{"id":2889,"date":"2020-05-29T12:42:45","date_gmt":"2020-05-29T12:42:45","guid":{"rendered":"\/?p=2889"},"modified":"2020-05-29T12:42:45","modified_gmt":"2020-05-29T12:42:45","slug":"flexible-solutions-for-increasing-green-zone-capacity","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/pt_pt\/flexible-solutions-for-increasing-green-zone-capacity\/","title":{"rendered":"Solu\u00e7\u00f5es flex\u00edveis para aumentar a capacidade da zona verde"},"content":{"rendered":"

\u00c0 medida que o n\u00famero de casos de Covid-19 diminui, os hospitais e consult\u00f3rios m\u00e9dicos come\u00e7aram a preparar-se para retomar as consultas de rotina e os procedimentos planeados, como cirurgias eletivas, endoscopias, testes de diagn\u00f3stico e tomografias. No entanto, as coisas continuam muito longe do \u201cbusiness as usual\u201d.<\/p>\n

Embora a crise mais imediata possa ter passado, muitos hospitais continuam a cuidar de um grande n\u00famero de pacientes da Covid-19, com relat\u00f3rios afirmando que cerca de 25% de camas de unidades de cuidados intensivos precisam de ser retidas para este fim. H\u00e1 tamb\u00e9m uma perspectiva real de uma segunda vaga que \u2013 segundo v\u00e1rios especialistas, incluindo o m\u00e9dico-chefe de Inglaterra,Professor Chris Whitty<\/a> \u2013 tem potencial para ser ainda mais mortal que o primeiro.<\/p>\n

Ao mesmo tempo, as listas de espera para procedimentos eletivos est\u00e3o a aumentar e \u00e9 prov\u00e1vel que continuem a aumentar mesmo quando a cirurgia planeada for reintroduzida, uma vez que muitos hospitais n\u00e3o conseguir\u00e3o regressar imediatamente com seguran\u00e7a ao mesmo n\u00edvel de atividade de antes da crise. Alguns relat\u00f3rios sugerem que as listas de espera para procedimentos eletivos poder\u00e3o ultrapassar os 10 milh\u00f5es at\u00e9 ao final deste ano. Como resultado, os hospitais est\u00e3o sob crescente press\u00e3o para retomar este tipo de atendimento o mais r\u00e1pido poss\u00edvel.<\/p>\n

O pr\u00f3prio termo \u201cprocedimentos eletivos\u201d \u00e9 cada vez mais enganoso. Isso implica que os pacientes t\u00eam a op\u00e7\u00e3o de prosseguir ou n\u00e3o com a opera\u00e7\u00e3o. A realidade \u00e9 que muitos desses pacientes sentir\u00e3o cada vez mais dores cr\u00f3nicas e preju\u00edzos nas suas vidas, e a maioria n\u00e3o considerar\u00e1 o seu procedimento uma escolha, mas sim uma necessidade crescente.<\/p>\n

Um dos principais desafios que os hospitais enfrentam agora na prepara\u00e7\u00e3o para retomar os cuidados eletivos \u00e9 como manter os pacientes e o pessoal protegidos dos riscos associados \u00e0 exposi\u00e7\u00e3o \u00e0 Covid-19, especialmente tendo em conta o facto de muitos dos pacientes que necessitam de cirurgia ou tratamento serem mais vulner\u00e1vel a doen\u00e7as devido a outras condi\u00e7\u00f5es de sa\u00fade. Existe tamb\u00e9m o risco de pacientes ou visitantes de fora trazerem o v\u00edrus para zonas limpas do hospital, assim como os m\u00e9dicos que precisam de viajar entre locais.<\/p>\n

O acesso aos testes para funcion\u00e1rios e pacientes antes da realiza\u00e7\u00e3o dos procedimentos ser\u00e1 importante, mas os longos tempos de resposta atualmente enfrentados para a an\u00e1lise dos testes podem aumentar ainda mais os tempos de espera e o risco de a cirurgia ser cancelada se os resultados n\u00e3o chegarem a tempo.<\/p>\n

