{"id":2645,"date":"2020-01-06T16:50:11","date_gmt":"2020-01-06T16:50:11","guid":{"rendered":"\/?p=2645"},"modified":"2020-01-06T16:50:11","modified_gmt":"2020-01-06T16:50:11","slug":"ensuring-endoscopy-is-not-left-behind","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/hr_hr\/ensuring-endoscopy-is-not-left-behind\/","title":{"rendered":"Osigurati da endoskopija ne bude zaostala"},"content":{"rendered":"

Medicinski direktor NHS-a Engleske polo\u017eio je rukavicu pru\u017eateljima zdravstvenih usluga za postizanje mnogo boljih ishoda raka. Postavljen je cilj da 99 posto pacijenata \u010deka manje od \u0161est tjedana izme\u0111u upu\u0107ivanja na dijagnosti\u010dko testiranje i testiranja.<\/p>\n

Kao nedavna\n\n Projekti javne politike\n<\/a>\n(PPP) izvje\u0161\u0107e:\n\n Gledaju\u0107i iznutra: stanje endoskopije u Engleskoj,\n<\/em>\notkrio, ovi ciljevi vrijedni divljenja ne\u0107e biti ostvarivi ako se kapacitet NHS-a za pru\u017eanje endoskopije ne postavi na sigurnije temelje. Na\u017ealost, to trenutno nije slu\u010daj s bolni\u010dkim zakladama diljem Engleske. Izvje\u0161\u0107e je pokazalo da 41 posto zaklada radi s endoskopskim paketima koji se pribli\u017eavaju ili prema\u0161uju desetogodi\u0161nji vijek trajanja od strane proizvo\u0111a\u010da.<\/p>\n

Relevantnost ove rasprave dodatno je poja\u010dana nedavnim izvje\u0161\u0107em profesora Sir Mikea Richarda, biv\u0161eg nacionalnog direktora za rak za NHS England, pod naslovom:\n\n Neovisni pregled programa probira za odrasle u Engleskoj.\n<\/em>\nJasno je da mogu\u0107nost kori\u0161tenja vi\u0161estrukih opcija kako bi se potaknulo prihva\u0107anje programa probira nikada nije bilo prikladnije.<\/p>\n

Izvje\u0161\u0107e PPP-a, objavljeno u suradnji s Vanguard Healthcare Solutions, bavilo se ovom temom na \u017eivahnom okruglom stolu na ovogodi\u0161njem\n\n IHEEM\n<\/a>\nKonferencija Healthcare Estates. Nazo\u010dno je bilo nekoliko upravitelja imanja i objekata, zajedno s ovla\u0161tenim in\u017eenjerima i klini\u010dkim voditeljima dekontaminacije i endoskopije iz NHS zaklada diljem UK-a. Rasprava je omogu\u0107ila zanimljiv forum na kojem su ovi vi\u0161i znanstvenici govorili o tome za\u0161to je dopu\u0161teno da se propadanje endoskopskih objekata tako ozbiljno manifestira diljem NHS-a.\n\"\"<\/p>\n

\n \n \u017divotni vijek\n <\/strong>\n<\/h4>\n

Prema izvje\u0161\u0107u PPP-a, 25 posto opreme za dekontaminaciju koja se trenuta\u010dno koristi diljem Engleske starije je od 10 godina, a 15 posto bolnica nije unaprijedilo svoje jedinice u posljednjih osam godina. U kontekstu vrtoglavog porasta potra\u017enje za pru\u017eanjem endoskopije, jasno je da postoji potreba za ve\u0107im ispitivanjem kako to\u010dno definiramo \u017eivotni ciklus endoskopskog paketa. Ova se to\u010dka pokazala kao glavni pokreta\u010d rasprave.<\/p>\n

"Potra\u017enja za endoskopskim uslugama ide samo u jednom smjeru", rekao je David Cole, izvr\u0161ni direktor Vanguard Healthcare Solutions. Kao predsjedavaju\u0107i rasprave, David je \u017eelio ispitati sudionike iz javnog sektora na temu \u017eivotnih ciklusa endoskopije. David je postavio pitanje: "S obzirom na ovo neizbje\u017eno pove\u0107anje aktivnosti, kako se mjeri trenutni \u017eivotni vijek opreme za endoskopiju?"<\/p>\n

Konsenzus na sastanku bio je da se \u017eivotni ciklusi endoskopskih jedinica temelje na vremenskom razdoblju tijekom kojeg je oprema u aktivnoj slu\u017ebi, a ne prema broju radnih ciklusa. S obzirom na sve ve\u0107u potra\u017enju, jednostavno mjerenje \u017eivotnih ciklusa u godinama vi\u0161e nije dovoljno kako bi se osiguralo da oprema mo\u017ee posti\u0107i minimalne standarde dekontaminacije na dosljednoj osnovi iz dana u dan.<\/p>\n

