_gmt":"2021-02-02T10:31:15","slug":"making-diagnostic-services-more-accessible","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/cs_cz\/making-diagnostic-services-more-accessible\/","title":{"rendered":"Zp\u0159\u00edstupn\u011bn\u00ed diagnostick\u00fdch slu\u017eeb"},"content":{"rendered":"

Zat\u00edmco pot\u0159eba reformy poskytov\u00e1n\u00ed diagnostiky a zaveden\u00ed nov\u00e9ho modelu slu\u017eeb k poskytov\u00e1n\u00ed bezpe\u010dn\u00fdch cest zam\u011b\u0159en\u00fdch na pacienta byla po ur\u010ditou dobu prioritn\u00ed oblast\u00ed, dopad na Covid-19 na diagnostickou \u010dinnost zd\u016fraznil nal\u00e9havost, s jakou je to pot\u0159eba. doru\u010deno.<\/p>\n

Pot\u0159eba reformy diagnostiky a odd\u011blen\u00ed cest mezi akutn\u00ed a elektivn\u00ed p\u00e9\u010d\u00ed byla nast\u00edn\u011bna v a zpr\u00e1va zve\u0159ejn\u011bn\u00e1 NHS England<\/a> v \u0159\u00edjnu, kter\u00fd nav\u00e1zal na dlouhodob\u00fd pl\u00e1n.<\/p>\n

Pandemie Covid-19 pouk\u00e1zala na \u0159adu slab\u00fdch str\u00e1nek ovliv\u0148uj\u00edc\u00edch odolnost na\u0161eho zdravotnick\u00e9ho syst\u00e9mu. Co jsme se z Covid-19 nau\u010dili, je, \u017ee jasn\u00e9 odd\u011blen\u00ed cest mezi akutn\u00ed a elektivn\u00ed p\u00e9\u010d\u00ed m\u016f\u017ee minimalizovat vedlej\u0161\u00ed \u00fa\u010dinky na syst\u00e9m zdravotn\u00ed p\u00e9\u010de jako celek; je tak\u00e9 nutn\u00e9 um\u011bt efektivn\u011b \u010delit dal\u0161\u00ed pandemii.<\/p>\n

Covid-19 situaci zhor\u0161il<\/strong><\/p>\n

Zat\u00edmco britsk\u00e9 nemocnice se s propuknut\u00edm Covid-19 vypo\u0159\u00e1daly relativn\u011b dob\u0159e, vzhledem k tlaku, kter\u00e9mu byly p\u0159ed vypuknut\u00edm pandemie, to m\u011blo ne\u017e\u00e1douc\u00ed \u00fa\u010dinky na v\u011bt\u0161inu neakutn\u00edch \u010d\u00e1st\u00ed zdravotnick\u00e9ho syst\u00e9mu. Term\u00edny byly zru\u0161eny, diagnostick\u00e9 postupy byly odlo\u017eeny; a opat\u0159en\u00ed p\u0159ijat\u00e1 k uvoln\u011bn\u00ed l\u016f\u017eek v nemocnic\u00edch negativn\u011b ovlivnila poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de v komunit\u011b a sn\u00ed\u017eila po\u010det l\u016f\u017eek dostupn\u00fdch v nemocnic\u00edch pro pacienty, kte\u0159\u00ed nejsou urgentn\u00ed.<\/p>\n

Jedn\u00edm z nejviditeln\u011bj\u0161\u00edch efekt\u016f bylo v\u00fdrazn\u00e9 zv\u00fd\u0161en\u00ed po\u010dtu lid\u00e9 \u010dekaj\u00edc\u00ed<\/a> pro diagnostick\u00e9 testy a l\u00e9\u010dbu. Zat\u00edmco aktivita od prvn\u00edho uzam\u010den\u00ed vzrostla, dosud se nezotavila na p\u0159edpandemickou \u00farove\u0148 a po\u010det pacient\u016f je ni\u017e\u0161\u00ed, zejm\u00e9na u CT skenov\u00e1n\u00ed a endoskopie, kv\u016fli opat\u0159en\u00edm zam\u011b\u0159en\u00fdm na sn\u00ed\u017een\u00ed rizika infekce Covid-19.<\/p>\n

