{"id":2645,"date":"2020-01-06T16:50:11","date_gmt":"2020-01-06T16:50:11","guid":{"rendered":"\/?p=2645"},"modified":"2020-01-06T16:50:11","modified_gmt":"2020-01-06T16:50:11","slug":"ensuring-endoscopy-is-not-left-behind","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/ro_ro\/ensuring-endoscopy-is-not-left-behind\/","title":{"rendered":"Asigurarea c\u0103 endoscopia nu este l\u0103sat\u0103 \u00een urm\u0103"},"content":{"rendered":"

Directorul medical al NHS Anglia a stabilit m\u0103nu\u0219a pentru ca furnizorii de servicii de s\u0103n\u0103tate s\u0103 ob\u021bin\u0103 rezultate mult mai bune la cancer. A fost stabilit\u0103 o \u021bint\u0103 ca 99% dintre pacien\u021bi s\u0103 a\u0219tepte mai pu\u021bin de \u0219ase s\u0103pt\u0103m\u00e2ni \u00eentre trimiterea pentru teste de diagnostic \u0219i efectuarea testului.<\/p>\n

Ca recent\n\n Proiecte de politici publice\n<\/a>\nraport (PPP):\n\n Privind \u00een interiorul: starea endoscopiei \u00een Anglia,\n<\/em>\na dezv\u0103luit, aceste obiective admirabile nu vor fi realizabile dec\u00e2t dac\u0103 capacitatea NHS pentru furnizarea de endoscopie este plasat\u0103 pe o baz\u0103 mai sigur\u0103. Din p\u0103cate, acesta nu este cazul \u00een prezent pentru trusturile de spitale din Anglia. Raportul a constatat c\u0103 41% dintre trusturi opereaz\u0103 cu camere de endoscopie care se apropie sau dep\u0103\u0219esc durata de via\u021b\u0103 recomandat\u0103 de produc\u0103tor de zece ani.<\/p>\n

Relevan\u021ba acestei discu\u021bii a fost sporit\u0103 de profesorul Sir Mike Richard, fost director na\u021bional de cancer pentru NHS Anglia, raportul recent intitulat:\n\n Analiza independent\u0103 a programelor de screening pentru adul\u021bi din Anglia.\n<\/em>\n\u00cen mod clar, capacitatea de a recurge la mai multe op\u021biuni pentru a stimula adoptarea programelor de screening nu a fost niciodat\u0103 mai pertinent.<\/p>\n

Raportul PPP, publicat \u00een parteneriat cu Vanguard Healthcare Solutions, a abordat acest subiect la un eveniment plin de via\u021b\u0103 la masa rotund\u0103 din acest an.\n\n IHEEM\n<\/a>\nConferin\u021ba Healthcare Estates. La prezen\u021b\u0103 au fost mai mul\u021bi manageri de propriet\u0103\u021bi \u0219i facilit\u0103\u021bi, \u00eempreun\u0103 cu ingineri autoriza\u021bi \u0219i conduc\u0103tori clinici de decontaminare \u0219i endoscopie de la trusturile NHS din Marea Britanie. Discu\u021bia a oferit un forum captivant \u00een care ace\u0219ti lideri de g\u00e2ndire seniori au vorbit despre motivul pentru care deteriorarea instala\u021biilor de endoscopie a fost l\u0103sat\u0103 s\u0103 se manifeste at\u00e2t de grav \u00een NHS.\n\"\"<\/p>\n

\n \n Durat\u0103 de via\u0163\u0103\n <\/strong>\n<\/h4>\n

Potrivit raportului PPP, 25% din apartamentele de decontaminare utilizate \u00een prezent \u00een Anglia au peste 10 ani, iar 15% dintre spitale nu \u0219i-au modernizat apartamentele \u00een ultimii opt ani. \u00cen contextul cre\u0219terii vertiginoase a cererii pentru furnizarea de endoscopie, este \u00een mod clar nevoia unei analize mai detaliate a modului exact \u00een care definim ciclul de via\u021b\u0103 al unei suite de endoscopie. Acest punct s-a dovedit a fi un motor major al discu\u021biilor.<\/p>\n

\u201eCererea de servicii de endoscopie merge doar \u00eentr-o singur\u0103 direc\u021bie\u201d, a spus David Cole, CEO al Vanguard Healthcare Solutions. \u00cen calitate de pre\u0219edinte al discu\u021biei, David a fost dornic s\u0103 analizeze participan\u021bii din sectorul public pe tema ciclurilor de via\u021b\u0103 endoscopie. David a pus \u00eentrebarea: \u201eAv\u00e2nd \u00een vedere aceast\u0103 cre\u0219tere inevitabil\u0103 a activit\u0103\u021bii, cum este m\u0103surat\u0103 speran\u021ba de via\u021b\u0103 actual\u0103 a echipamentului de endoscopie?\u201d<\/p>\n