Nadalje, mjerenje \u017eivotnog ciklusa endoskopije u aktivnim godinama ne uzima u obzir eskalirane tro\u0161kove odr\u017eavanja, koji su neizbje\u017ena posljedica sve ve\u0107e upotrebe. Ugra\u0111eni kapacitet za odr\u017eavanje luksuz je koji si malo zaklada danas mo\u017ee priu\u0161titi i stoga je utjecaj na razine operativnih aktivnosti neizbje\u017ean.<\/p>\n

"Klju\u010dna stvar je kako pove\u0107avamo postoje\u0107e kapacitete nekretnina."\n\n Alex Chilvers, generalni direktor u 18 Week Support\n<\/cite>\n"Naravno, sve ve\u0107a uporaba imat \u0107e \u0161tetan u\u010dinak na dugovje\u010dnost opreme", rekao je Alex Chilvers, direktor 18 Week Support, organizacije posve\u0107ene pomaganju zakladama u upravljanju upu\u0107ivanjem na putove i ciljeve lije\u010denja. Alex je inzistirao na tome da je, u kontekstu izostanka kapitalnih sredstava za dugoro\u010dne nadogradnje endoskopskog paketa, "klju\u010dna stvar na\u010din na koji pove\u0107avamo postoje\u0107i kapacitet imovine."<\/p>\n

U drugim industrijama mogu se tra\u017eiti primjeri kako pratiti dugovje\u010dnost endoskopske opreme. Doista, to je to\u010dka koju je Rosemary Jenssen, zdravstvena arhitektica, \u017eeljela istaknuti. "Automobili imaju inteligentne intervale servisiranja na temelju njihove aktivnosti, dok se \u010dini da se endoskopske jedinice nadziru na temelju broja godina u kojima su bile aktivne", rekla je Rosemary. "Kad bi se na\u0161e pra\u0107enje ciklusa temeljilo na izravnijem kori\u0161tenju opreme, tada biste imali mnogo bolje mogu\u0107nosti planiranja za budu\u0107nost kako biste pru\u017eili informacije o tome kada zamijeniti previ\u0161e kori\u0161tenu opremu."<\/p>\n

Kad oprema po\u010dne otkazivati, prekasno je i stoga, kao \u0161to je Rosemary o\u0161troumno primijetila, NHS mora prilagoditi svoje pra\u0107enje ciklusa pristupu koji je vi\u0161e usmjeren na aktivnost. Rosemary nije bila jedina koja je to istaknula. Cliff Howell, biv\u0161i direktor i operativni voditelj za NHS nekretnine i objekte, odjel za u\u010dinkovitost i produktivnost u NHS Improvementu, istaknuo je otvoreno: "Moramo prije\u0107i na pristup utemeljen na dokazima, a ne jednostavno \u010ditati \u0161to ka\u017ee priru\u010dnik za popravke."<\/p>\n

\n \n Upravljanje rizikom ili upravljanje novcem?\n <\/strong>\n<\/h4>\n

Ako upravitelji objekata iz svih zaklada NHS-a priznaju ograni\u010denja u na\u010dinu na koji se nadzire kriti\u010dna infrastruktura unutar \u017eivotnog vijeka endoskopskih kompleta, va\u017eno je znati \u0161to poti\u010de zakladu da zamijeni ili barem pove\u0107a svoje postoje\u0107e ustanove.<\/p>\n

Brzi odgovori nisu uslijedili, jer su upravitelji objekata odmah naveli \u0161iru zabrinutost oko razmi\u0161ljanja sada i ovdje, \u0161to \u010desto sprje\u010dava NHS u dono\u0161enju prijeko potrebnih dugoro\u010dnih odluka u vezi sa svojim imanjem. Jedan je delegat oti\u0161ao toliko daleko da je rekao da NHS pati od "sindroma kratkoro\u010dnog planiranja" kada je rije\u010d o kori\u0161tenju imanja.<\/p>\n

U kona\u010dnici, dok zaklade \u017eele usredoto\u010diti odluke oko a\u017euriranja endoskopske opreme, upravitelji ustanova obi\u010dno su ograni\u010deni istim problemom \u2013 tro\u0161kovima. Pitanje kapitalne potro\u0161nje i njezinog \u0161tetnog u\u010dinka na skrb o pacijentima svakako je gurnuto u prvi plan rasprava o pobolj\u0161anju zdravstvene skrbi. Financijska ograni\u010denja jo\u0161 uvijek diktiraju veliki dio svakodnevnog dono\u0161enja odluka za upravitelje imanja i objekata. Za previ\u0161e se jo\u0161 uvijek sve vrti oko novca.<\/p>\n

Koji su okida\u010di za trust da pregleda i potencijalno nadogradi svoje endoskopske objekte? \u0160to je korporativni naspram individualnog rizika? Koje mjere zaklada mo\u017ee poduzeti kako bi podigla svijest o zastarjeloj opremi za endoskopiju? Ovo su vrste pitanja o kojima bi upravitelji objekata diljem NHS-a trebali razmi\u0161ljati, ali uvijek iznova njihove se odluke temelje na previ\u0161e suprotstavljenih prioriteta.\n\"\"<\/p>\n

