{"id":599,"date":"2022-07-05T14:43:00","date_gmt":"2022-07-05T14:43:00","guid":{"rendered":"https:\/\/www.vanguardhealthcare.co.uk\/?p=599"},"modified":"2023-09-14T11:42:49","modified_gmt":"2023-09-14T11:42:49","slug":"endoscopy-and-diagnostic-waiting-lists-what-can-be-done","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/fr_fr\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Listes d\u2019attente pour l\u2019endoscopie et le diagnostic : que faire"},"content":{"rendered":"

Le NHS d'aujourd'hui est confront\u00e9 \u00e0 un certain nombre de pressions importantes, notamment le vieillissement rapide de la population et les comorbidit\u00e9s qui peuvent en r\u00e9sulter, une r\u00e9partition in\u00e9gale des soins accessibles \u00e0 travers le Royaume-Uni et des pressions croissantes en faveur de pratiques de soins de sant\u00e9 plus durables. Les listes d'attente croissantes \u00e9taient un probl\u00e8me bien avant la pand\u00e9mie de Covid-19, de nombreuses proc\u00e9dures de soins planifi\u00e9es \u00e9tant annul\u00e9es en raison de la fatigue et de la fatigue.effritement'<\/a> infrastructures hospitali\u00e8res. Avec des listes d'attente pour les services de diagnostic atteignant 435,000<\/a> en Angleterre en janvier 2022, force est de constater que cette sp\u00e9cialit\u00e9 en particulier a \u00e9t\u00e9 fortement impact\u00e9e par les restrictions impos\u00e9es par des infrastructures v\u00e9tustes et l\u2019arr\u00eat des services d\u2019endoscopie tout au long de la pand\u00e9mie de Covid-19.<\/p>\n

Au fil des ann\u00e9es, les b\u00e2timents du NHS ont \u00e9t\u00e9 adapt\u00e9s et d\u00e9velopp\u00e9s pour r\u00e9pondre \u00e0 la demande croissante depuis la cr\u00e9ation du service de sant\u00e9 en 1948. Cependant, l'infrastructure obsol\u00e8te a des capacit\u00e9s d'adaptation limit\u00e9es pour s'adapter aux progr\u00e8s des pratiques de soins de sant\u00e9. En effet, les co\u00fbts li\u00e9s \u00e0 la r\u00e9duction du retard dans la maintenance du NHS s'\u00e9levaient \u00e0\u00a09,2 milliards de livres sterling<\/a>\u00a0\u00e0 la fin de 2020\/21, cependant, en raison du r\u00e9cent renforcement des mesures de contr\u00f4le des infections, les entrepreneurs ont eu de plus en plus de difficult\u00e9s \u00e0 effectuer de tels travaux dans les environnements r\u00e9els du NHS. Le nombre d'incidents cliniques survenus en raison d'une infrastructure obsol\u00e8te a\u00a0tripl\u00e9<\/a>\u00a0au cours des 5 derni\u00e8res ann\u00e9es, un r\u00e9cent\u00a0rapport<\/a>\u00a0a trouv\u00e9.<\/p>\n

En effet, les listes d'attente dans les h\u00f4pitaux ne cessent de s'alourdir depuis 2009<\/a>, 11 ans avant que la pand\u00e9mie n\u2019entra\u00eene une perturbation des soins. En avril 2022, les listes d'attente \u00e0 l'h\u00f4pital ont atteint un niveau record de 6,2 millions, et on pr\u00e9voit qu'elles continueront \u00e0 grimper jusqu'\u00e0 10,7 millions d'ici mars. 2024<\/a>. De plus, le nombre de personnes en attente de tests de diagnostic cl\u00e9s en Angleterre s'\u00e9levait \u00e0 369,100<\/a> en ao\u00fbt 2021, pour atteindre ensuite les 435 000 susmentionn\u00e9s d'ici 2022, d\u00e9montrant le v\u00e9ritable retard auquel cette sp\u00e9cialit\u00e9 est confront\u00e9e. De plus, un r\u00e9cent rapport de FOI a mis en \u00e9vidence l'\u00e9tat d'avancement des services d'endoscopie du NHS England, avec 411 TP4T sur 105 r\u00e9pondants d\u00e9clarant que leurs suites de d\u00e9contamination approchaient ou d\u00e9passaient la dur\u00e9e de vie recommand\u00e9e de 10 ans par le fabricant. Parmi ces fiducies, 87% n'ont pas atteint les objectifs d'attente de 6 semaines entre avril 2018 et mars 2019. Cela montre que oui, m\u00eame si la pand\u00e9mie de Covid-19 et la suspension des soins \u00e9lectifs dans tout le Royaume-Uni ont entrav\u00e9 les listes d'attente dans les h\u00f4pitaux, cela ne peut pas \u00eatre enti\u00e8rement responsable. car le probl\u00e8me remonte plus loin.<\/p>\n

