{"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\/hu_hu\/diagnostic-reform-the-impact-on-endoscopy\/","title":{"rendered":"Diagnosztikai reform: hat\u00e1s az endoszk\u00f3pi\u00e1ra"},"content":{"rendered":"

Az endoszk\u00f3pos vizsg\u00e1latra t\u00f6bb mint hat hetet v\u00e1r\u00f3 betegek lemarad\u00e1sa jelent\u0151sen megn\u0151tt a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny kezdete \u00f3ta, \u00e9s most s\u00fcrg\u0151sen kezelni kell a v\u00e1r\u00f3list\u00e1kat. A\n\n nemr\u00e9g k\u00f6zz\u00e9tett jelent\u00e9s\n<\/a>\nAz NHS England reformot szorgalmaz, \u00e9s diagnosztikai k\u00f6zpontok h\u00e1l\u00f3zat\u00e1nak bevezet\u00e9s\u00e9t javasolja a k\u00f6z\u00f6ss\u00e9gben, amelyek n\u00e9melyike tartalmaz majd endoszk\u00f3pos l\u00e9tes\u00edtm\u00e9nyeket.<\/p>\n

A\n\n mobil vagy modul\u00e1ris endoszk\u00f3pia\n<\/a>\nAz egys\u00e9g ideiglenesen vagy egy k\u00f6z\u00f6ss\u00e9gi k\u00f6zpont mellett haszn\u00e1lhat\u00f3 \u00f6n\u00e1ll\u00f3 l\u00e9tes\u00edtm\u00e9ny l\u00e9trehoz\u00e1s\u00e1ra, amely k\u00fcl\u00f6n \u00fatvonalat biztos\u00edt az elekt\u00edv endoszk\u00f3pos szolg\u00e1ltat\u00e1sok sz\u00e1m\u00e1ra.\n\n S\u00fcrg\u0151sen foglalkozni kell a v\u00e1rakoz\u00e1si id\u0151kkel\n<\/strong>\nAz endoszk\u00f3pos vizsg\u00e1latok ir\u00e1nti ig\u00e9ny jelent\u0151sen megn\u0151tt az elm\u00falt \u00f6t \u00e9vben, \u00e9s b\u00e1r az aktivit\u00e1s n\u0151tt, a v\u00e1rakoz\u00e1si id\u0151k gyorsabban n\u00f6vekedtek, ami lemarad\u00e1st okozott. A rugalmas szigmoidoszk\u00f3pi\u00e1s elj\u00e1r\u00e1sokn\u00e1l volt tapasztalhat\u00f3 a legmagasabb n\u00f6veked\u00e9si r\u00e1ta, nagyr\u00e9szt a b\u00e9lt\u00fckr\u00f6z\u00e9ses sz\u0171r\u0151program bevezet\u00e9s\u00e9nek k\u00f6sz\u00f6nhet\u0151en.<\/p>\n

A Covid-19 idej\u00e9n a berendez\u00e9sek \u00e9s l\u00e9tes\u00edtm\u00e9nyek betegek k\u00f6z\u00f6tti m\u00e9lytiszt\u00edt\u00e1s\u00e1nak sz\u00fcks\u00e9gess\u00e9ge a termel\u00e9kenys\u00e9g cs\u00f6kken\u00e9s\u00e9hez \u00e9s az elj\u00e1r\u00e1sok lemond\u00e1s\u00e1hoz, ennek k\u00f6vetkezt\u00e9ben pedig egyre hosszabb v\u00e1rakoz\u00e1sokhoz vezetett. \u00d6sszess\u00e9g\u00e9ben az endoszk\u00f3pos aktivit\u00e1s szintje t\u00f6bb mint 90%-vel cs\u00f6kkent a vil\u00e1gj\u00e1rv\u00e1ny cs\u00facs\u00e1n.<\/p>\n