Dopad byl nejvy\u0161\u0161\u00ed na ty, kte\u0159\u00ed \u010dekali nejd\u00e9le. Do z\u00e1\u0159\u00ed, navzdory podstatn\u00e9mu n\u00e1r\u016fstu aktivity, t\u0159etina pacient\u016f na seznamu \u010dekala d\u00e9le ne\u017e \u0161est t\u00fddn\u016f na skenov\u00e1n\u00ed nebo jin\u00fd diagnostick\u00fd test a na endoskopii toto \u010d\u00edslo p\u0159es\u00e1hlo 50%. Po\u010det pacient\u016f \u010dekaj\u00edc\u00edch na endoskopii d\u00e9le ne\u017e 13 t\u00fddn\u016f ze sv\u00e9ho maxima v \u010dervnu klesl, ale o\u010dek\u00e1v\u00e1 se, \u017ee nejnov\u011bj\u0161\u00ed vlna Covid-19 zp\u016fsob\u00ed dal\u0161\u00ed naru\u0161en\u00ed slu\u017eeb.<\/p>\n

Znepokojen\u00ed tak\u00e9 vyvol\u00e1v\u00e1 \u201eskryt\u00e9 nevy\u0159\u00edzen\u00e9 z\u00e1le\u017eitosti\u201c odlo\u017een\u00fdch doporu\u010den\u00ed, proto\u017ee se tak\u00e9 prodlou\u017eily \u010dekac\u00ed doby na sch\u016fzku s konzultantem. V syst\u00e9mu veden\u00e9m konzultanty se sn\u00ed\u017een\u00fdmi toky pacient\u016f se \u010dek\u00e1n\u00ed na poradce st\u00e1v\u00e1 \u00fazk\u00fdm hrdlem.<\/p>\n

Reforma diagnostick\u00fdch slu\u017eeb<\/strong><\/p>\n

Pandemie v\u0161ak tak\u00e9 poskytla p\u0159\u00edle\u017eitost ke zm\u011bn\u011b. Jak postupovalo, zam\u011b\u0159en\u00ed se p\u0159esunulo od hled\u00e1n\u00ed \u0159e\u0161en\u00ed okam\u017eit\u00e9 krize pomoc\u00ed kr\u00e1tkodob\u00fdch do\u010dasn\u00fdch \u0159e\u0161en\u00ed, jako jsou nemocnice Nightingale, k p\u0159izp\u016fsoben\u00ed se \u017eivotu s rizikem Covid-19 v dlouhodob\u00e9m horizontu. Obnovuje se d\u016fraz na hled\u00e1n\u00ed v\u011bt\u0161\u00ed vestav\u011bn\u00e9 odolnosti pro budoucnost.<\/p>\n

Pot\u0159eba radik\u00e1ln\u00edho zlep\u0161en\u00ed zp\u016fsobu poskytov\u00e1n\u00ed diagnostick\u00fdch slu\u017eeb byla \u0161iroce uzn\u00e1v\u00e1na ji\u017e p\u0159ed pandemi\u00ed, p\u0159i\u010dem\u017e popt\u00e1vka zejm\u00e9na v posledn\u00edch p\u011bti letech rychle vzrostla, co\u017e v posledn\u00edch letech vedlo k n\u00e1r\u016fstu poru\u0161ov\u00e1n\u00ed \u0161estit\u00fddenn\u00edho diagnostick\u00e9ho standardu.<\/p>\n

P\u0159\u00edstup k endoskopick\u00e9mu vybaven\u00ed a za\u0159\u00edzen\u00edm byl ji\u017e p\u0159ed pandemi\u00ed pod zna\u010dn\u00fdm tlakem, zejm\u00e9na pro kolonoskopii. Odhady zalo\u017een\u00e9 na Ud\u011blejte to hned napoprv\u00e9 (GIRFT)<\/a> Program nazna\u010duje, \u017ee asi 20 trust\u016f NHS bude pravd\u011bpodobn\u011b vy\u017eadovat kompletn\u00ed p\u0159estavbu sv\u00fdch endoskopick\u00fdch za\u0159\u00edzen\u00ed, p\u0159i\u010dem\u017e dal\u0161\u00ed pot\u0159ebuj\u00ed zlep\u0161en\u00ed.<\/p>\n

