{"id":2889,"date":"2020-05-29T12:42:45","date_gmt":"2020-05-29T12:42:45","guid":{"rendered":"\/?p=2889"},"modified":"2020-05-29T12:42:45","modified_gmt":"2020-05-29T12:42:45","slug":"flexible-solutions-for-increasing-green-zone-capacity","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/fr_fr\/flexible-solutions-for-increasing-green-zone-capacity\/","title":{"rendered":"Des solutions flexibles pour augmenter la capacit\u00e9 des zones vertes"},"content":{"rendered":"

Alors que le nombre de cas de Covid-19 diminue, les h\u00f4pitaux et les cabinets de m\u00e9decins g\u00e9n\u00e9ralistes ont commenc\u00e9 \u00e0 se pr\u00e9parer \u00e0 reprendre les rendez-vous de routine et les proc\u00e9dures planifi\u00e9es, telles que la chirurgie \u00e9lective, l'endoscopie, les tests de diagnostic et les scanners. Cependant, les choses sont encore loin du \u00ab statu quo \u00bb.<\/p>\n

M\u00eame si la crise la plus imm\u00e9diate est peut-\u00eatre termin\u00e9e, de nombreux h\u00f4pitaux continuent de soigner un grand nombre de patients atteints de Covid-19, des rapports indiquant qu'environ 251 TP4T de lits en unit\u00e9s de soins intensifs doivent \u00eatre conserv\u00e9s \u00e0 cette fin. Il existe \u00e9galement une r\u00e9elle perspective d'une deuxi\u00e8me vague qui, selon plusieurs experts, dont le m\u00e9decin-chef d'Angleterre,Professeur Chris Whitty<\/a> \u2013 a le potentiel d\u2019\u00eatre encore plus meurtrier que le premier.<\/p>\n

Dans le m\u00eame temps, les listes d'attente pour les interventions non urgentes s'allongent et continueront probablement \u00e0 s'allonger m\u00eame en cas de r\u00e9introduction des interventions chirurgicales planifi\u00e9es, car de nombreux h\u00f4pitaux ne pourront pas imm\u00e9diatement retrouver en toute s\u00e9curit\u00e9 le m\u00eame niveau d'activit\u00e9 qu'avant la crise. Certains rapports sugg\u00e8rent que les listes d'attente pour les proc\u00e9dures \u00e9lectives pourraient d\u00e9passer les 10 millions d'ici la fin de cette ann\u00e9e. En cons\u00e9quence, les h\u00f4pitaux subissent une pression croissante pour reprendre ce type de soins le plus rapidement possible.<\/p>\n

Le terme m\u00eame de \u00ab proc\u00e9dures \u00e9lectives \u00bb est de plus en plus trompeur. Cela implique que les patients ont le choix de proc\u00e9der ou non \u00e0 une op\u00e9ration. La r\u00e9alit\u00e9 est que bon nombre de ces patients souffriront de plus en plus de douleurs chroniques et de difficult\u00e9s de vie, et la majorit\u00e9 ne consid\u00e9rera pas leur proc\u00e9dure comme un choix, mais comme une n\u00e9cessit\u00e9 croissante.<\/p>\n

L\u2019un des principaux d\u00e9fis auxquels les h\u00f4pitaux sont d\u00e9sormais confront\u00e9s pour se pr\u00e9parer \u00e0 la reprise des soins \u00e9lectifs est de savoir comment prot\u00e9ger les patients et le personnel des risques associ\u00e9s \u00e0 l\u2019exposition au Covid-19, en particulier compte tenu du fait que de nombreux patients n\u00e9cessitant une intervention chirurgicale ou un traitement sont plus nombreux. vuln\u00e9rables \u00e0 la maladie en raison d\u2019autres probl\u00e8mes de sant\u00e9. Il existe \u00e9galement le risque que des patients ou des visiteurs ext\u00e9rieurs apportent le virus dans les zones propres de l\u2019h\u00f4pital, tout comme les cliniciens qui doivent se d\u00e9placer entre les sites.<\/p>\n

L'acc\u00e8s aux tests pour le personnel et les patients avant les proc\u00e9dures sera important, mais les longs d\u00e9lais d'ex\u00e9cution actuellement connus pour l'analyse des tests pourraient encore alourdir les d\u00e9lais d'attente et risquer l'annulation d'une intervention chirurgicale si les r\u00e9sultats ne sont pas disponibles \u00e0 temps.<\/p>\n

