{"id":4302,"date":"2021-11-23T10:55:29","date_gmt":"2021-11-23T10:55:29","guid":{"rendered":"\/?p=4302"},"modified":"2023-09-11T11:10:35","modified_gmt":"2023-09-11T11:10:35","slug":"expanding-nhs-capacity-in-response-to-urgent-winter-pressure-on-directory-of-services","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/hu_hu\/expanding-nhs-capacity-in-response-to-urgent-winter-pressure-on-directory-of-services\/","title":{"rendered":"Az NHS kapacit\u00e1s\u00e1nak b\u0151v\u00edt\u00e9se a szolg\u00e1ltat\u00e1si c\u00edmt\u00e1r s\u00fcrg\u0151s t\u00e9li nyom\u00e1s\u00e1ra v\u00e1laszul"},"content":{"rendered":"

A k\u00f6zelm\u00faltban lezajlott sz\u00f3beli bizony\u00edt\u00e1si meghallgat\u00e1sok sor\u00e1n az als\u00f3h\u00e1z eg\u00e9szs\u00e9g\u00fcgyi \u00e9s v\u00e1logatott bizotts\u00e1ga sz\u00e1mos eg\u00e9szs\u00e9g\u00fcgyi szak\u00e9rt\u0151t hallgatott meg a n\u00f6vekv\u0151 v\u00e1laszt\u00e1si h\u00e1tral\u00e9kr\u00f3l \u00e9s az NHS v\u00e1r\u00f3list\u00e1ir\u00f3l, amelyek mostanra minden id\u0151k cs\u00facs\u00e1t \u00e9rtek el. 5,8 milli\u00f3 beteg<\/a>. Az \u00fcl\u00e9sek sor\u00e1n a bizotts\u00e1got t\u00e1j\u00e9koztatt\u00e1k az NHS-re nehezed\u0151 intenz\u00edv nyom\u00e1sr\u00f3l, hogy folytass\u00e1k a COVID-19-re adott v\u00e1laszt, mik\u00f6zben egyens\u00falyba hozz\u00e1k a v\u00e1laszthat\u00f3 ell\u00e1t\u00e1si ig\u00e9nyeket; nem is besz\u00e9lve az NHS szolg\u00e1ltat\u00e1sok ir\u00e1nti n\u00f6vekv\u0151 aggodalomr\u00f3l, ahogy a t\u00e9li szezon fel\u00e9 tartunk, ahol a kereslet jelent\u0151sen megn\u0151<\/a> a hideg id\u0151 \u00e9s az influenza bek\u00f6sz\u00f6nt\u00e9vel.<\/p>\n

Mivel a COVID-19 esetek sz\u00e1ma tov\u00e1bbra is emelkedik, az olt\u00f3anyag bevezet\u00e9s\u00e9nek sikere ellen\u00e9re az NHS munkat\u00e1rsai \u00e9s vezet\u00e9se s\u00fcrgeti a korm\u00e1nyt, hogy hajtson v\u00e9gre egy \u00fan.B terv<\/a>\u2013 amely mag\u00e1ban foglalja az olyan int\u00e9zked\u00e9sek \u00fajb\u00f3li bevezet\u00e9s\u00e9t, mint a k\u00f6telez\u0151 arcfed\u00e9sek \u2013 az NHS szolg\u00e1lataira nehezed\u0151 nyom\u00e1s enyh\u00edt\u00e9se \u00e9rdek\u00e9ben. Napi brit k\u00f3rh\u00e1zi felv\u00e9telek<\/a> A COVID-19 eset\u00e9ben az elm\u00falt hetekben meghaladta a 700-at, m\u00edg a 2020-as adatok kevesebb mint 150 napi megbeteged\u00e9st mutatnak. B\u00e1r az NHS jelenleg nem f\u00fcggeszti fel a szolg\u00e1ltat\u00e1sokat, aggodalomra ad okot, hogy az esetek sz\u00e1m\u00e1nak n\u00f6veked\u00e9se hat\u00e1ssal van a szem\u00e9lyzetre \u2013 akik m\u00e1r kor\u00e1bban is k\u00fcszk\u00f6dtek fenntarthatatlan munkaterhel\u00e9s a Covid el\u0151tt<\/a> \u2013 \u00e9s a betegek ell\u00e1t\u00e1s\u00e1ra val\u00f3 k\u00e9pess\u00e9g\u00fcket.<\/p>\n