Le Recensement national britannique de 2021 sur l'endoscopie<\/a> a examin\u00e9 les services d'endoscopie et de d\u00e9contamination \u00e0 travers le Royaume-Uni, r\u00e9v\u00e9lant que 42,7% des prestataires de soins de sant\u00e9 interrog\u00e9s n\u00e9cessitaient des travaux de construction suppl\u00e9mentaires pour augmenter l'efficacit\u00e9 de la d\u00e9contamination jusqu'\u00e0 20%. De plus, 59% des r\u00e9pondants ont d\u00e9clar\u00e9 que des retraiteurs d'endoscopes et des armoires de s\u00e9chage suppl\u00e9mentaires \u00e9taient n\u00e9cessaires pour augmenter la capacit\u00e9 de d\u00e9contamination. Les installations de d\u00e9contamination sont r\u00e9guli\u00e8rement situ\u00e9es au sein des services d'endoscopie hospitaliers. Cependant, des installations autonomes peuvent \u00eatre install\u00e9es et reli\u00e9es de mani\u00e8re transparente \u00e0 l'h\u00f4pital principal pour augmenter la capacit\u00e9 et garantir une plus grande efficacit\u00e9 des services d'endoscopie, r\u00e9duisant ainsi les listes d'attente. Ceci est particuli\u00e8rement utile pendant les p\u00e9riodes de r\u00e9novation, avec l'introduction d'installations de d\u00e9contamination mobiles et modulaires pour maintenir la capacit\u00e9. L\u2019enqu\u00eate a \u00e9galement r\u00e9v\u00e9l\u00e9 que la r\u00e9ticence \u00e0 se pr\u00e9senter et les \u00ab absences de pr\u00e9sence ou d\u2019ADN \u00bb ult\u00e9rieures pour les proc\u00e9dures \u00e9taient \u00e0 leur deuxi\u00e8me niveau le plus \u00e9lev\u00e9 depuis 2019, une raison possible \u00e9tant la peur de contracter le Covid-19 lors d\u2019une visite \u00e0 l\u2019h\u00f4pital. Cela amplifie donc le besoin d'un syst\u00e8me autonome services d'endoscopie<\/a>, distincts du site hospitalier principal, qui augmentent la confiance des patients et aident ainsi \u00e0 r\u00e9duire les listes d'attente.<\/p>\n

\"\"<\/figure>\n

L'esp\u00e9rance de vie moyenne au Royaume-Uni augmente d'ann\u00e9e en ann\u00e9e, en hausse 0.15%<\/a> entre 2021 et 2022 et, m\u00eame si cela m\u00e9rite d\u2019\u00eatre c\u00e9l\u00e9br\u00e9, cela signifie qu\u2019un plus grand nombre de personnes vivant avec des maladies chroniques, telles que la d\u00e9mence et le diab\u00e8te, n\u00e9cessitent des soins \u00e0 plus long terme. Cela a cr\u00e9\u00e9 une pression exacerb\u00e9e sur les services du NHS, d'autant plus qu'il a \u00e9t\u00e9 reconnu que le co\u00fbt moyen d'une personne \u00e2g\u00e9e de 90 ans \u00e9tait d'environ 7 fois<\/a> autant de choses \u00e0 entretenir que la moyenne des 30 ans. En cons\u00e9quence, des appels ont \u00e9t\u00e9 lanc\u00e9s pour l\u2019am\u00e9lioration et la mise en \u0153uvre de services de diagnostic dans tout le Royaume-Uni afin de permettre aux personnes de rester en meilleure sant\u00e9 plus longtemps et ainsi de soulager les services du NHS. De plus, le d\u00e9veloppement de centres de diagnostic communautaires<\/a> \u00e0 travers le pays rapprochera les services des patients, r\u00e9duira la pression sur les sites hospitaliers de soins actifs et aura un impact positif sur les in\u00e9galit\u00e9s r\u00e9gionales en mati\u00e8re de sant\u00e9 en garantissant que les installations de diagnostic sont plus accessibles.<\/p>\n

