{"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\/hr_hr\/diagnostic-reform-the-impact-on-endoscopy\/","title":{"rendered":"Dijagnosti\u010dka reforma: utjecaj na endoskopiju"},"content":{"rendered":"<p>Broj pacijenata koji \u010dekaju vi\u0161e od \u0161est tjedana na endoskopiju znatno se pove\u0107ao od po\u010detka pandemije Covid-19, a liste \u010dekanja sada se moraju hitno rije\u0161iti. A\n<a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/10\/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf\">\n nedavno objavljeno izvje\u0161\u0107e\n<\/a>\nod strane NHS-a Engleske, poziva na reformu i predla\u017ee uvo\u0111enje mre\u017ee dijagnosti\u010dkih centara u zajednici, od kojih \u0107e neki sadr\u017eavati endoskopske objekte.<\/p>\n<p>A\n<a href=\"\/hr_hr\/facilities\/endoscopy\/\">\n mobilna ili modularna endoskopija\n<\/a>\nJedinica se mo\u017ee koristiti u me\u0111uvremenu, ili uz sredi\u0161te zajednice, za stvaranje samostalnog objekta koji pru\u017ea poseban put za elektivne endoskopske usluge.\n<strong>\n Hitno je potrebno rije\u0161iti vrijeme \u010dekanja\n<\/strong>\nPotra\u017enja za endoskopijom znatno je porasla u proteklih pet godina, a iako se aktivnost pove\u0107ala, vrijeme \u010dekanja se br\u017ee pove\u0107alo, uzrokuju\u0107i zaostatak. Fleksibilni postupci sigmoidoskopije zabilje\u017eili su najve\u0107e stope rasta, uglavnom zahvaljuju\u0107i uvo\u0111enju programa probira bowelscope.<\/p>\n<p>Tijekom Covida-19, potreba za dubinskim \u010di\u0161\u0107enjem opreme i objekata izme\u0111u pacijenata dovela je do pada produktivnosti i otkazanih postupaka te, kao rezultat toga, do ve\u0107ih i du\u017eih \u010dekanja. Sve u svemu, razine endoskopske aktivnosti smanjene su za preko 90% na vrhuncu pandemije.<\/p>\n<p>Hitni endoskopski zahvati na vrhuncu pandemije provodili su se gdje god je to bilo mogu\u0107e u operacijskim dvoranama s negativnim zra\u010dnim tlakom. Gastroskopija je tako\u0111er u po\u010detku bila ozna\u010dena kao postupak generiranja aerosola (AGP), koji nosi rizik za endoskopiste ako su pacijenti pozitivni na Covid-19 ili je Covid-19 neizvjestan, ali gastroskopija se vi\u0161e ne smatra AGP-om pod vodstvom PHE.\n<img loading=\"lazy\" decoding=\"async\" alt=\"\" class=\"alignnone wp-image-3241\" height=\"381\" src=\"\/wp-content\/uploads\/legacy\/2020\/10\/Endoscopy-Activity-Chart-1024x617.png\" width=\"631\" \/>\nNajnovije brojke NHS-a Engleske pokazuju da se, iako se endoskopska aktivnost znatno pove\u0107ala od travnja, stopa oporavka znatno usporila. Aktivnost u kolovozu bila je oko dvije tre\u0107ine one u normalnom mjesecu. Ovo, u kombinaciji s \u010dinjenicom da liste \u010dekanja nisu zna\u010dajno porasle u kolovozu, unato\u010d niskoj razini aktivnosti, sugerira da jo\u0161 uvijek postoji znatan &#039;skriveni&#039; zaostatak ljudi koji jo\u0161 nisu stigli na liste \u010dekanja.\n<strong>\n Potreba za dokazivanjem budu\u0107nosti\n<\/strong>\nSada postoji hitna potreba za uspostavljanjem minimalnih endoskopskih objekata za Covid-19 kako bi se pomogao oporavak. U izvje\u0161\u0107u se priznaje da je pristup opremi i objektima za endoskopiju, posebice onima za kolonoskopiju, ve\u0107 bio pod velikim pritiskom prije pandemije. Osim ograni\u010denja radne snage, Get it Right First Time (GIRFT) program tako\u0111er je otkrio da \u0107e oko 20 NHS zaklada vjerojatno zahtijevati potpunu ponovnu izgradnju svojih endoskopskih objekata, a drugima je potrebno pobolj\u0161anje.<\/p>\n<p>U izvje\u0161\u0107u NHS-a Engleske, procjenjuje se da je potrebno oko 200 novih endoskopskih soba u NHS Trustovima kako bi se pokrio trenutni rast endoskopije i omogu\u0107ila planirana pro\u0161irenja programa probira crijeva. Tako\u0111er su potrebne nove endoskopske jedinice za dekontaminaciju, a izvje\u0161\u0107e tako\u0111er preporu\u010duje zamjenu sve postoje\u0107e opreme za snimanje starije od 10 godina.