P\u0159esto\u017ee neexistuje \u017e\u00e1dn\u00fd n\u00e1rodn\u00ed registr aktiv pro endoskopick\u00e1 za\u0159\u00edzen\u00ed, zpr\u00e1vu<\/a> publikoval Public Policy Projects ve spolupr\u00e1ci s Vanguard p\u0159ed dv\u011bma lety uk\u00e1zal, \u017ee p\u0159ibli\u017en\u011b 25% nemocnic m\u00e1 soupravy a vybaven\u00ed pro endoskopickou dekontaminaci, kter\u00e9 jsou star\u0161\u00ed ne\u017e deset let.<\/p>\n

Je z\u0159ejm\u00e9, \u017ee nejde jen o investice do budov a vybaven\u00ed. Krom\u011b zv\u00fd\u0161en\u00ed kapacity bude nutn\u00e9 roz\u0161\u00ed\u0159it pracovn\u00ed s\u00edlu a nov\u00e9 modely slu\u017eeb budou muset poskytovat kompletn\u00ed sadu diagnostick\u00fdch slu\u017eeb mimo nemocni\u010dn\u00ed prost\u0159ed\u00ed.<\/p>\n

Diagnostika: Obnova a obnova<\/strong><\/p>\n

Navrhovan\u00e9 \u0159e\u0161en\u00ed bylo nast\u00edn\u011bno v ned\u00e1vn\u00e1 zpr\u00e1va<\/a>, na z\u00e1klad\u011b p\u0159ezkoum\u00e1n\u00ed diagnostick\u00fdch slu\u017eeb zadan\u00fdch NHS England jako sou\u010d\u00e1st Dlouhodob\u00fd pl\u00e1n<\/a>. Prosazuje odd\u011blen\u00ed akutn\u00ed a elektivn\u00ed diagnostiky v\u0161ude tam, kde je to mo\u017en\u00e9, a podle n\u00e1vrhu by byla v komunit\u011b z\u0159\u00edzena samostatn\u00e1 diagnostick\u00e1 centra mimo m\u00edsta akutn\u00edch nemocnic, kter\u00e1 by poskytovala \u201ejednotn\u00e1 kontaktn\u00ed m\u00edsta\u201c pro diagnostick\u00e1 hodnocen\u00ed.<\/p>\n

Zpr\u00e1va zd\u016fraz\u0148uje pot\u0159ebu zv\u00fd\u0161en\u00ed kapacity a uv\u00e1d\u00ed, \u017ee v NHS Trusts je podle odhad\u016f pot\u0159eba 200 nov\u00fdch endoskopick\u00fdch m\u00edstnost\u00ed, aby pokryly sou\u010dasn\u00fd r\u016fst popt\u00e1vky a umo\u017enily pl\u00e1novan\u00e9 roz\u0161\u00ed\u0159en\u00ed programu screeningu st\u0159ev. Rovn\u011b\u017e byla identifikov\u00e1na pot\u0159eba vym\u011bnit v\u0161echna st\u00e1vaj\u00edc\u00ed zobrazovac\u00ed za\u0159\u00edzen\u00ed star\u0161\u00ed ne\u017e 10 let spolu s pot\u0159ebou roz\u0161\u00ed\u0159it kapacitu skenov\u00e1n\u00ed CT o 100% b\u011bhem p\u0159\u00ed\u0161t\u00edch p\u011bti let. Poskytov\u00e1n\u00ed CT skener\u016f na populaci ve Spojen\u00e9m kr\u00e1lovstv\u00ed je mnohem ni\u017e\u0161\u00ed ne\u017e v jin\u00fdch rozvinut\u00fdch zem\u00edch.<\/p>\n

Tento p\u0159\u00edstup by p\u0159inesl v\u00fdrazn\u00e9 sn\u00ed\u017een\u00ed po\u010dtu pacient\u016f nav\u0161t\u011bvuj\u00edc\u00edch akutn\u00ed nemocni\u010dn\u00ed za\u0159\u00edzen\u00ed a zefektivnil by syst\u00e9m zdravotn\u00ed p\u00e9\u010de jako celek. Od sv\u00e9ho zve\u0159ejn\u011bn\u00ed byla zpr\u00e1va v\u0161eobecn\u011b v\u00edt\u00e1na, a pokud budou doporu\u010den\u00ed pln\u011b implementov\u00e1na, bude p\u0159edzv\u011bst\u00ed zna\u010dn\u00fdch investic do pracovn\u00ed s\u00edly, vybaven\u00ed a za\u0159\u00edzen\u00ed.<\/p>\n

