{"id":3621,"date":"2021-02-02T10:31:15","date_gmt":"2021-02-02T10:31:15","guid":{"rendered":"\/?p=3621"},"modified":"2021-02-02T10:31:15","modified_gmt":"2021-02-02T10:31:15","slug":"making-diagnostic-services-more-accessible","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/ro_ro\/making-diagnostic-services-more-accessible\/","title":{"rendered":"Facerea serviciilor de diagnosticare mai accesibile"},"content":{"rendered":"

\u00cen timp ce nevoia de reformare a furniz\u0103rii de diagnosticare \u0219i introducerea unui nou model de servicii pentru a oferi c\u0103i sigure, centrate pe pacient este un domeniu prioritar de ceva timp, impactul Covid-19 asupra activit\u0103\u021bii de diagnosticare a eviden\u021biat urgen\u021ba cu care trebuie s\u0103 fie acest lucru. livrat.<\/p>\n

Nevoia de reformare a diagnosticului \u0219i separarea c\u0103ilor dintre \u00eengrijirea acut\u0103 \u0219i electiv\u0103 a fost subliniat\u0103 \u00eentr-un raport publicat de NHS England<\/a> \u00een octombrie, care a urmat planului pe termen lung.<\/p>\n

Pandemia de Covid-19 a eviden\u021biat o serie de puncte slabe care afecteaz\u0103 rezilien\u021ba sistemului nostru de s\u0103n\u0103tate. Ceea ce am \u00eenv\u0103\u021bat de la Covid-19 este c\u0103, de\u0219i o separare clar\u0103 a c\u0103ilor \u00eentre \u00eengrijirea acut\u0103 \u0219i electiv\u0103, poate minimiza efectele secundare asupra sistemului de s\u0103n\u0103tate \u00een ansamblu; de asemenea, este necesar s\u0103 putem face fa\u021b\u0103 \u00een mod eficient urm\u0103toarei pandemii.<\/p>\n

Covid-19 a agravat situa\u021bia<\/strong><\/p>\n

\u00cen timp ce spitalele din Marea Britanie au f\u0103cut fa\u021b\u0103 relativ bine focarului de Covid-19, av\u00e2nd \u00een vedere presiunea la care a fost supus\u0103 \u00eenainte de apari\u021bia pandemiei, aceasta a avut efecte nedorite asupra majorit\u0103\u021bii p\u0103r\u021bilor non-acute ale sistemului de s\u0103n\u0103tate. