{"id":3691,"date":"2021-04-20T09:30:42","date_gmt":"2021-04-20T09:30:42","guid":{"rendered":"\/?p=3691"},"modified":"2021-04-20T09:30:42","modified_gmt":"2021-04-20T09:30:42","slug":"increasing-capacity-for-cataract-surgery","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/hr_hr\/increasing-capacity-for-cataract-surgery\/","title":{"rendered":"Pove\u0107anje kapaciteta za operaciju katarakte"},"content":{"rendered":"

Potra\u017enja za operacijom katarakte znatno je porasla tijekom pro\u0161log desetlje\u0107a, a pandemija Covida-19 dovela je do usporavanja aktivnosti, uzrokuju\u0107i daljnje pove\u0107anje lista \u010dekanja. Iako su katarakte iscrpljuju\u0107e, ne smatraju se opasnima po \u017eivot i druge vrste operacija \u010desto imaju prioritet, posebno tijekom situacije kao \u0161to je Covid-19 kada slu\u010dajevima treba dati ve\u0107i prioritet.<\/p>\n

Me\u0111utim, neki zaklade poduzeli su pozitivne korake kako bi osigurali da \u0107e mo\u0107i nastaviti s operacijom katarakte, unato\u010d ograni\u010denim resursima. Tim u bolnici Stoke Mandeville, na primjer, uspio se brzo prilagoditi novim okolnostima i sada ima manje ljudi na listi \u010dekanja nego prije Covid-19.\n\n Potra\u017enja \u0107e rasti\n<\/strong>\nO\u010dekuje se da \u0107e se potreba za operacijom katarakte pove\u0107ati kako sve vi\u0161e baby boomera dosegne dob od 65 godina. U nedavnom radu\n\n 'Put naprijed'\n<\/a>\nKraljevsko koled\u017e oftalmologa predvi\u0111a porast potra\u017enje za \u010dak 25% tijekom sljede\u0107ih 10 godina.<\/p>\n

Pokreta\u010di potra\u017enje su brojni i uklju\u010duju starenje stanovni\u0161tva, bolje kirur\u0161ke tehnike, pobolj\u0161ane rezultate pacijenata \u0161to zna\u010di da je operacija korisnija za pacijenta i sve ve\u0107u dostupnost operacije.<\/p>\n

O\u010dekivanja tako\u0111er rastu jer je potreban bolji vid za svakodnevne zadatke. Stariji ljudi sada su fizi\u010dki i dru\u0161tveno aktivniji od bilo koje prethodne skupine starijih osoba i koriste elektroni\u010dke ure\u0111aje za zabavu, informacije i odr\u017eavanje kontakta s prijateljima i obitelji. Ve\u0107i udio starijih ljudi tako\u0111er vozi.<\/p>\n

Tijekom karantene tehnologija je postala va\u017enija kao pokreta\u010d potra\u017enje jer su se i profesionalne i dru\u0161tvene interakcije preselile na internet, a ljudi su svjesniji svojih problema s vidom nego prije. Me\u0111utim, mnogi su ljudi odgodili posjet opti\u010daru ili lije\u010dniku op\u0107e prakse, a to bi moglo dovesti do porasta broja preporuka nakon \u0161to ograni\u010denja po\u010dnu popu\u0161tati i mnogi stariji ljudi budu cijepljeni.<\/p>\n

Iako je broj obavljenih zahvata katarakte porastao tijekom proteklog desetlje\u0107a, nedavni podaci pokazuju da je stopa porasta usporena od 2016.\/17., \u0161to je dovelo do pove\u0107anja vremena \u010dekanja u mnogim podru\u010djima. Pacijenti u nekim dijelovima zemlje \u010dekali su i do 7 mjeseci na operaciju katarakte prije Covid-19.<\/p>\n

Katarakta mo\u017ee biti vrlo uznemiruju\u0107a i mo\u017ee imati dubok u\u010dinak na kvalitetu \u017eivota osobe. Svakodnevni zadaci kao \u0161to su rad i vo\u017enja mogu postati te\u0161ki, ako ne i nemogu\u0107i, s mrenom. Ali 20-minutni postupak mo\u017ee posti\u0107i nevjerojatno pobolj\u0161anje vida i vratiti sposobnost obavljanja normalnih dnevnih zadataka. Postupak ima vrlo visoku stopu uspje\u0161nosti.<\/p>\n