Flexibiln\u011bj\u0161\u00ed p\u0159\u00edstup<\/strong><\/p>\n

N\u00e1r\u016fst kapit\u00e1lov\u00fdch v\u00fddaj\u016f o 2,3 miliardy GBP v letech 2021\/22 ozn\u00e1men\u00fd jako sou\u010d\u00e1st posledn\u00edho p\u0159ezkumu v\u00fddaj\u016f, kter\u00fd zahrnuje 325 milion\u016f GBP na diagnostick\u00e9 p\u0159\u00edstroje, jako jsou MRI a CT skenery, a na v\u00fdm\u011bnu star\u00e9ho zobrazovac\u00edho za\u0159\u00edzen\u00ed, do jist\u00e9 m\u00edry pokryje n\u00e1klady. .<\/p>\n

Ot\u00e1zkou je, zda to bude sta\u010dit a zda se dopad do\u010dk\u00e1me dostate\u010dn\u011b brzy, aby to v kr\u00e1tkodob\u00e9m a\u017e st\u0159edn\u011bdob\u00e9m horizontu skute\u010dn\u011b zm\u011bnilo \u010dekac\u00ed doby a v\u00fdsledky pacient\u016f. Implementace doporu\u010den\u00ed ve zpr\u00e1v\u011b bude n\u011bjakou dobu trvat \u2013 ale vzhledem k tomu, \u017ee ka\u017ed\u00fd m\u011bs\u00edc nar\u016fst\u00e1 po\u010det nevy\u0159\u00edzen\u00fdch z\u00e1le\u017eitost\u00ed, existuje mo\u017enost \u010dek\u00e1n\u00ed?<\/p>\n

Jasn\u00e9 odd\u011blen\u00ed cest je ji\u017e mo\u017en\u00e9 dos\u00e1hnout pou\u017eit\u00edm st\u00e1vaj\u00edc\u00edch flexibiln\u00ed zdravotnick\u00e1 infrastruktura<\/a>, kterou lze z\u0159\u00eddit bl\u00ed\u017ee pacient\u016fm jako ned\u00edlnou sou\u010d\u00e1st s\u00edt\u011b integrovan\u00e9 p\u00e9\u010de. Mobiln\u00ed a modul\u00e1rn\u00ed zobrazovac\u00ed a endoskopick\u00e9 jednotky lze nastavit t\u00e9m\u011b\u0159 na jak\u00e9mkoli m\u00edst\u011b a vytvo\u0159it tak ve velmi kr\u00e1tk\u00e9m \u010dase samostatn\u00e9 diagnostick\u00e9 za\u0159\u00edzen\u00ed bez Covid.<\/p>\n

Zat\u00edmco mobiln\u00ed jednotky se \u010dasto pou\u017e\u00edvaj\u00ed k zaji\u0161t\u011bn\u00ed v\u011bt\u0161\u00ed flexibility jako sou\u010d\u00e1st are\u00e1lu nemocnice, jsou tak\u00e9 ide\u00e1ln\u00ed pro p\u0159ibl\u00ed\u017een\u00ed slu\u017eeb pacient\u016fm. V r\u00e1mci integrovan\u00e9ho syst\u00e9mu p\u00e9\u010de m\u016f\u017ee b\u00fdt mobiln\u00ed infrastruktura, kter\u00e1 je k dispozici pro \u0159adu specializovan\u00fdch i obecn\u00fdch v\u00fdkon\u016f, um\u00edst\u011bna v m\u00edstn\u00ed ordinaci praktick\u00e9ho l\u00e9ka\u0159e, obecn\u00ed nemocnici, zubn\u00ed ordinaci nebo jin\u00e9m zdravotnick\u00e9m za\u0159\u00edzen\u00ed.<\/p>\n