Consensul pentru \u00eent\u00e2lnire a fost c\u0103 ciclurile de via\u021b\u0103 ale unit\u0103\u021bii de endoscopie se bazeaz\u0103 pe o perioad\u0103 de timp pentru care echipamentul este \u00een serviciu activ, mai degrab\u0103 dec\u00e2t \u00een func\u021bie de num\u0103rul de cicluri opera\u021bionale. Av\u00e2nd \u00een vedere cre\u0219terea cererii, simpla m\u0103surare a ciclurilor de via\u021b\u0103 \u00een termeni de ani nu mai este suficient\u0103 pentru a se asigura c\u0103 echipamentele pot atinge standardele minime de decontaminare pe o baz\u0103 consecvent\u0103 zi de zi.<\/p>\n

\u00cen plus, m\u0103surarea ciclurilor de via\u021b\u0103 ale endoscopiei \u00een anii activi nu \u021bine cont de costurile de \u00eentre\u021binere crescute, care sunt o consecin\u021b\u0103 inevitabil\u0103 a utiliz\u0103rii \u00een cre\u0219tere. Capacitatea \u00eencorporat\u0103 de \u00eentre\u021binere este un lux pe care pu\u021bine trusturi \u0219i-l pot permite \u00een prezent \u0219i, prin urmare, un impact asupra nivelurilor de activitate opera\u021bional\u0103 este inevitabil.<\/p>\n

\u201eCheia este modul \u00een care cre\u0219tem capacitatea propriet\u0103\u021bii existente.\u201d\n\n Alex Chilvers, Managing Director la 18 Week Support\n<\/cite>\n\u201eDesigur, cre\u0219terea utiliz\u0103rii va avea un efect d\u0103un\u0103tor asupra longevit\u0103\u021bii echipamentului\u201d, a spus Alex Chilvers, Managing Director la 18 Week Support, o organiza\u021bie dedicat\u0103 s\u0103 ajute trusturile s\u0103 gestioneze trimiterea c\u0103tre c\u0103ile \u0219i obiectivele de tratament. Alex a insistat c\u0103, \u00een contextul unei absen\u021be a finan\u021b\u0103rii de capital pentru upgrade-uri pe termen lung a suitei de endoscopie, \u201echeia este modul \u00een care cre\u0219tem capacitatea propriet\u0103\u021bii existente\u201d.<\/p>\n

Se poate c\u0103uta \u00een alte industrii exemple despre cum s\u0103 monitorizeze longevitatea echipamentului de endoscopie. \u00centr-adev\u0103r, acesta este un punct pe care Rosemary Jenssen, arhitect \u00een domeniul s\u0103n\u0103t\u0103\u021bii, a fost dornic s\u0103 \u00eel sublinieze. \u201eMa\u0219inile au intervale inteligente de \u00eentre\u021binere \u00een func\u021bie de activitatea lor, \u00een timp ce unit\u0103\u021bile de endoscopie par s\u0103 fie monitorizate \u00een func\u021bie de num\u0103rul de ani \u00een care au fost active\u201d, a spus Rosemary. \u201eDac\u0103 monitorizarea ciclului nostru s-ar baza pe utilizarea mai direct\u0103 a echipamentului, atunci a\u021bi avea oportunit\u0103\u021bi de planificare anticipat\u0103 mult mai bune pentru a oferi informa\u021bii despre c\u00e2nd s\u0103 \u00eenlocui\u021bi echipamentul suprautilizat.\u201d<\/p>\n

C\u00e2nd echipamentul \u00eencepe s\u0103 se defecteze, este prea t\u00e2rziu \u0219i, a\u0219a cum a remarcat cu inteligen\u021b\u0103 Rosemary, NHS trebuie s\u0103 caute s\u0103 \u00ee\u0219i orienteze monitorizarea ciclului c\u0103tre o abordare mai centrat\u0103 pe activitate. Rosemary nu a fost singurul care a subliniat acest lucru. Cliff Howell, fost director \u0219i \u0219ef opera\u021bional pentru NHS Estates and Facilities, Eficiency and Productivity Division de la NHS Improvement, a subliniat \u00een termeni clari: \u201eTrebuie s\u0103 trecem la o abordare bazat\u0103 pe dovezi, \u00een loc s\u0103 citim pur \u0219i simplu ceea ce spune manualul de repara\u021bii\u201d.<\/p>\n

