{"id":608,"date":"2022-04-28T15:06:00","date_gmt":"2022-04-28T15:06:00","guid":{"rendered":"https:\/\/www.vanguardhealthcare.co.uk\/?p=608"},"modified":"2023-09-14T11:43:24","modified_gmt":"2023-09-14T11:43:24","slug":"the-debilitating-effects-of-a-pandemic-on-womens-health","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/da_dk\/the-debilitating-effects-of-a-pandemic-on-womens-health\/","title":{"rendered":"De invaliderende virkninger af en pandemi p\u00e5 kvinders sundhed"},"content":{"rendered":"

Pausen af elektiv pleje ved starten af Covid-19-pandemien i slutningen af marts 2020 resulterede i det st\u00f8rste eftersl\u00e6b i NHS's historie, med 6,1 mio<\/a> stadig p\u00e5 NHS-ventelister i marts 2022, inklusive 24.000, der venter i mere end to \u00e5r. Omicron-varianten og hyppige personalemangel gennem vinterm\u00e5nederne hjalp ikke meget p\u00e5 situationen, idet Rigsrevisionen (NAO) forudsagde, at ventelisterne vil forts\u00e6tte med at vokse til mellem 7 og 12 mio. marts 2025<\/a>.<\/p>\n

Mens NHS Trusts og Health Boards over hele landet k\u00e6mper for at tackle deres elektive plejeeftersl\u00e6b, er det blevet klart, at is\u00e6r \u00e9n specialitet er blevet st\u00e6rkt p\u00e5virket.<\/p>\n

Kvinders sundhed kom i bags\u00e6det under pausen i den elektive pleje, og med omplaceringen af personalet til mere kritiske specialer blev de allerede omfattende ventelister yderligere tilf\u00f8jet. Under hele pandemien var hovedfokus for obstetrik og gyn\u00e6kologi (O&G) afdelinger at levere sikre og akutte barselsydelser, prioritere diagnosticering og behandling af gyn\u00e6kologiske kr\u00e6ftformer og levere akutte tjenester relateret til problemer, der opst\u00e5r i den tidlige graviditet. En unders\u00f8gelse foretaget af Royal College of Obstetricians and Gynecologists (RCOG) viste faktisk, at ca. 53%<\/a> af sundhedsudbydere omplacerede konsulenter og Specialty Associate Specialists (SAS) for at st\u00f8tte obstetrik, med 50%<\/a> af gyn\u00e6kologer, der flytter til akut obstetrik. Dette bet\u00f8d, at v\u00e6sentlige elementer, s\u00e5som akutte kirurgiske indgreb, post-graviditetspleje og kvindelige kr\u00e6ftydelser blev underprioriteret.<\/p>\n

Siden starten af Covid-19-pandemien er ventelister for gyn\u00e6kologi fortsat med at stige dramatisk med i alt 570,000<\/a> kvinder p\u00e5 ventelister i hele Storbritannien inden december 2021. Ventetiden steg voldsomt 60%<\/a>, skarpere end nogen anden specialitet, med mere end 1.300 i England alene tilbage p\u00e5 ventelister i over to \u00e5r, men LCP<\/a> tyder p\u00e5, at dette ikke afspejler den sande st\u00f8rrelse af det aktuelle problem. Ud over de invaliderende virkninger, som s\u00e5danne problemer kan have p\u00e5 det daglige liv, kan tilstande som endometriose og fibromer f\u00f8re til fertilitetsproblemer, hvis de forbliver ubehandlede og med mange, der venter p\u00e5 operation f\u00f8r p\u00e5begyndelse af behandling og en aldersgr\u00e6nse for IVF p\u00e5 NHS, mange kvinder er blevet efterladt i \u00f8del\u00e6ggende situationer. I en unders\u00f8gelse foretaget af RCOG<\/a> af 837 kvinder erkl\u00e6rede 80% af kvinder, at de havde lidt af p\u00e5virkninger af deres mentale sundhed, hvor 61% indr\u00f8mmede at f\u00f8le fortvivlelse ved de lange ventetider og en yderligere 63% f\u00f8lelse af ignoreret.<\/p>\n