V\u00fdhody mobiln\u00edch zdravotnick\u00fdch jednotek jsou v tomto kontextu z\u0159ejm\u00e9. Jejich flexibiln\u00ed a p\u0159em\u00edstiteln\u00e1 povaha znamen\u00e1, \u017ee n\u011bkter\u00e9 typy mobiln\u00edch jednotek ji\u017e hraj\u00ed d\u016fle\u017eitou roli p\u0159i poskytov\u00e1n\u00ed slu\u017eeb pacient\u016fm v komunit\u011b. Mobiln\u00ed infrastruktura se m\u016f\u017ee vyv\u00edjet a m\u011bnit podle toho, jak se m\u011bn\u00ed pot\u0159eby, a lze ji rychle p\u0159izp\u016fsobit tak, aby reagovala na nouzovou situaci.<\/p>\n

Poskytov\u00e1n\u00ed komunitn\u00ed zdravotn\u00ed p\u00e9\u010de<\/strong><\/p>\n

Pro poskytov\u00e1n\u00ed integrovan\u00e9 p\u00e9\u010de je nutn\u00e9 p\u0159ijmout perspektivu cel\u00e9ho syst\u00e9mu. D\u016fle\u017eitou sou\u010d\u00e1st\u00ed flexibiln\u00edho a odoln\u00e9ho syst\u00e9mu zdravotn\u00ed p\u00e9\u010de je schopnost sdru\u017eovat zdroje v \u0161ir\u0161\u00ed oblasti, co\u017e umo\u017e\u0148uje poskytovat slu\u017eby tam, kde a kdy jsou nejv\u00edce pot\u0159eba. To byla v\u017edy pravda, ale pandemie Covid-19 zv\u00fd\u0161ila pot\u0159ebu robustn\u00edch integrovan\u00fdch syst\u00e9m\u016f p\u00e9\u010de, a to se nem\u016f\u017ee st\u00e1t, pokud nebudeme m\u00edt pozemek dostate\u010dn\u011b flexibiln\u00ed, aby vyhovoval \u0161irok\u00e9mu rozsahu pot\u0159eb ICS.<\/p>\n

Kl\u00ed\u010dem k tomu, aby tento p\u0159\u00edstup fungoval, je rozvoj s\u00edt\u00ed pro spolupr\u00e1ci, proto\u017ee nov\u00e9 diagnostick\u00e9 vybaven\u00ed, jako jsou skenery a endoskopy, je n\u00e1kladn\u00e9 a vyu\u017eit\u00ed jak\u00e9hokoli nov\u00e9ho za\u0159\u00edzen\u00ed bude t\u0159eba maximalizovat. Z praktick\u00fdch a finan\u010dn\u00edch d\u016fvod\u016f bude existovat omezen\u00fd po\u010det m\u00edst, kde bude mo\u017en\u00e9 um\u00edstit MRI skener nebo endoskopick\u00e9 za\u0159\u00edzen\u00ed, co\u017e znamen\u00e1, \u017ee mnoho pacient\u016f bude st\u00e1le muset cestovat ur\u010ditou vzd\u00e1lenost do centr\u00e1ln\u00edho um\u00edst\u011bn\u00ed.<\/p>\n

D\u00edky mobiln\u00ed infrastruktu\u0159e v\u0161ak lze za\u0159\u00edzen\u00ed p\u0159esouvat mezi jednotliv\u00fdmi lokalitami a poskytovat slu\u017eby bl\u00ed\u017ee pacient\u016fm. Flexibilita nab\u00edzen\u00e1 mobiln\u00edmi zdravotnick\u00fdmi jednotkami znamen\u00e1, \u017ee lze vytvo\u0159it s\u00ed\u0165, v n\u00ed\u017e za\u0159\u00edzen\u00ed prim\u00e1rn\u00ed p\u00e9\u010de, komunitn\u00ed nemocnice a dal\u0161\u00ed zdravotnick\u00e1 za\u0159\u00edzen\u00ed sd\u00edlej\u00ed centr\u00e1ln\u00ed diagnostick\u00e9 zdroje pomoc\u00ed syst\u00e9mu \u201ehub-and-spoke\u201c.<\/p>\n