\n \n Gestionarea riscului sau gestionarea banilor?\n <\/strong>\n<\/h4>\n

Dac\u0103 managerii de facilit\u0103\u021bi din toate trusturile NHS recunosc limit\u0103rile \u00een ceea ce prive\u0219te modul \u00een care infrastructura critic\u0103 din durata de via\u021b\u0103 a suitei de endoscopie este monitorizat\u0103, este important s\u0103 \u0219tim ce determin\u0103 un trust s\u0103 \u00eenlocuiasc\u0103, sau cel pu\u021bin s\u0103-\u0219i sporeasc\u0103 facilit\u0103\u021bile existente.<\/p>\n

R\u0103spunsurile rapide nu au fost primite, deoarece managerii de facilit\u0103\u021bi au citat imediat preocup\u0103ri mai largi \u00een jurul g\u00e2ndirii de aici \u0219i acum, ceea ce \u00eempiedic\u0103 adesea NHS s\u0103 ia decizii pe termen lung necesare cu disperare cu privire la patrimoniul s\u0103u. Un delegat a mers p\u00e2n\u0103 la a spune c\u0103 NHS sufer\u0103 de un \u201esindrom de planificare pe termen scurt\u201d atunci c\u00e2nd vine vorba de utilizarea propriet\u0103\u021bii.<\/p>\n

\u00cen cele din urm\u0103, \u00een timp ce trusturile doresc s\u0103 centreze deciziile \u00een jurul actualiz\u0103rii echipamentului de endoscopie, managerii de unit\u0103\u021bi sunt de obicei restric\u021biona\u021bi de aceea\u0219i problem\u0103 - costul. Problema cheltuielilor de capital \u0219i a efectului lor negativ asupra \u00eengrijirii pacien\u021bilor a fost cu siguran\u021b\u0103 pus\u0103 \u00een prim-planul discu\u021biilor privind \u00eembun\u0103t\u0103\u021birea asisten\u021bei medicale. Restric\u021biile financiare \u00eenc\u0103 dicteaz\u0103 o mare parte din procesul de luare a deciziilor de zi cu zi pentru administratorii de propriet\u0103\u021bi \u0219i facilit\u0103\u021bi. Pentru prea mul\u021bi, totul este \u00eenc\u0103 despre bani.<\/p>\n

Care sunt factorii declan\u0219atori pentru ca un trust s\u0103-\u0219i revizuiasc\u0103 \u0219i, eventual, s\u0103 \u00ee\u0219i modernizeze instala\u021biile de endoscopie? Ce este riscul corporativ versus riscul individual? Ce m\u0103suri poate lua un trust pentru a cre\u0219te gradul de con\u0219tientizare a echipamentelor de endoscopie \u00eenvechite? Acestea sunt tipurile de \u00eentreb\u0103ri pe care managerii de facilit\u0103\u021bi din NHS ar trebui s\u0103 le ia \u00een considerare, dar din c\u00e2nd \u00een c\u00e2nd deciziile lor se bazeaz\u0103 pe prea multe priorit\u0103\u021bi concurente.\n\"\"<\/p>\n

\n \n Trebuie s\u0103 dea ceva\n <\/strong>\n<\/h4>\n

Pentru a promova un mediu mai proactiv \u00een care deciziile se bazeaz\u0103 pe siguran\u021ba pacien\u021bilor, este esen\u021bial ca fluxul de capital s\u0103 aib\u0103 loc direct c\u0103tre unit\u0103\u021bile de servicii de endoscopie. E\u0219ecurile actuale de a asigura sprijinul financiar pentru endoscopie dezv\u0103luie o deconectare \u00eentre dorin\u021ba la nivel de politic\u0103 na\u021bional\u0103 de a aborda obiectivele de screening pentru cancer \u0219i echipamentul care se poate dovedi at\u00e2t de des vital pentru atingerea acestor obiective.<\/p>\n

\u201e\u00cen mod similar cu LINAC \u0219i \u00eenlocuirea echipamentelor de imagistic\u0103, exist\u0103 adesea ini\u021biative \u0219i finan\u021bare la nivel na\u021bional puse la dispozi\u021bie pentru a \u00eenlocui echipamentele vechi \u0219i \u00eenvechite\u201d, a spus Cliff, care a sugerat c\u0103 aceast\u0103 politic\u0103 ar trebui extins\u0103 pentru a include echipamentele de servicii de endoscopie.<\/p>\n

