{"id":3240,"date":"2020-10-22T10:27:21","date_gmt":"2020-10-22T10:27:21","guid":{"rendered":"\/?p=3240"},"modified":"2020-10-22T10:27:21","modified_gmt":"2020-10-22T10:27:21","slug":"diagnostic-reform-the-impact-on-endoscopy","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/da_dk\/diagnostic-reform-the-impact-on-endoscopy\/","title":{"rendered":"Diagnostisk reform: indvirkningen p\u00e5 endoskopi"},"content":{"rendered":"

Eftersl\u00e6bet af patienter, der venter mere end seks uger p\u00e5 en endoskopi, er steget betydeligt siden starten af Covid-19-pandemien, og ventelister skal nu h\u00e5ndteres som et presserende sp\u00f8rgsm\u00e5l. EN\n\n nyligt offentliggjort rapport\n<\/a>\naf NHS England, opfordrer til reformer og foresl\u00e5r at indf\u00f8re et netv\u00e6rk af diagnostiske hubs i samfundet, hvoraf nogle vil indeholde endoskopifaciliteter.<\/p>\n

EN\n\n mobil eller modul\u00e6r endoskopi\n<\/a>\nenhed kan bruges i mellemtiden eller sammen med et community-hub for at skabe en selvst\u00e6ndig facilitet, der giver en s\u00e6rskilt vej til elektive endoskopitjenester.\n\n Et presserende behov for at l\u00f8se ventetider\n<\/strong>\nEftersp\u00f8rgslen efter endoskopi er vokset betydeligt i l\u00f8bet af de seneste fem \u00e5r, og selvom aktiviteten er steget, er ventetiderne steget hurtigere, hvilket har medf\u00f8rt et eftersl\u00e6b. Fleksible sigmoidoskopiprocedurer har haft de h\u00f8jeste v\u00e6kstrater, hovedsagelig p\u00e5 grund af udrulningen af tarmscreeningsprogrammet.<\/p>\n

Under Covid-19 har behovet for at dybderense udstyr og faciliteter mellem patienterne f\u00f8rt til et fald i produktiviteten og aflyste procedurer og som f\u00f8lge heraf l\u00e6ngere og l\u00e6ngere ventetid. Samlet set faldt endoskopiaktivitetsniveauer med over 90% p\u00e5 toppen af pandemien.<\/p>\n

Endoskopiske n\u00f8dprocedurer p\u00e5 toppen af pandemien blev s\u00e5 vidt muligt udf\u00f8rt p\u00e5 operationsstuer med negativt lufttryk. Gastroskopi blev ogs\u00e5 oprindeligt udpeget som en aerosolgenererende procedure (AGP), som indeb\u00e6rer en risiko for endoskopister, hvis patienter er Covid-19-positive eller Covid-19-usikre, men gastroskopi betragtes ikke l\u00e6ngere som en AGP under PHE-vejledning.\n\"\"\nDe seneste tal fra NHS England viser, at mens endoskopiaktiviteten er steget betydeligt siden april, er genopretningshastigheden aftaget markant. Aktiviteten i august var omkring to tredjedele af aktiviteten i en normal m\u00e5ned. Dette i kombination med, at ventelisterne ikke er steget v\u00e6sentligt i august, p\u00e5 trods af det lave aktivitetsniveau, tyder p\u00e5, at der stadig er et betydeligt 'skjult' eftersl\u00e6b af personer, som endnu ikke er kommet p\u00e5 ventelisterne.\n\n Behovet for fremtidssikring\n<\/strong>\nDer er nu et presserende behov for at etablere Covid-19 minimale endoskopifaciliteter for at hj\u00e6lpe med at komme sig. Rapporten anerkender, at adgangen til endoskopiudstyr og -faciliteter, is\u00e6r dem til koloskopi, allerede var under betydelig belastning f\u00f8r pandemien. Ud over arbejdsstyrkebegr\u00e6nsninger afsl\u00f8rede GIRFT-programmet (Get it Right First Time) ogs\u00e5, at omkring 20 NHS-trusts sandsynligvis vil kr\u00e6ve en fuldst\u00e6ndig ombygning af deres endoskopifaciliteter, mens andre har brug for forbedring.<\/p>\n

I NHS England-rapporten ansl\u00e5s det, at der er behov for omkring 200 nye endoskopierum i NHS Trusts for at d\u00e6kke den nuv\u00e6rende v\u00e6kst inden for endoskopi og muligg\u00f8re de planlagte udvidelser af tarmscreeningsprogrammet. Der er ogs\u00e5 behov for nye endoskopiske dekontamineringsenheder, og rapporten anbefaler ogs\u00e5, at alt eksisterende billeddannende udstyr, der er \u00e6ldre end 10 \u00e5r, udskiftes.<\/p>\n