Pandemien har fremh\u00e6vet det sande omfang af regionale sundhedsuligheder i hele Storbritannien, med en rapport af Sundhedsfonden i juli 2021<\/a> demonstrerer, at personer i mindre velhavende og minoritetssamfund mere tilb\u00f8jelige til at lide mere alvorlige konsekvenser af b\u00e5de Covid-19 og de efterf\u00f8lgende konsekvenser. Inden for gyn\u00e6kologi var 8 ud af de 10 v\u00e6rst ramte Clinical Commissioning Groups (CCG'er) placeret i den nordvestlige del af Storbritannien, hvilket forv\u00e6rrede behovet for at h\u00e5ndtere geografiske variationer i pleje. I forl\u00e6ngelse heraf blev det efter en opfordring til bevis fra Department of Health and Social Care i marts 2021 afsl\u00f8ret, at netop 2 i 5<\/a> kvinder f\u00f8ler, at de bekvemt kan f\u00e5 adgang til sundhedsydelser lokalt. De vigtigste resultater, der ville forbedre tjenesterne, omfattede bedre geografisk diversitet, forbedret uddannelse af praktiserende l\u00e6ger og en stigning i specialister i kvinders helbredsforhold. For at kunne tackle den voksende gyn\u00e6kologiske elektive eftersl\u00e6b er det klart, at der er behov for en lokal tilgang til at adressere de omr\u00e5der, hvor de regionale uligheder er st\u00f8rst, hvilket bringerpostnummer lotteri<\/a>' for gyn\u00e6kologisk behandling til oph\u00f8r.<\/p>\n

I slutningen af 2021 offentliggjorde Royal College of Surgeons (RCS) en\u00a0rapport<\/a>\u00a0opfordrer til indf\u00f8relse af valgfag\u00a0kirurgiske hubs<\/a>\u00a0at tackle eftersl\u00e6bet af elektiv pleje, som NHS Trusts og Health Boards st\u00e5r over for i hele Storbritannien. Introduktionen af selvst\u00e6ndige kirurgiske faciliteter giver ikke kun yderligere klinisk kapacitet hurtigt og effektivt, men de maksimerer ogs\u00e5 infektionskontrol i sundhedsv\u00e6senet, \u00f8ger b\u00e5de patientens og personalets tillid og reducerer derfor antallet af patienter, der ikke m\u00f8der op til planlagte plejeaftaler. Den fleksible karakter af disse Healthcare Spaces sikrer, at faciliteterne kan skr\u00e6ddersyes til skr\u00e6ddersyede lokale krav, hvilket sikrer, at ventelister i akut gyn\u00e6kologisk behandling kan l\u00f8ses i overensstemmelse hermed, hvilket frig\u00f8r plads p\u00e5 hovedhospitalet til mere komplekse procedurer, s\u00e5som akut obstetrik.<\/p>\n

\"\"<\/figure>\n

Introduktionen af fleksible Healthcare Spaces har haft succes med at underst\u00f8tte en stigning i eftersp\u00f8rgslen efter barselsydelser i Holland gennem introduktionen af en mobil leveringspakke p\u00e5 Wilhelmina Hospital i Assen<\/a>. Den fuldt udstyrede f\u00f8destue var s\u00f8ml\u00f8st forbundet med hovedhospitalet, og 125 babyer blev f\u00f8dt p\u00e5 anl\u00e6gget i hele kontraktens varighed. Introduktionen af denne skr\u00e6ddersyede barselsfacilitet demonstrerer effektiviteten af at udvide kvinders sundhedsfaciliteter for at underst\u00f8tte den voksende belastning af barselsydelser og underst\u00f8tter de bredere opfordringer til implementering af kirurgiske knudepunkter og yderligere kapacitetsl\u00f8sninger for at reducere ventelister for akut behandling.<\/p>\n