Bolji vid zna\u010di manje padova i prijeloma kostiju, a pacijenti koji dobro vide bolje su opremljeni za brigu o svojim drugim zdravstvenim problemima, na primjer davanju lijekova, \u010dime se smanjuje optere\u0107enje drugih dijelova zdravstvenog sustava. Dakle, osim \u0161to je va\u017ena za tjelesno i mentalno zdravlje pacijenta, operacija katarakte tako\u0111er se mo\u017ee smatrati dobrom investicijom za NHS.\n\n Rekonfiguracija usluge katarakte\n<\/strong>\nKapaciteti se mogu interno osloboditi pobolj\u0161anjem u\u010dinkovitosti u postoje\u0107im dvoranama, smje\u0161tajem vi\u0161e pacijenata ili du\u017eim radnim vremenom, ali uz nedostatak osoblja, Covid-19 i potrebu za dru\u0161tvenim distanciranjem, to je bilo te\u0161ko posti\u0107i. Ali pronala\u017eenje novih na\u010dina rada mo\u017ee pomo\u0107i u upravljanju potra\u017enjom na bolji na\u010din, istovremeno osiguravaju\u0107i da se svi pacijenti lije\u010de na na\u010din koji im koristi.<\/p>\n

Dokument 'The Way Forward' daje niz preporuka, uklju\u010duju\u0107i maksimalno iskori\u0161tenje vremena dvorane i kirurga kako bi se pobolj\u0161ala propusnost, te osiguravanje da predoperacijski pacijenti budu blizu dvorane kako bi se smanjila ka\u0161njenja. Samostalno kino za mrenu mo\u017ee pomo\u0107i u postizanju obojega.<\/p>\n

Bolnica Stoke Mandeville bila je jedna od prvih jedinica NHS-a u Engleskoj koja je ponovno pokrenula elektivnu operaciju katarakte 6 tjedana nakon po\u010detnog zatvaranja, a od tada je obavljeno preko 3000 uspje\u0161nih operacija katarakte.<\/p>\n

Klju\u010d uspjeha tima bio je; \u0161ire napore da se rekonfigurira pru\u017eanje usluga katarakte diljem Buckinghamshirea, \u0161to je uklju\u010divalo okupljanje multidisciplinarnog tima iz cijele bolnice i CCG-a; i uvo\u0111enje fleksibilne zdravstvene infrastrukture na mjestu Stoke Mandeville.\n\"\"\n\n Namjenski prostor za operaciju katarakte\n<\/strong>\nJedinica Vanguard tamo pru\u017ea kompletan, samostalan objekt za postupke katarakte, koji se sastoji od mobilnog laminarnog kina sa prostorijom za pripremu zahvata i odjelima za oporavak, povezanim s modularnom klinikom s recepcijom i prostorom za \u010dekanje pacijenata.<\/p>\n

Prva operacija u novoj ustanovi obavljena je u studenom 2020., a Trust je namjeravao prebroditi svoju trenutnu listu \u010dekanja za operaciju katarakte u roku od godinu dana; ali ve\u0107 su liste \u010dekanja manje nego prije Covid-19.<\/p>\n

Jedna od glavnih prednosti postojanja samostalnog kina bilo je zna\u010dajno smanjenje vremena preokreta. Trust je uspio dramati\u010dno pove\u0107ati u\u010dinkovitost u kinu i smanjiti koli\u010dinu zastoja. Do sada su pacijenti i posjetitelji tako\u0111er izvijestili o vrlo visokoj razini zadovoljstva, dok i kirurzi u\u017eivaju raditi u novoj jedinici.\n\n \u201cNa\u0161a Zaklada poznata je po pru\u017eanju izvrsne usluge katarakte. Projekt je do sada bio vrlo uspje\u0161an, a razgovarali smo i s drugim zakladama koji su nas pitali za savjet kako bi mogli po\u010deti provoditi promjene koje imamo,\u201d\n<\/em>\nka\u017ee Sarah Maling, zajedni\u010dka voditeljica slu\u017ebe za kataraktu u Buckinghamshire Healthcare NHS Trust.<\/p>\n

"Pacijenti vole jedinicu Vanguard, a \u010dak smo imali i izravne zahtjeve pacijenata da se lije\u010de u novoj dvorani."<\/p>\n