A s\u00fcrg\u0151ss\u00e9gi endoszk\u00f3pos beavatkoz\u00e1sokat a j\u00e1rv\u00e1ny cs\u00facspontj\u00e1n lehet\u0151s\u00e9g szerint negat\u00edv l\u00e9gnyom\u00e1s\u00fa m\u0171t\u0151ben v\u00e9gezt\u00e9k. A gasztroszk\u00f3pi\u00e1t eredetileg aeroszolgener\u00e1l\u00f3 elj\u00e1r\u00e1snak (AGP) is jel\u00f6lt\u00e9k, amely kock\u00e1zatot jelent az endoszk\u00f3posok sz\u00e1m\u00e1ra, ha a betegek Covid-19-pozit\u00edvak vagy bizonytalanok a Covid-19-ben, de a gasztroszk\u00f3pia m\u00e1r nem tekinthet\u0151 AGP-nek PHE ir\u00e1ny\u00edt\u00e1sa alatt.\n\"\"\nAz NHS England legfrissebb adatai azt mutatj\u00e1k, hogy b\u00e1r \u00e1prilis \u00f3ta jelent\u0151sen megn\u0151tt az endoszk\u00f3pos tev\u00e9kenys\u00e9g, a gy\u00f3gyul\u00e1s \u00fcteme jelent\u0151sen lelassult. Az augusztusi aktivit\u00e1s k\u00f6r\u00fclbel\u00fcl k\u00e9tharmada volt a norm\u00e1l havi aktivit\u00e1snak. Ez, valamint az a t\u00e9ny, hogy a v\u00e1r\u00f3list\u00e1k az alacsony aktivit\u00e1s ellen\u00e9re sem n\u0151ttek \u00e9rdemben augusztusban, arra utal, hogy m\u00e9g mindig jelent\u0151s a \u201erejtett\u201d lemarad\u00e1s azoknak, akik m\u00e9g nem ker\u00fcltek fel a v\u00e1r\u00f3list\u00e1ra.\n\n A j\u00f6v\u0151biztoss\u00e1g sz\u00fcks\u00e9gess\u00e9ge\n<\/strong>\nMost s\u00fcrg\u0151sen sz\u00fcks\u00e9g van Covid-19 minim\u00e1l endoszk\u00f3pos l\u00e9tes\u00edtm\u00e9nyek l\u00e9trehoz\u00e1s\u00e1ra a gy\u00f3gyul\u00e1s el\u0151seg\u00edt\u00e9se \u00e9rdek\u00e9ben. A jelent\u00e9s elismeri, hogy az endoszk\u00f3pos berendez\u00e9sekhez \u00e9s berendez\u00e9sekhez, k\u00fcl\u00f6n\u00f6sen a kolonoszk\u00f3pi\u00e1hoz val\u00f3 hozz\u00e1f\u00e9r\u00e9s m\u00e1r a vil\u00e1gj\u00e1rv\u00e1ny el\u0151tt is jelent\u0151s fesz\u00fclts\u00e9g alatt \u00e1llt. A munkaer\u0151 korl\u00e1tai mellett a Get it Right First Time (GIRFT) program azt is felt\u00e1rta, hogy k\u00f6r\u00fclbel\u00fcl 20 NHS-tr\u00f6sztnek val\u00f3sz\u00edn\u0171leg teljesen \u00fajj\u00e1 kell \u00e9p\u00edtenie endoszk\u00f3pos l\u00e9tes\u00edtm\u00e9nyeit, m\u00edg m\u00e1soknak jav\u00edt\u00e1sra szorulnak.<\/p>\n

Az NHS Anglia jelent\u00e9s\u00e9ben a becsl\u00e9sek szerint k\u00f6r\u00fclbel\u00fcl 200 \u00faj endoszk\u00f3pos helyis\u00e9gre van sz\u00fcks\u00e9g az NHS Trusts-ban az endoszk\u00f3pia jelenlegi n\u00f6veked\u00e9s\u00e9nek fedez\u00e9s\u00e9re \u00e9s a b\u00e9lsz\u0171r\u00e9si program tervezett kiterjeszt\u00e9s\u00e9nek lehet\u0151v\u00e9 t\u00e9tel\u00e9re. \u00daj endoszk\u00f3pos dekontamin\u00e1l\u00f3 egys\u00e9gekre is sz\u00fcks\u00e9g van, \u00e9s a jelent\u00e9s azt is javasolja, hogy minden megl\u00e9v\u0151, 10 \u00e9vn\u00e9l r\u00e9gebbi k\u00e9palkot\u00f3 berendez\u00e9st le kell cser\u00e9lni.<\/p>\n