<\/p>\n<p>Na\u017ealost, ne postoji nacionalni registar imovine za endoskopske objekte, a izvje\u0161\u0107e preporu\u010duje da se hitno provedu ankete o opremi\/prostorima i osoblju kako bi se olak\u0161alo kratkoro\u010dno i dugoro\u010dno planiranje. Izvje\u0161\u0107e predla\u017ee sudjelovanje u Nacionalnoj endoskopskoj bazi podataka (NED) od strane 20% NHS Trustova koji to jo\u0161 ne \u010dine.<\/p>\n<p>Izvje\u0161\u0107e koje su objavili Public Policy Projects u suradnji s\n<a href=\"\/hr_hr\/\">\n Vanguard\n<\/a>\nprije dvije godine pokazalo je da vi\u0161e od tre\u0107ine bolnica koristi ure\u0111aje za endoskopsku dekontaminaciju s opremom koja se pribli\u017eava ili prema\u0161uje preporuke proizvo\u0111a\u010da, te da oko 25% bolnica ima ure\u0111aje za endoskopsku dekontaminaciju starije od deset godina.\n<strong>\n Prakti\u010dno rje\u0161enje za endoskopiju\n<\/strong>\nNadamo se da \u0107e uspostava endoskopskih objekata bez Covida u nekim od predlo\u017eenih dijagnosti\u010dkih sredi\u0161ta zajednice ili\n<a href=\"https:\/\/www.england.nhs.uk\/2020\/10\/nhs-to-introduce-one-stop-shops-in-the-community-for-life-saving-checks\/\">\n one-stop-shopovi\n<\/a>\n, zajedno s testiranjem pacijenata i osoblja prije svih postupaka, mo\u017ee zna\u010diti da \u0107e zahtjev za dubinskim \u010di\u0161\u0107enjem izme\u0111u pacijenata biti uvelike smanjen, dopu\u0161taju\u0107i pove\u0107anje protoka bli\u017ee normalnim razinama. Pacijenti koji su pozitivni na Covid-19 i oni kojima je potrebna hitna endoskopija prije utvr\u0111ivanja statusa Covid-19 trebaju nastaviti obavljati svoje postupke u ustanovama s negativnim zra\u010dnim tlakom (obi\u010dno operacijskim dvoranama).<\/p>\n<p>\u0160to se ti\u010de radne snage, izvje\u0161\u0107e preporu\u010duje uspostavu akademija za obuku kako bi se pove\u0107ao broj nemedicinskih kolonoskopista i omogu\u0107ilo postoje\u0107im kolonoskopistima da preuzmu probirnu kolonoskopiju. Tako\u0111er \u0107e biti potrebno vi\u0161e medicinskih sestara za endoskopiju kako bi se zadovoljila dodatna potra\u017enja.<\/p>\n<p>Bez ulaganja ili reformiranog pru\u017eanja usluga, prema vlastitom priznanju, NHS riskira da ne mo\u017ee ispuniti ciljeve, uklju\u010duju\u0107i ambiciju dijagnosticiranja 75% kod ljudi s rakom u ranoj fazi i pobolj\u0161anja ishoda pacijenata. \u010cak i ako se planovi brzo odobre, za provedbu preporuka u izvje\u0161\u0107u trebat \u0107e vremena. Ali s obzirom na to da zaostatak raste svaki mjesec, je li \u010dekanje opcija?<\/p>\n<p>Za svaki mjesec kada je produktivnost ugro\u017eena, lista \u010dekanja raste iznad razine koja se mo\u017ee lako oporaviti bez prelaska preko 100% postoje\u0107eg kapaciteta. Potrebno je privremeno rje\u0161enje, i\n<a href=\"\/hr_hr\/our-facilities\/\">\n fleksibilna klini\u010dka infrastruktura\n<\/a>\nmogao dati odgovor. Mobilne i modularne endoskopske jedinice mogu se kombinirati s fleksibilnim endoskopskim jedinicama za kontaminaciju i postaviti na gotovo bilo koju lokaciju \u2013 u blizini dijagnosti\u010dkog \u010dvori\u0161ta ili drugdje u zajednici \u2013 kako bi se stvorilo samostalno mjesto bez Covida za elektivnu endoskopiju.<\/p>\n<p>Pro\u010ditajte izvje\u0161\u0107e koje uklju\u010duje detaljan pregled aktivnosti endoskopije,\n<a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/10\/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf\">\n ovdje\n<\/a>\n.<\/p>\n<p>Primjerak izvje\u0161\u0107a\n<em>\n &#039;Pogled iznutra: stanje endoskopije u Engleskoj&#039;\n<\/em>\n, koju je izradio Public Policy Projects u partnerstvu s Vanguard, mo\u017ee se zatra\u017eiti od\n<a href=\"\/hr_hr\/contact\/\">\n kontaktirati nas\n<\/a>\n.<\/p>","protected":false},"excerpt":{"rendered":"<p>Broj pacijenata koji \u010dekaju vi\u0161e od \u0161est tjedana na endoskopiju znatno se pove\u0107ao od po\u010detka pandemije Covid-19, a liste \u010dekanja sada se moraju hitno rije\u0161iti.<\/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":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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