Az egyik m\u00f3dja annak, hogy az NHS k\u00e9pes volt \u00faj\u00edtani \u00e9s kezelni a szolg\u00e1ltat\u00e1sokra nehezed\u0151 nyom\u00e1st, az a Szolg\u00e1ltat\u00e1si c\u00edmt\u00e1r (DoS)<\/a> - egy k\u00f6zponti c\u00edmt\u00e1r, amely integr\u00e1lva van az NHS \u00fatvonalakkal. T\u00e1mogatja a klinikusokat, a h\u00edv\u00e1skezel\u0151ket, a megb\u00edzottakat \u00e9s a betegeket az\u00e1ltal, hogy val\u00f3s idej\u0171 t\u00e1j\u00e9koztat\u00e1st ny\u00fajt az el\u00e9rhet\u0151 szolg\u00e1ltat\u00e1sokr\u00f3l \u00e9s klinikusokr\u00f3l az \u00f6sszes olyan ell\u00e1t\u00e1si be\u00e1ll\u00edt\u00e1sban, amely el\u00e9rhet\u0151 a beteg tart\u00f3zkod\u00e1si hely\u00e9hez lehet\u0151 legk\u00f6zelebbi t\u00e1mogat\u00e1s\u00e1ra. A DoS alapvet\u0151en cs\u00f6kkenti a s\u00fcrg\u0151ss\u00e9gi, s\u00fcrg\u0151ss\u00e9gi \u00e9s m\u00e1sodlagos ell\u00e1t\u00e1sok terheit az\u00e1ltal, hogy cs\u00f6kkenti a sz\u00fcks\u00e9gtelen ment\u0151h\u00edv\u00e1sok \u00e9s k\u00f3rh\u00e1zi beutal\u00e1sok sz\u00e1m\u00e1t.<\/p>\n

A DoS-koncepci\u00f3 k\u00fcl\u00f6n\u00f6sen kritikus a t\u00e9li h\u00f3napokban, mivel az \u00e1ltal\u00e1ban alacsony kock\u00e1zat\u00fa megbeteged\u00e9sek, p\u00e9ld\u00e1ul a k\u00f6z\u00f6ns\u00e9ges influenza \u00e9s a norov\u00edrus terjed\u00e9se gyorsan \u00e9s hat\u00e9konyan kezelhet\u0151 a szolg\u00e1ltat\u00e1s haszn\u00e1lat\u00e1val, nem pedig az akut \u00e9s az els\u0151dleges eg\u00e9szs\u00e9g\u00fcgyi er\u0151forr\u00e1sok ig\u00e9nybev\u00e9tel\u00e9vel. Azonban ez a szolg\u00e1ltat\u00e1s is fenn\u00e1ll annak a vesz\u00e9lye, hogy t\u00falterhelt lesz, ha nem n\u00f6velik s\u00fcrg\u0151sen a kapacit\u00e1st.<\/p>\n

Az eg\u00e9szs\u00e9g\u00fcgyi \u00e9s szoci\u00e1lis ell\u00e1t\u00e1si illet\u00e9k \u00e9s az \u00e1tfog\u00f3 kiad\u00e1si fel\u00fclvizsg\u00e1lat bejelent\u00e9s\u00e9t k\u00f6vet\u0151en a korm\u00e1ny k\u00f6zel 6 milli\u00e1rd GBP \u00f6sszeg\u0171 finansz\u00edroz\u00e1st v\u00e1zolt fel az NHS t\u00e1mogat\u00e1s\u00e1ra a lemarad\u00e1s kezel\u00e9s\u00e9ben. Ez mag\u00e1ban foglalja a rendelkez\u00e9seket seb\u00e9szeti k\u00f6zpontok<\/a>, K\u00f6z\u00f6ss\u00e9gi Diagnosztikai K\u00f6zpontok<\/a>\u00e9s az NHS digit\u00e1lis infrastrukt\u00far\u00e1j\u00e1nak fejleszt\u00e9se \u00e9rdek\u00e9ben. Noha ez pozit\u00edv kezdet az NHS azon k\u00e9pess\u00e9g\u00e9ben, hogy hat\u00e9konyan kezelje \u00e9s enyh\u00edtse az els\u0151dleges \u00e9s akut ell\u00e1t\u00e1sokra nehezed\u0151 nyom\u00e1st, az Vanguard s\u00fcrgeti a korm\u00e1nyt, hogy fektessenek tov\u00e1bb kifejezetten a gyors, modul\u00e1ris megold\u00e1sokba, mint p\u00e9ld\u00e1ul a s\u00fcrg\u0151ss\u00e9gi ell\u00e1t\u00e1si k\u00f6zpontok \u00e9s a kisebb s\u00e9r\u00fcl\u00e9sek miatti oszt\u00e1lyok.<\/p>\n

Az Vanguard els\u0151 k\u00e9zb\u0151l l\u00e1tta, hogy egy modul\u00e1ris k\u00f6nny\u0171 s\u00e9r\u00fcl\u00e9sek egys\u00e9ge<\/a> (MIU) enyh\u00edtheti az A&E szolg\u00e1ltat\u00e1sokra nehezed\u0151 nyom\u00e1st \u2013 ami ment\u0151\u00f6vk\u00e9nt szolg\u00e1lhat az NHS sz\u00e1m\u00e1ra a t\u00e9li h\u00f3napok fel\u00e9 haladva. Az Vanguard modul\u00e1ris megold\u00e1st sz\u00e1ll\u00edtott az Edinburgh-i Kir\u00e1lyi K\u00f3rh\u00e1z sz\u00e1m\u00e1ra, akik s\u00falyos k\u00e9s\u00e9seket tapasztaltak az A&E oszt\u00e1lyon, mivel naponta 70-el kevesebb beteget l\u00e1ttak el az optim\u00e1lisn\u00e1l. Alapvet\u0151en az A&E betegek gyakran olyan s\u00e9r\u00fcl\u00e9seik miatt v\u00e1rtak kezel\u00e9sre, amelyeket m\u00e1shol jobban kezelhetn\u00e9nek.<\/p>\n