Sajnos nincs nemzeti eszk\u00f6znyilv\u00e1ntart\u00e1s az endoszk\u00f3pos l\u00e9tes\u00edtm\u00e9nyekr\u0151l, \u00e9s a jelent\u00e9s azt javasolja, hogy s\u00fcrg\u0151sen v\u00e9gezzenek felszerel\u00e9st\/l\u00e9tes\u00edtm\u00e9nyeket \u00e9s szem\u00e9lyzeti felm\u00e9r\u00e9seket a r\u00f6vid \u00e9s hosszabb t\u00e1v\u00fa tervez\u00e9s megk\u00f6nny\u00edt\u00e9se \u00e9rdek\u00e9ben. A jelent\u00e9s azt javasolja, hogy az NHS Trusts 20%-je vegyen r\u00e9szt a National Endoscopy Database-ban (NED), amelyek m\u00e9g nem teszik ezt meg.<\/p>\n

A Public Policy Projects \u00e1ltal k\u00f6z\u00f6sen k\u00f6zz\u00e9tett jelent\u00e9s\n\n Vanguard\n<\/a>\nk\u00e9t \u00e9vvel ezel\u0151tt kimutatta, hogy a k\u00f3rh\u00e1zak t\u00f6bb mint egyharmada \u00fczemeltet endoszk\u00f3pos dekontamin\u00e1ci\u00f3s egys\u00e9geket, amelyek felszerel\u00e9se megk\u00f6zel\u00edti vagy meghaladja a gy\u00e1rt\u00f3 aj\u00e1nl\u00e1sait, \u00e9s k\u00f6r\u00fclbel\u00fcl 251 TP4T k\u00f3rh\u00e1z rendelkezik t\u00edz \u00e9vn\u00e9l r\u00e9gebbi endoszk\u00f3pos dekontamin\u00e1l\u00f3 egys\u00e9gekkel.\n\n Praktikus megold\u00e1s az endoszk\u00f3pi\u00e1ra\n<\/strong>\nRem\u00e9lhet\u0151leg Covid-mentes endoszk\u00f3pos l\u00e9tes\u00edtm\u00e9nyek kialak\u00edt\u00e1sa n\u00e9h\u00e1ny javasolt diagnosztikai k\u00f6z\u00f6ss\u00e9gi k\u00f6zpontban ill.\n\n egyablakos \u00fcgyint\u00e9z\u00e9s\n<\/a>\n, valamint a betegek \u00e9s a szem\u00e9lyzet minden elj\u00e1r\u00e1s el\u0151tti tesztel\u00e9se azt jelentheti, hogy a betegek k\u00f6z\u00f6tti m\u00e9lytiszt\u00edt\u00e1s sz\u00fcks\u00e9gess\u00e9ge nagym\u00e9rt\u00e9kben cs\u00f6kken, ami lehet\u0151v\u00e9 teszi, hogy az \u00e1tereszt\u0151k\u00e9pess\u00e9g a norm\u00e1l szinthez k\u00f6zel\u00edtsen. A Covid-19-pozit\u00edv betegeknek \u00e9s azoknak, akiknek s\u00fcrg\u0151ss\u00e9gi endoszk\u00f3pi\u00e1ra van sz\u00fcks\u00e9g\u00fck a Covid-19-st\u00e1tusz meg\u00e1llap\u00edt\u00e1sa el\u0151tt, tov\u00e1bbra is negat\u00edv l\u00e9gnyom\u00e1s\u00fa l\u00e9tes\u00edtm\u00e9nyekben (\u00e1ltal\u00e1ban m\u0171t\u0151ben) kell elv\u00e9gezni\u00fck a beavatkoz\u00e1sokat.<\/p>\n

Ami a munkaer\u0151t illeti, a jelent\u00e9s k\u00e9pz\u0151 akad\u00e9mi\u00e1k l\u00e9trehoz\u00e1s\u00e1t javasolja, hogy n\u00f6velj\u00e9k a nem orvosi kolonoszk\u00f3posok sz\u00e1m\u00e1t, \u00e9s lehet\u0151v\u00e9 tegy\u00e9k a megl\u00e9v\u0151 kolonoszk\u00f3posok sz\u00e1m\u00e1ra a sz\u0171r\u0151 kolonoszk\u00f3pi\u00e1t. T\u00f6bb endoszk\u00f3pos n\u0151v\u00e9rre is sz\u00fcks\u00e9g lesz a tov\u00e1bbi ig\u00e9nyek kiel\u00e9g\u00edt\u00e9s\u00e9re.<\/p>\n