La gestion de la pression sur l\u2019espace physique peut \u00e9galement s\u2019av\u00e9rer difficile, car il faudra maintenir une distance sociale s\u00fbre dans les zones cliniques. Dans de nombreux cas, les installations hospitali\u00e8res ont \u00e9t\u00e9 r\u00e9am\u00e9nag\u00e9es ou repens\u00e9es pour faire face \u00e0 la crise, et l'espace interne peut \u00eatre divis\u00e9 en zones \u00ab vertes \u00bb et \u00ab rouges \u00bb, qui devront rester fixes pendant un certain temps encore. Ceci, associ\u00e9 au temps accru requis pour changer les EPI et pour entreprendre un nettoyage complet des salles d'intervention entre les op\u00e9rations, r\u00e9duira consid\u00e9rablement la productivit\u00e9 dans les h\u00f4pitaux qui reprennent les proc\u00e9dures \u00e9lectives.<\/p>\n

De nombreux h\u00f4pitaux disposeront de suffisamment de cliniciens et de personnel pour revenir aux niveaux d\u2019activit\u00e9 d\u2019avant la COVID-19, mais, compte tenu de la productivit\u00e9 r\u00e9duite, ils ne pourront pas le faire sans une capacit\u00e9 physique suppl\u00e9mentaire. D\u2019o\u00f9 viendra cette capacit\u00e9 suppl\u00e9mentaire et quel sera l\u2019impact du parcours des patients pour les interventions chirurgicales \u00e9lectives sur le personnel existant et les flux de patients ?<\/p>\n

Une solution potentielle pourrait consister \u00e0 envisager des options flexibles en mati\u00e8re d\u2019infrastructures de soins de sant\u00e9. Une salle d'op\u00e9ration mobile pourrait am\u00e9liorer les zones vertes des h\u00f4pitaux en fournissant un espace s\u00fbr loin des zones rouges Covid-19 au sein de l'h\u00f4pital lui-m\u00eame. Combin\u00e9 avec une salle mobile ou modulaire, qui pourrait \u00e9galement abriter des zones pour le personnel, cela pourrait fournir une zone verte compl\u00e8te et autonome o\u00f9 les proc\u00e9dures peuvent \u00eatre entreprises en toute s\u00e9curit\u00e9, sans exercer de pression suppl\u00e9mentaire sur les autres parties de l'h\u00f4pital.<\/p>\n

Le Dr Hans Kluge, directeur de la r\u00e9gion europ\u00e9enne de l'OMS, a d\u00e9clar\u00e9 r\u00e9cemment dans une interview au Daily Telegraph que l'heure \u00e9tait d\u00e9sormais "\u00e0 la pr\u00e9paration, pas \u00e0 la c\u00e9l\u00e9bration". Il a soulign\u00e9 que m\u00eame si le nombre de cas de Covid-19 dans des pays comme le Royaume-Uni, la France et l'Italie commen\u00e7ait \u00e0 baisser, cela ne signifiait pas que la pand\u00e9mie touchait \u00e0 sa fin et que les pays devraient profiter de ce temps pour commencer \u00e0 renforcer les capacit\u00e9s des h\u00f4pitaux, des unit\u00e9s de soins primaires et de soins intensifs.<\/p>\n

\u00c9tant donn\u00e9 que la pand\u00e9mie et les retards qui en r\u00e9sultent ont n\u00e9cessit\u00e9 une capacit\u00e9 suppl\u00e9mentaire temporaire, il est logique d\u2019envisager des options de soins de sant\u00e9 flexibles qui permettent aux h\u00f4pitaux de se d\u00e9velopper en fonction de leurs besoins. Les installations mobiles et modulaires peuvent \u00eatre utilis\u00e9es de mani\u00e8re temporaire ou semi-permanente, selon les besoins.<\/p>\n

Vanguard Healthcare Solutions fournit installations temporaires<\/a> pour soutenir les prestataires de soins de sant\u00e9 lorsqu'une capacit\u00e9 suppl\u00e9mentaire est n\u00e9cessaire pour r\u00e9duire les listes d'attente, pour d\u00e9sinstaller un th\u00e9\u00e2tre existant ou en r\u00e9ponse \u00e0 une situation de crise, et est un partenaire de confiance du NHS depuis plus de 20 ans.<\/p>","protected":false},"excerpt":{"rendered":"

M\u00eame si la crise la plus imm\u00e9diate est peut-\u00eatre termin\u00e9e, de nombreux h\u00f4pitaux continuent de soigner un grand nombre de patients atteints de Covid-19, des rapports indiquant qu'environ 251 TP4T de lits en unit\u00e9s de soins intensifs doivent \u00eatre conserv\u00e9s \u00e0 cette fin. <\/p>","protected":false},"author":1,"featured_media":1345,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[5,4],"class_list":["post-2889","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-mobile","tag-modular"],"acf":[],"yoast_head":"\nFlexible solutions for increasing Green zone capacity - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Flexible solutions for increasing green zone capacity to return to Pre-COVID levels of activity in hospitals\" \/>\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\/fr_fr\/flexible-solutions-for-increasing-green-zone-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Flexible solutions for increasing Green zone capacity - 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