Desv\u00e6rre er der ikke noget nationalt aktivregister for endoskopifaciliteter, og rapporten anbefaler, at udstyr\/faciliteter og personaleunders\u00f8gelser b\u00f8r gennemf\u00f8res omg\u00e5ende for at lette b\u00e5de kort- og langsigtet planl\u00e6gning. Rapporten foresl\u00e5r deltagelse i National Endoscopy Database (NED) af 20% af NHS Trusts, der ikke allerede g\u00f8r det.<\/p>\n

En rapport udgivet af Public Policy Projects i samarbejde med\n\n Vanguard\n<\/a>\nfor to \u00e5r siden, viste, at mere end en tredjedel af hospitalerne opererer endoskopi dekontamineringssuiter med udstyr, der n\u00e6rmer sig eller overg\u00e5r fabrikantens anbefalinger, og at omkring 25% af hospitaler har endoskopi dekontamineringssuiter, der er mere end ti \u00e5r gamle.\n\n En praktisk l\u00f8sning til endoskopi\n<\/strong>\nDet er h\u00e5bet, at etableringen af Covid-fri endoskopifaciliteter p\u00e5 nogle af de foresl\u00e5ede diagnostiske f\u00e6llesskabscentre eller\n\n one-stop-shops\n<\/a>\n, sammen med test af b\u00e5de patienter og personale forud for alle procedurer, kan betyde, at behovet for dyb reng\u00f8ring mellem patienter vil blive reduceret betydeligt, hvilket g\u00f8r det muligt at \u00f8ge gennemstr\u00f8mningen t\u00e6ttere p\u00e5 normale niveauer. Patienter, der er Covid-19-positive, og dem, der har brug for en akut endoskopi, f\u00f8r Covid-19-status kan bestemmes, b\u00f8r forts\u00e6tte med at f\u00e5 deres procedurer udf\u00f8rt i faciliteter med negativt lufttryk (normalt operationsstuer).<\/p>\n

Med hensyn til arbejdsstyrken anbefaler rapporten, at der oprettes uddannelsesakademier for at \u00f8ge antallet af ikke-medicinske koloskopere og for at g\u00f8re det muligt for eksisterende koloskopister at p\u00e5tage sig screening af koloskopi. Der vil ogs\u00e5 v\u00e6re behov for flere endoskopisygeplejersker for at im\u00f8dekomme yderligere eftersp\u00f8rgsel.<\/p>\n

Uden investering eller reformeret serviceydelse risikerer NHS at v\u00e6re ude af stand til at n\u00e5 m\u00e5lene, herunder ambitionen om at diagnosticere 75% af mennesker med kr\u00e6ft p\u00e5 et tidligt stadie, og at forbedre patienternes resultater. Selvom planerne hurtigt bliver godkendt, vil anbefalingerne i rapporten tage tid at implementere. Men med eftersl\u00e6bet, der vokser hver m\u00e5ned, er det s\u00e5 en mulighed at vente?<\/p>\n

For hver m\u00e5ned produktiviteten kompromitteres, vokser ventelisten ud over et niveau, der let kan genvindes uden at g\u00e5 over 100% af eksisterende kapacitet. Der er brug for en midlertidig l\u00f8sning, og\n\n fleksibel klinisk infrastruktur\n<\/a>\nkunne give svaret. Mobile og modul\u00e6re endoskopienheder kan kombineres med fleksible endoskopikontaminationsenheder og opstilles n\u00e6sten ethvert sted \u2013 ved siden af et diagnostisk hub eller andre steder i samfundet \u2013 for at skabe et selvst\u00e6ndigt, Covid-frit sted for elektiv endoskopi.<\/p>\n

L\u00e6s rapporten, som indeholder en detaljeret gennemgang af endoskopiaktivitet,\n\n her\n<\/a>\n.<\/p>\n

En kopi af rapporten\n\n "Kig indenfor: Endoskopiens tilstand i England"\n<\/em>\n, produceret af Public Policy Projects i partnerskab med Vanguard, kan rekvireres af\n\n kontakte os\n<\/a>\n.<\/p>","protected":false},"excerpt":{"rendered":"

Eftersl\u00e6bet af patienter, der venter mere end seks uger p\u00e5 en endoskopi, er steget betydeligt siden starten af Covid-19-pandemien, og ventelister skal nu h\u00e5ndteres som et presserende sp\u00f8rgsm\u00e5l.<\/p>","protected":false},"author":1,"featured_media":1347,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,119,115],"tags":[131,137,5,4],"class_list":["post-3240","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures","category-products-and-services","tag-endoscope-decontamination","tag-endoscopy-suite","tag-mobile","tag-modular"],"acf":[],"yoast_head":"\nDiagnostic reform: the impact on endoscopy - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"The impact of diagnostic reform in reducing patient backlog for endoscopy treatment using mobile or modular Vanguard facility\" \/>\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\/da_dk\/diagnostic-reform-the-impact-on-endoscopy\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnostic reform: the impact on endoscopy - 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