Beruh\u00e1z\u00e1s vagy megreform\u00e1lt szolg\u00e1ltat\u00e1sny\u00fajt\u00e1s n\u00e9lk\u00fcl az NHS saj\u00e1t bevall\u00e1sa szerint fenn\u00e1ll annak a vesz\u00e9lye, hogy nem tudja el\u00e9rni a kit\u0171z\u00f6tt c\u00e9lokat, bele\u00e9rtve azt a t\u00f6rekv\u00e9st, hogy a r\u00e1kos betegek 75%-j\u00e9t korai st\u00e1diumban diagnosztiz\u00e1lj\u00e1k, \u00e9s jav\u00edts\u00e1k a betegek kimenetel\u00e9t. M\u00e9g ha a terveket gyorsan j\u00f3v\u00e1hagyj\u00e1k is, a jelent\u00e9sben szerepl\u0151 aj\u00e1nl\u00e1sok v\u00e9grehajt\u00e1sa id\u0151be telik. De mivel a lemarad\u00e1s minden h\u00f3napban n\u00f6vekszik, lehets\u00e9ges-e a v\u00e1rakoz\u00e1s?<\/p>\n

A termel\u00e9kenys\u00e9g minden h\u00f3napra s\u00e9r\u00fcl, a v\u00e1r\u00f3lista t\u00faln\u0151 egy olyan szint f\u00f6l\u00e9, amely k\u00f6nnyen vissza\u00e1ll\u00edthat\u00f3 an\u00e9lk\u00fcl, hogy a megl\u00e9v\u0151 kapacit\u00e1s 100% f\u00f6l\u00e9 emelkedne. \u00c1tmeneti megold\u00e1sra van sz\u00fcks\u00e9g, \u00e9s\n\n rugalmas klinikai infrastrukt\u00fara\n<\/a>\nmegadhatn\u00e1 a v\u00e1laszt. A mobil \u00e9s modul\u00e1ris endoszk\u00f3pos egys\u00e9gek kombin\u00e1lhat\u00f3k rugalmas endoszk\u00f3pos szennyez\u0151egys\u00e9gekkel, \u00e9s szinte b\u00e1rmilyen helyen fel\u00e1ll\u00edthat\u00f3k \u2013 egy diagnosztikai k\u00f6zpont mellett vagy m\u00e1shol a k\u00f6z\u00f6ss\u00e9gben \u2013, \u00edgy \u00f6n\u00e1ll\u00f3, Covid-mentes helysz\u00ednt hozhatunk l\u00e9tre az elekt\u00edv endoszk\u00f3pia sz\u00e1m\u00e1ra.<\/p>\n

Olvassa el a jelent\u00e9st, amely az endoszk\u00f3pos tev\u00e9kenys\u00e9g r\u00e9szletes \u00e1ttekint\u00e9s\u00e9t tartalmazza,\n\n itt\n<\/a>\n.<\/p>\n

A jelent\u00e9s m\u00e1solata\n\n \u201eBefel\u00e9 n\u00e9zve: Az endoszk\u00f3pia \u00e1llapota Angli\u00e1ban\u201d\n<\/em>\n, amelyet a Public Policy Projects k\u00e9sz\u00edtett az Vanguard-vel partners\u00e9gben, k\u00e9rheti\n\n felvenni vel\u00fcnk a kapcsolatot\n<\/a>\n.<\/p>","protected":false},"excerpt":{"rendered":"

A Covid-19 vil\u00e1gj\u00e1rv\u00e1ny kezdete \u00f3ta jelent\u0151sen megn\u0151tt azoknak a betegeknek a sz\u00e1ma, akik t\u00f6bb mint hat hetet v\u00e1rnak endoszk\u00f3pos vizsg\u00e1latra, \u00e9s most s\u00fcrg\u0151sen kezelni kell a v\u00e1r\u00f3list\u00e1kat.<\/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":"\nDiagnostic reform: the impact on endoscopy - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"The impact of diagnostic reform in reducing patient backlog for endoscopy treatment using mobile or modular Vanguard facility\" \/>\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\/hu_hu\/diagnostic-reform-the-impact-on-endoscopy\/\" \/>\n<meta property=\"og:locale\" content=\"hu_HU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnostic reform: the impact on endoscopy - 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