\u00cen ciuda unei imagini mai pu\u021bin clare a cheltuielilor de capital, exist\u0103 op\u021biuni disponibile pentru trusturi pentru a se asigura c\u0103 \u00ee\u0219i men\u021bin facilit\u0103\u021bile de endoscopie \u0219i, prin urmare, \u00eendeplinesc obiectivele de screening pentru cancer. \u201eMobilele restante \u0219i \u00eenlocuirea echipamentelor \u00een NHS este la un nivel record, \u00een timp ce disponibilitatea capitalului r\u0103m\u00e2ne limitat\u0103. Prin urmare, nivelurile restan\u021belor vor cre\u0219te \u00een continuare\u201d, a spus Cliff. \u201ePoate c\u0103 NHS ar trebui s\u0103 ia \u00een considerare limitarea finan\u021b\u0103rii pe ciclul de via\u021b\u0103 pentru evolu\u021biile viitoare, pentru a preveni repetarea trecutului.\u201d<\/p>\n

Cre\u0219terea capacit\u0103\u021bii imobiliare existente va juca un rol din ce \u00een ce mai important. Raportul profesorului Richards pentru NHS England a citat unit\u0103\u021bile mobile ca poten\u021bial atenu\u00e2nd tensiunea asupra serviciilor de endoscopie. Acest lucru are avantajul de a dep\u0103\u0219i obiec\u021biile invocate de clinicieni cu privire la utilizarea facilit\u0103\u021bilor \u00een afara amplasamentului ca o amenin\u021bare la furnizarea de asisten\u021b\u0103 medical\u0103 unit\u0103.<\/p>\n

Pentru ca obiectivele ambi\u021bioase de cancer s\u0103 fie \u00eendeplinite, schimbarea va trebui s\u0103 vin\u0103 de undeva. Raportul PPP a dezv\u0103luit c\u0103 87% dintre spitalele care au raportat unit\u0103\u021bi de decontaminare \u00eenvechite (adic\u0103 cele care nu au fost renovate \u00een ultimii opt ani) fac, de asemenea, parte din trusturi care nu au \u00eendeplinit obiectivul de a\u0219teptare de \u0219ase s\u0103pt\u0103m\u00e2ni pentru testarea diagnostic\u0103.<\/p>\n

\u201eMarea Britanie are unele dintre cele mai \u00eenalte standarde de decontaminare \u0219i sterilizare de oriunde \u00een lume.\u201d\n\n David Cole\n<\/a>\n, CEO al Vanguard Healthcare Solutions<\/p>\n

Unit\u0103\u021bile de endoscopie din NHS au parcurs un drum lung de la \u201edulapurele cu m\u0103turi\u201d folosite c\u00e2ndva (a\u0219a cum le-a descris un delegat) la unit\u0103\u021bile mari, sofisticate, centralizate, dar, a\u0219a cum a subliniat David Cole, acest lucru nu trebuie s\u0103 scuze automul\u021bumirea. \u201eMarea Britanie are unele dintre cele mai \u00eenalte standarde de decontaminare \u0219i sterilizare de oriunde \u00een lume\u201d, a spus David \u00een timp ce \u00eencheia o discu\u021bie captivant\u0103 \u0219i plin\u0103 de via\u021b\u0103, \u201edar nu ne putem permite s\u0103 renun\u021b\u0103m la cuvinte \u00een spate\u201d.<\/p>\n

\u00cen timp ce a\u0219tept\u0103m factorii de decizie na\u021bionali s\u0103 direc\u021bioneze finan\u021barea de capital extrem de necesar\u0103 c\u0103tre prima linie, trusturile acute trebuie s\u0103 se asigure c\u0103 unit\u0103\u021bile de servicii de endoscopie nu sunt l\u0103sate \u00een urm\u0103 \u0219i c\u0103 pacien\u021bii nu \u00eencep s\u0103 simt\u0103 efecte negative.<\/p>","protected":false},"excerpt":{"rendered":"

Planurile ambi\u021bioase de \u201erevizuire\u201d a proceselor de screening a cancerului din Anglia nu vor fi posibile f\u0103r\u0103 a acorda o aten\u021bie serioas\u0103 st\u0103rii serviciilor de endoscopie.<\/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],"class_list":["post-2645","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"],"acf":[],"yoast_head":"\nEnsuring endoscopy is not left behind - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Ensuring endoscopy is not left behind to be able to deliver mbitious plans to “overhaul” cancer screening processes across England\" \/>\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\/ro_ro\/ensuring-endoscopy-is-not-left-behind\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ensuring endoscopy is not left behind - 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