To by mohlo b\u00fdt doru\u010deno pomoc\u00ed kombinace p\u0159ij\u00edmac\u00edho za\u0159\u00edzen\u00ed nebo \u201edokovac\u00ed jednotky\u201c a \u0159ady mobiln\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00ed. Dokovac\u00ed jednotka je z\u0159\u00edzena s p\u0159\u00edslu\u0161n\u00fdmi p\u0159\u00edpojkami, jako jsou in\u017een\u00fdrsk\u00e9 s\u00edt\u011b a spojovac\u00ed chodby, v r\u00e1mci p\u0159\u00edpravy na p\u0159ijet\u00ed mobiln\u00edho za\u0159\u00edzen\u00ed, co\u017e umo\u017e\u0148uje snadn\u00e9 a rychl\u00e9 p\u0159ipojen\u00ed mobiln\u00edch za\u0159\u00edzen\u00ed.<\/p>\n

Takov\u00fd syst\u00e9m poskytuje poskytovatel\u016fm t\u00e9m\u011b\u0159 okam\u017eit\u00fd p\u0159\u00edstup k pln\u011b vybaven\u00fdm diagnostick\u00fdm za\u0159\u00edzen\u00edm. Mobiln\u00ed za\u0159\u00edzen\u00ed pak lze snadno p\u0159esouvat v r\u00e1mci s\u00edt\u011b a rychle instalovat na jin\u00e9 m\u00edsto. V r\u00e1mci s\u00edt\u011b pro spolupr\u00e1ci lze vybrat \u0159adu klinick\u00fdch slu\u017eeb, kter\u00e9 odpov\u00eddaj\u00ed popt\u00e1vce a zdravotn\u00edm pot\u0159eb\u00e1m v m\u00edstn\u00ed oblasti, nebo nab\u00edzej\u00ed r\u016fzn\u00e1 specializovan\u00e1 za\u0159\u00edzen\u00ed v rotaci.<\/p>\n

Mezi kl\u00ed\u010dov\u00e9 v\u00fdhody zv\u00fd\u0161en\u00ed p\u0159\u00edstupu ke slu\u017eb\u00e1m pomoc\u00ed flexibiln\u00ed infrastruktury pat\u0159\u00ed to, \u017ee poskytuje n\u00edzkorizikov\u00e9 a kapit\u00e1lov\u011b m\u00e9n\u011b n\u00e1ro\u010dn\u00e9 \u0159e\u0161en\u00ed s flexibiln\u00ed cenovou strukturou. Nab\u00edz\u00ed tak\u00e9 n\u00edzk\u00e9 provozn\u00ed riziko, proto\u017ee \u00fadr\u017ebu a opravy zaji\u0161\u0165uje dodavatel za\u0159\u00edzen\u00ed. S flexibiln\u00edm \u0159e\u0161en\u00edm, jako je toto, by n\u00e1klady na uzav\u0159en\u00ed smlouvy, person\u00e1ln\u00ed obsazen\u00ed a vybaven\u00ed za\u0159\u00edzen\u00ed, stejn\u011b jako jeho v\u00fdhody, mohly b\u00fdt sd\u00edleny mezi poskytovateli.<\/p>\n

Alternativn\u011b lze mobiln\u00ed a modul\u00e1rn\u00ed jednotky zkombinovat za \u00fa\u010delem vytvo\u0159en\u00ed samostatn\u00e9ho pevn\u00e9ho diagnostick\u00e9ho centra v t\u00e9m\u011b\u0159 jak\u00e9mkoli uspo\u0159\u00e1d\u00e1n\u00ed, kter\u00e9 obsahuje \u010dek\u00e1rny pro pacienty, konzulta\u010dn\u00ed m\u00edstnosti, skenovac\u00ed a procedur\u00e1ln\u00ed m\u00edstnosti, ve\u0161ker\u00e9 speci\u00e1ln\u00ed vybaven\u00ed, prostory pro zotaven\u00ed a za\u0159\u00edzen\u00ed pro person\u00e1l a pacienty.<\/p>\n