Az Vanguard megold\u00e1sa olyan MIU-t szerelt fel, amely az A&E oszt\u00e1ly mellett m\u0171k\u00f6dhetett a betegek jobb kezel\u00e9se \u00e9s a megfelel\u0151 kezel\u00e9shez val\u00f3 hozz\u00e1f\u00e9r\u00e9s felgyors\u00edt\u00e1sa \u00e9rdek\u00e9ben. A szolg\u00e1ltat\u00e1s a nap 24 \u00f3r\u00e1j\u00e1ban, a h\u00e9t minden napj\u00e1n m\u0171k\u00f6dik, \u00e9s eddig t\u00f6bb mint 3500 beteg r\u00e9szes\u00fclt olyan s\u00e9r\u00fcl\u00e9sek \u00e9s \u00e1llapotok kezel\u00e9s\u00e9ben, amelyeket a MIU jobban kezel, mint az A&E. Ennek eredm\u00e9nyek\u00e9nt cs\u00f6kkent a v\u00e1rakoz\u00e1si id\u0151 az A&E oszt\u00e1lyon, \u00e9s t\u00f6bb beteget fogadtak, m\u00edg a MIU betegek gyorsabb \u00e9s megfelel\u0151bb kezel\u00e9st kaptak s\u00e9r\u00fcl\u00e9seikre.<\/p>\n

Az ehhez hasonl\u00f3 megold\u00e1sokat priorit\u00e1sk\u00e9nt kell bevezetni a k\u00f6vetkez\u0151 h\u00f3napokban az NHS t\u00e1mogat\u00e1sa \u00e9rdek\u00e9ben. A kapacit\u00e1s n\u00f6vel\u00e9se \u00f6n\u00e1ll\u00f3 egys\u00e9gek haszn\u00e1lat\u00e1val alapvet\u0151en cs\u00f6kkenti az els\u0151dleges \u00e9s akut helyzetekre nehezed\u0151 nyom\u00e1st az\u00e1ltal, hogy a betegeket m\u00e1s kezel\u00e9si m\u00f3dokra tereli, mik\u00f6zben meger\u0151s\u00edti a DoS v\u00e1laszk\u00e9pess\u00e9g\u00e9t. Kritikusan seg\u00edthet cs\u00f6kkenteni a COVID-19 terjed\u00e9s\u00e9t, \u00e9s a betegek kisebb val\u00f3sz\u00edn\u0171s\u00e9ggel ker\u00fclnek kapcsolatba m\u00e1sokkal, mik\u00f6zben az A&E-ben v\u00e1rakoznak. A t\u00e9l k\u00f6zeledt\u00e9vel, \u00e9s megpr\u00f3b\u00e1ljuk elker\u00fclni a \u201et\u00e9li v\u00e1ls\u00e1got\u201d, a korm\u00e1nynak a gyors, de pragmatikus megold\u00e1sokra kell \u00f6sszpontos\u00edtania a kapacit\u00e1s n\u00f6vel\u00e9s\u00e9re \u00e9s a szolg\u00e1ltat\u00e1sokra nehezed\u0151 nyom\u00e1s enyh\u00edt\u00e9s\u00e9re.<\/p>","protected":false},"excerpt":{"rendered":"

A k\u00f6zelm\u00faltban lezajlott sz\u00f3beli bizony\u00edt\u00e9kokkal kapcsolatos meghallgat\u00e1sok sor\u00e1n az als\u00f3h\u00e1z eg\u00e9szs\u00e9g\u00fcgyi \u00e9s v\u00e1logatott bizotts\u00e1ga sz\u00e1mos eg\u00e9szs\u00e9g\u00fcgyi szak\u00e9rt\u0151t hallgatott meg a n\u00f6vekv\u0151 v\u00e1laszt\u00e1si h\u00e1tral\u00e9kr\u00f3l \u00e9s az NHS v\u00e1r\u00f3list\u00e1ir\u00f3l, amelyek mostanra minden id\u0151k cs\u00facs\u00e1t, 5,8 milli\u00f3s betegsz\u00e1mot \u00e9rtek el.<\/p>","protected":false},"author":1,"featured_media":1355,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,114,115],"tags":[4],"class_list":["post-4302","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-partnerships","category-products-and-services","tag-modular"],"acf":[],"yoast_head":"\nExpanding NHS Capacity in Response to Urgent Winter Pressure on Directory of Services - 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