En outre, le recensement national britannique des services d'endoscopie a \u00e9galement r\u00e9v\u00e9l\u00e9 que, m\u00eame si les d\u00e9lais d'attente pour les proc\u00e9dures continuent d'augmenter, il existe ici de nettes disparit\u00e9s r\u00e9gionales\u00a0:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M et al, Recensement national des services d'endoscopie du Royaume-Uni 2021, Frontline Gastroenterology publi\u00e9 en ligne en premier\u00a0: 9 mai 2022. doi\u00a0: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Les in\u00e9galit\u00e9s r\u00e9gionales en mati\u00e8re de soins de sant\u00e9 constituent depuis longtemps un probl\u00e8me, mais la pand\u00e9mie de Covid-19 et le retard dans les soins planifi\u00e9s qui en a r\u00e9sult\u00e9 ont encore exacerb\u00e9 ce probl\u00e8me. Les in\u00e9galit\u00e9s en mati\u00e8re de sant\u00e9 sont un terme multiple qui d\u00e9signe la fa\u00e7on dont l\u2019accessibilit\u00e9 aux soins de sant\u00e9 est in\u00e9galement r\u00e9partie entre diff\u00e9rents groupes de personnes. En fin de compte, les in\u00e9galit\u00e9s en mati\u00e8re de sant\u00e9 concernent l\u2019impact du statut d\u2019un individu sur sa sant\u00e9. Cela peut inclure l\u2019\u00e9tat de sant\u00e9, l\u2019accessibilit\u00e9 des services de soins, la qualit\u00e9 des soins et des pr\u00e9judices plus larges pour la sant\u00e9, par exemple le logement. Garantir que les services de soins et de diagnostic soient plus facilement accessibles au patient aura un impact positif sur les r\u00e9sultats pour les patients gr\u00e2ce \u00e0 un diagnostic plus pr\u00e9coce et, comme mentionn\u00e9 pr\u00e9c\u00e9demment, cela soulagera la pression sur les principaux sites hospitaliers, ce qui aura un impact positif sur les r\u00e9sultats des patients sur les listes d'attente pour d'autres sp\u00e9cialit\u00e9s.<\/p>\n

L'engagement du NHS \u00e0 fournir des infrastructures plus durables se refl\u00e8te dans Le manuel de construction 2020<\/a> o\u00f9 il d\u00e9taille l\u2019utilisation plus large des m\u00e9thodes modernes de construction (MMC) pour aider \u00e0 atteindre les objectifs de z\u00e9ro carbone net. \u00c0 l'automne 2020, le gouvernement s'est engag\u00e9 \u00e0 construire 40 nouveaux h\u00f4pitaux en Angleterre d'ici 2030, tous utilisant des pratiques d'infrastructure durables qui contribueront \u00e0 atteindre z\u00e9ro \u00e9mission nette d'ici 2040. En outre, 70 h\u00f4pitaux suppl\u00e9mentaires b\u00e9n\u00e9ficieront de mises \u00e0 niveau, avec 850 millions de livres sterling promis pour am\u00e9liorer les espaces dans les services, les \u00e9tablissements de sant\u00e9 mentale et les salles d'op\u00e9ration. Il est clair qu'un grand nombre de services d'endoscopie en Angleterre ont besoin d'une r\u00e9novation importante pour am\u00e9liorer leur efficacit\u00e9 et l'introduction d'espaces de sant\u00e9 mobiles, modulaires et \u00e0 modalit\u00e9s mixtes, qu'ils soient situ\u00e9s sur le site de l'h\u00f4pital ou au sein de la communaut\u00e9, sert de solution rapide et rentable pour maintenir et augmenter la capacit\u00e9.<\/p>","protected":false},"excerpt":{"rendered":"

Avec des listes d\u2019attente pour les services de diagnostic atteignant 435\u00a0000 en Angleterre en janvier 2022, force est de constater que cette sp\u00e9cialit\u00e9 en particulier a \u00e9t\u00e9 fortement impact\u00e9e par les restrictions impos\u00e9es par des infrastructures v\u00e9tustes et par l\u2019arr\u00eat des services d\u2019endoscopie tout au long de la pand\u00e9mie de Covid-19.<\/p>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nEndoscopy and diagnostic waiting lists: what can be done - 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\/fr_fr\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy and diagnostic waiting lists: what can be done - 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