\n \n Ne\u0161to treba dati\n <\/strong>\n<\/h4>\n

Kako bi se potaknulo proaktivnije okru\u017eenje u kojem se odluke temelje na sigurnosti pacijenata, klju\u010dno je da do\u0111e do protoka kapitala izravno u objekte endoskopskih usluga. Trenuta\u010dni neuspjesi u osiguravanju financijske potpore za endoskopiju otkrivaju nepovezanost izme\u0111u \u017eelje na razini nacionalne politike da se pozabave ciljevima probira raka i opreme koja se tako \u010desto mo\u017ee pokazati klju\u010dnom za postizanje tih ciljeva.<\/p>\n

"Na sli\u010dan na\u010din kao LINAC i zamjena opreme za snimanje, \u010desto postoje inicijative na nacionalnoj razini i financiranje koje je dostupno za zamjenu stare i zastarjele opreme", rekao je Cliff, koji je predlo\u017eio da se ova politika pro\u0161iri na opremu za usluge endoskopije.<\/p>\n

Unato\u010d manje nego jasnoj slici kapitalne potro\u0161nje, zakladama su dostupne opcije kako bi osigurale da \u0107e odr\u017eavati svoje endoskopske objekte i time ispuniti ciljeve probira raka. \u201cZaostale nekretnine i zamjena opreme u NHS-u su na najvi\u0161oj razini svih vremena, dok je dostupnost kapitala i dalje ograni\u010dena. Stoga \u0107e se razine zaostataka i dalje pove\u0107avati,\u201d rekao je Cliff. "Mo\u017eda bi NHS trebao razmotriti izdvajanje financiranja \u017eivotnog ciklusa za budu\u0107i razvoj, kako bi se sprije\u010dilo ponavljanje pro\u0161losti."<\/p>\n

Pove\u0107anje postoje\u0107ih kapaciteta imanja imat \u0107e sve va\u017eniju ulogu. Izvje\u0161\u0107e profesora Richardsa za NHS England navodi mobilne jedinice kao potencijalno ubla\u017eavanje optere\u0107enja endoskopskih usluga. Ovo ima prednost nadvladavanja primjedbi koje navode klini\u010dari o kori\u0161tenju izvanmjesnih ustanova kao prijetnji zajedni\u010dkom pru\u017eanju zdravstvene skrbi.<\/p>\n

Da bi se postigli ambiciozni ciljevi protiv raka, promjena \u0107e morati do\u0107i odnekud. Izvje\u0161\u0107e PPP-a otkrilo je da je 87 posto bolnica koje su izvijestile o starim ure\u0111ajima za dekontaminaciju (tj. onih koje nisu obnovljene u proteklih osam godina) tako\u0111er dio zaklada koje nisu ispunile cilj od \u0161est tjedana \u010dekanja na dijagnosti\u010dko testiranje.<\/p>\n

"Ujedinjeno Kraljevstvo ima neke od najvi\u0161ih standarda za dekontaminaciju i sterilizaciju od bilo gdje u svijetu."\n\n David Cole\n<\/a>\n, izvr\u0161ni direktor tvrtke Vanguard Healthcare Solutions<\/p>\n

Jedinice za endoskopiju diljem NHS-a pro\u0161le su dug put od "ormari\u0107a za metle" koji su se neko\u0107 koristili (kako ih je opisao jedan delegat) do velikih, sofisticiranih, centraliziranih jedinica, ali, kao \u0161to je istaknuo David Cole, to ne smije opravdati samozadovoljstvo. "Ujedinjeno Kraljevstvo ima neke od najvi\u0161ih standarda za dekontaminaciju i sterilizaciju nego bilo gdje u svijetu", rekao je David dok je zavr\u0161avao zanimljivu i \u017eivahnu raspravu, "ali ne mo\u017eemo si dopustiti da se vra\u0107amo unazad."<\/p>\n

Dok \u010dekamo da kreatori nacionalne politike usmjere prijeko potrebna kapitalna sredstva na prvu crtu, akutni fondovi moraju osigurati da objekti endoskopskih usluga ne budu zaostali i da pacijenti ne po\u010dnu osje\u0107ati negativne u\u010dinke.<\/p>","protected":false},"excerpt":{"rendered":"

Ambiciozni planovi za "remont" procesa probira raka diljem Engleske ne\u0107e biti mogu\u0107i bez obra\u0107anja ozbiljne pozornosti na stanje endoskopskih usluga.<\/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],"class_list":["post-2645","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"],"acf":[],"yoast_head":"\nEnsuring endoscopy is not left behind - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Ensuring endoscopy is not left behind to be able to deliver mbitious plans to “overhaul” cancer screening processes across England\" \/>\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\/hr_hr\/ensuring-endoscopy-is-not-left-behind\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ensuring endoscopy is not left behind - 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