\u0158e\u0161en\u00ed zam\u011b\u0159en\u00e9 na pacienta<\/strong><\/p>\n

V kone\u010dn\u00e9m d\u016fsledku je c\u00edlem reformy, jak je uvedeno ve zpr\u00e1v\u011b NHS, zkr\u00e1tit akutn\u00ed i elektivn\u00ed \u010dekac\u00ed doby a pomoci zlep\u0161it v\u00fdsledky pacient\u016f. Dosa\u017een\u00ed pl\u00e1nu v\u0161ak n\u011bjakou dobu potrv\u00e1 a k dosa\u017een\u00ed kl\u00ed\u010dov\u00fdch c\u00edl\u016f, v\u010detn\u011b v\u010dasn\u00e9 diagnostiky pacient\u016f s rakovinou, je nal\u00e9hav\u011b zapot\u0159eb\u00ed \u0159e\u0161en\u00ed.<\/p>\n

Vyu\u017eit\u00ed partnersk\u00e9ho p\u0159\u00edstupu a zaji\u0161t\u011bn\u00ed kapacity od poskytovatel\u016f, kte\u0159\u00ed mohou zdravotn\u00ed syst\u00e9m podporovat a spolupracovat s n\u00edm, m\u016f\u017ee p\u0159in\u00e9st zna\u010dn\u00e9 v\u00fdhody. Ji\u017e existuj\u00ed \u0159e\u0161en\u00ed, kter\u00e1 lze implementovat, ani\u017e by bylo nutn\u00e9 \u010dekat na vy\u0161kolen\u00ed a n\u00e1bor specialist\u016f, schv\u00e1len\u00ed kapit\u00e1lov\u00fdch rozpo\u010dt\u016f, n\u00e1kupy za\u0159\u00edzen\u00ed ve velk\u00e9m a v\u00fdstavbu budov, co\u017e znamen\u00e1, \u017ee p\u0159\u00ednosy lze pacient\u016fm p\u0159en\u00e9st mnohem rychleji.<\/p>\n

Vzhledem k tomu, \u017ee ICS v nadch\u00e1zej\u00edc\u00edch letech urychluj\u00ed sv\u016fj v\u00fdvoj, bude flexibiln\u00ed zdravotnick\u00e1 infrastruktura hr\u00e1t st\u00e1le d\u016fle\u017eit\u011bj\u0161\u00ed roli p\u0159i zlep\u0161ov\u00e1n\u00ed dostupnosti diagnostick\u00fdch slu\u017eeb. Krom\u011b zlep\u0161en\u00ed zku\u0161enost\u00ed pacient\u016f m\u016f\u017ee zv\u00fd\u0161en\u00ed m\u00edstn\u00edho p\u0159\u00edstupu ke slu\u017eb\u00e1m tak\u00e9 podn\u00edtit z\u00e1jem o screeningov\u00e9 a diagnostick\u00e9 postupy. A pokud budeme v dohledn\u00e9 dob\u011b nad\u00e1le sv\u011bdky toho, \u017ee klini\u010dt\u00ed l\u00e9ka\u0159i zefektivn\u00ed doporu\u010den\u00ed a budou vyu\u017e\u00edvat virtu\u00e1ln\u00ed konzultace v podobn\u00e9m rozsahu jako nyn\u00ed, tyto v\u00fdhody se \u010dasem jen zv\u00fd\u0161\u00ed.<\/p>\n

Tento \u010dl\u00e1nek se poprv\u00e9 objevil ve \u010dtvrt\u00e9m vyd\u00e1n\u00ed <\/em>Hospital Times<\/em><\/a> \u010dasopis. <\/em><\/p>","protected":false},"excerpt":{"rendered":"

Pot\u0159eba reformy diagnostiky a odd\u011blen\u00ed cest mezi akutn\u00ed a elektivn\u00ed p\u00e9\u010d\u00ed byla nast\u00edn\u011bna ve zpr\u00e1v\u011b vydan\u00e9 NHS England v \u0159\u00edjnu, kter\u00e1 navazovala na dlouhodob\u00fd pl\u00e1n.<\/p>","protected":false},"author":1,"featured_media":1354,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[131,137,5],"class_list":["post-3621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-endoscope-decontamination","tag-endoscopy-suite","tag-mobile"],"acf":[],"yoast_head":"\nMaking diagnostic services more accessible - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"A need for reforming diagnostic services and the separation of pathways between acute and elective care was outlined in NHS England report\" \/>\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\/making-diagnostic-services-more-accessible\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Making diagnostic services more accessible - 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