Gerir a press\u00e3o sobre o espa\u00e7o f\u00edsico tamb\u00e9m pode ser dif\u00edcil, uma vez que ser\u00e1 necess\u00e1rio manter um distanciamento social seguro nas \u00e1reas cl\u00ednicas. Em muitos casos, as instala\u00e7\u00f5es hospitalares foram reaproveitadas ou redesenhadas para lidar com a crise, e o espa\u00e7o interno pode ser dividido em zonas \u201cVerde\u201d e \u201cVermelha\u201d, que ainda ter\u00e3o de permanecer fixas durante algum tempo. Isto, juntamente com o aumento do tempo necess\u00e1rio para mudar o EPI e para realizar a limpeza completa das salas de procedimentos entre as opera\u00e7\u00f5es, reduzir\u00e1 significativamente a produtividade nos hospitais que reiniciam os procedimentos eletivos.<\/p>\n

Muitos hospitais ter\u00e3o m\u00e9dicos e pessoal suficientes para regressar aos n\u00edveis de actividade anteriores \u00e0 COVID, mas com a produtividade reduzida n\u00e3o conseguir\u00e3o faz\u00ea-lo sem capacidade f\u00edsica adicional. De onde vir\u00e1 essa capacidade adicional e como a jornada do paciente para a cirurgia eletiva impactar\u00e1 a equipe existente e os fluxos de pacientes?<\/p>\n

Uma solu\u00e7\u00e3o potencial poderia ser considerar op\u00e7\u00f5es flex\u00edveis de infraestrutura de sa\u00fade. Uma sala de opera\u00e7\u00f5es m\u00f3vel poderia melhorar as zonas verdes dos hospitais, proporcionando um espa\u00e7o seguro longe das zonas vermelhas da Covid-19 dentro do pr\u00f3prio hospital. Combinado com uma enfermaria m\u00f3vel ou modular, que tamb\u00e9m poderia alojar \u00e1reas de pessoal, isto poderia proporcionar uma zona verde totalmente aut\u00f3noma onde os procedimentos podem ser realizados com seguran\u00e7a, sem colocar press\u00e3o adicional sobre outras partes do hospital.<\/p>\n

O Dr. Hans Kluge, diretor para a regi\u00e3o europeia da OMS, disse recentemente numa entrevista ao The Daily Telegraph que agora \u00e9 o \u201cmomento de prepara\u00e7\u00e3o, n\u00e3o de celebra\u00e7\u00e3o\u201d. Salientou que, embora o n\u00famero de casos de Covid-19 em pa\u00edses como o Reino Unido, Fran\u00e7a e It\u00e1lia estivesse a come\u00e7ar a diminuir, isso n\u00e3o significava que a pandemia estava a chegar ao fim, e que os pa\u00edses deveriam aproveitar este tempo para come\u00e7ar a capacitar hospitais, cuidados prim\u00e1rios e unidades de cuidados intensivos.<\/p>\n

Uma vez que a pandemia e os atrasos resultantes trouxeram a necessidade de capacidade adicional tempor\u00e1ria, faz sentido considerar op\u00e7\u00f5es de cuidados de sa\u00fade flex\u00edveis que permitam aos hospitais aumentar a escala com base nas suas necessidades. Instala\u00e7\u00f5es m\u00f3veis e modulares podem ser utilizadas de forma tempor\u00e1ria ou semipermanente, conforme necess\u00e1rio.<\/p>\n

As solu\u00e7\u00f5es de sa\u00fade Vanguard fornecem instala\u00e7\u00f5es tempor\u00e1rias<\/a> para apoiar os prestadores de cuidados de sa\u00fade quando for necess\u00e1ria capacidade adicional para reduzir listas de espera, para decantar um teatro existente ou em resposta a uma situa\u00e7\u00e3o de crise, e tem sido um parceiro de confian\u00e7a do NHS h\u00e1 mais de 20 anos.<\/p>","protected":false},"excerpt":{"rendered":"

Embora a crise mais imediata possa ter passado, muitos hospitais continuam a cuidar de um grande n\u00famero de pacientes da Covid-19, com relat\u00f3rios afirmando que cerca de 25% de camas de unidades de cuidados intensivos precisam de ser retidas para este fim. <\/p>","protected":false},"author":1,"featured_media":1345,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[5,4],"class_list":["post-2889","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-mobile","tag-modular"],"acf":[],"yoast_head":"\nFlexible solutions for increasing Green zone capacity - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Flexible solutions for increasing green zone capacity to return to Pre-COVID levels of activity in hospitals\" \/>\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\/pt_pt\/flexible-solutions-for-increasing-green-zone-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Flexible solutions for increasing Green zone capacity - 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