Operacionu dvoranu dizajnirali su Vanguard i Alcon, dobavlja\u010d opreme za oftalmolo\u0161ku kirurgiju, u bliskoj suradnji s oftalmolo\u0161kim timom Trusta.\n\n Suo\u010davanje s promjenama u potra\u017enji\n<\/strong>\nBuckinghamshire Healthcare NHS Trust nije jedini Trust koji je uspio nastaviti s operacijom katarakte tijekom pandemije.<\/p>\n

A\n\n oftalmolo\u0161ki \u010dvor po narud\u017ebi\n<\/a>\nnedavno je postavljen na mjesto\n\n Kraljevska bolnica Preston\n<\/a>\n, gdje je stvorena namjenska jedinica od dva Vanguard dva laminarna kina i modularnog objekta. Modularna zgrada ugo\u0161\u0107uje gostoljubivu recepciju i \u010dekaonicu, sobe za konzultacije, kao i dvokrevetni dio odjela i prostorije za osoblje, a jedinica \u010dini objekt 'sve na jednom mjestu' za o\u010dnu kirurgiju na lokaciji u Prestonu.<\/p>\n

Imati samostalnu ustanovu odvojenu od bolnice bila je velika prednost za Trust tijekom ranih faza Covid-19. Omogu\u0107io je timu u Royal Prestonu da nastavi operacije izvan glavnih bolni\u010dkih dvorana, a fleksibilna priroda ustanove zna\u010dila je da se mo\u017ee prilagoditi i za hitnije operacije.<\/p>\n

Privremena gostuju\u0107a bolnica tako\u0111er je otvorena za pacijente u bolnici Ashford u Surreyu u studenom 2020., s ciljem ja\u010danja oftalmolo\u0161kog kapaciteta i smanjenja lista \u010dekanja na operaciju katarakte. Objekt se sastoji od dva mobilna kina s laminarnim protokom i modularne recepcije pacijenata s odjelom i prostorom za socijalnu skrb osoblja koji su me\u0111usobno povezani u samostalnu bolnicu za posjete.<\/p>\n

Kompleks ima vlastiti ulaz i izlaz koji omogu\u0107ava pacijentima pristup van; a pacijenti dolaze izravno u jedinicu i otpu\u0161taju se iz jedinice nakon zahvata.\n\n Dugoro\u010dno zadovoljavanje o\u010dekivane pove\u0107ane potra\u017enje\n<\/strong>\nDulje vrijeme \u010dekanja u kombinaciji sa stalno rastu\u0107om potra\u017enjom za operacijom katarakte dovelo je do toga da se sve ve\u0107i broj pacijenata lije\u010di privatno. U 2017.\/18. u\u010dinjen je gotovo jedan od pet postupaka katarakte koje je financirao NHS u Engleskoj\n\n u privatnom sektoru\n<\/a>\n, a ta je brojka vjerojatno bila jo\u0161 ve\u0107a tijekom pandemije.<\/p>\n

No dok je outsourcing privatnom sektoru opcija, zadr\u017eavanje usluge unutar NHS-a dovo\u0111enjem namjenskog oftalmolo\u0161kog kina na bolni\u010dko mjesto zna\u010di ve\u0107u kontrolu i ve\u0107u fleksibilnost.<\/p>\n

Kombinacija mobilnih operacijskih dvorana i modularnih zgrada pru\u017ea idealno rje\u0161enje za pove\u0107anje kapaciteta u kratkom roku \u2013 ili za probno postavljanje namjenskog oftalmolo\u0161kog \u010dvori\u0161ta ili centra za operaciju katarakte velikog volumena za dugoro\u010dno pove\u0107anje kapaciteta. Raspored i oprema mogu se prilagoditi svakoj lokaciji, a jedinice se mogu premje\u0161tati s jedne lokacije na drugu kako bi se testirali razli\u010diti scenariji.<\/p>","protected":false},"excerpt":{"rendered":"

S obzirom na to da \u0107e se potra\u017enja do 2035. udvostru\u010diti, prioritet bi trebao biti zadr\u017eavanje na listama \u010dekanja za operaciju katarakte, a pove\u0107anje kapaciteta bit \u0107e nu\u017eno.<\/p>","protected":false},"author":1,"featured_media":1695,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,119],"tags":[],"class_list":["post-3691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures"],"acf":[],"yoast_head":"\nIncreasing capacity for cataract surgery - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"With demand set to double by 2035, keeping on top of cataract surgery waiting should be a priority, and increasing capacity will be a necessity.\" \/>\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\/increasing-capacity-for-cataract-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Increasing capacity for cataract surgery - 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