Desuden er det blevet ansl\u00e5et, at n\u00e6sten 1,5 millioner kvinder<\/a> havde brystkr\u00e6ftscreeninger forsinket med mellem 2 og 7 m\u00e5neder mellem juli 2020 og juni 2021, hvilket f\u00f8rte til ca. 687<\/a> yderligere d\u00f8dsfald fra brystkr\u00e6ft, screen-detekterede tumord\u00f8dsfald og DCIS. Brystscreeningstjenester blev suspenderet i slutningen af marts 2020, med faciliteter kun tilg\u00e6ngelige for dem med h\u00f8jere risiko eller dem med eksisterende fund, og dette blev f\u00f8rst genoptaget efter invitation den f\u00f8lgende september. Som et resultat af \u00f8gede infektionskontrolforanstaltninger, personalemangel og kapacitetsbelastning genoptog screeningstjenesterne ikke til tidligere kapacitetsniveauer, hvilket skabte yderligere risiko for udiagnosticerede patienter. Det har f\u00f8rt til \u00f8gede efterlysninger af midler til kommunale diagnostiske centre<\/a> (CDC'er), is\u00e6r i omr\u00e5der, hvor adgang til sundhedspleje er mindre let tilg\u00e6ngelig.<\/p>\n

Brystscreening reducerer antallet af d\u00f8dsfald som f\u00f8lge af brystkr\u00e6ft med 1,300<\/a> om \u00e5ret, hvilket understreger vigtigheden af at implementere samfundstjenester for at tilskynde til tidlig opdagelse. I denne m\u00e5ned blev det annonceret, at CDC'er havde leveret mere end 700.000 yderligere test p\u00e5 tv\u00e6rs af de 73 centre, der allerede er p\u00e5 plads i England, hvilket bringer sundhedsydelser til lokalsamfund og hj\u00e6lper med at reducere regionale sundhedsuligheder.<\/p>\n

Der er stadig meget at g\u00f8re for at tackle k\u00f8nsforskellene i pleje i hele Storbritannien, hvor RCOG opfordrer til en revision af prioriteringen af pleje for at anerkende den skjulte lidelse, der opleves med kvinders sundhedstilstande. Valgfri genopretningsplaner b\u00f8r tage fat alarmerende v\u00e6kst af gyn\u00e6kologiske ventelister<\/a> i forhold til andre specialer, herunder st\u00f8tte til lokale l\u00f8sninger og brug af kirurgiske hubs. Fleksible l\u00f8sninger til at \u00f8ge b\u00e5de kirurgisk og screeningskapacitet, is\u00e6r i omr\u00e5der, hvor adgangen til sundhedsfaciliteter er mindre, vil ikke kun bidrage til at reducere ventelister, men de vil bidrage til en samlet bedre livskvalitet for kvinder, der lider.<\/p>","protected":false},"excerpt":{"rendered":"

Pausen af den elektive pleje ved starten af Covid-19-pandemien i slutningen af marts 2020 resulterede i det st\u00f8rste eftersl\u00e6b i NHS's historie, med 6,1 millioner stadig p\u00e5 NHS's ventelister i marts 2022, herunder 24.000, der ventede mere end to \u00e5r. Is\u00e6r de invaliderende virkninger af pandemien har skabt kaos p\u00e5 kvinders sundhed.<\/p>","protected":false},"author":1,"featured_media":609,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nThe debilitating effects of a pandemic on women\u2019s health - 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\/da_dk\/the-debilitating-effects-of-a-pandemic-on-womens-health\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The debilitating effects of a pandemic on women\u2019s health - Vanguard Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The pausing of elective care at the start of the Covid-19 pandemic in late March 2020 resulted in the greatest backlog in NHS history, with 6.1 million still on NHS waiting lists by March 2022, including 24,000 waiting more than two years. 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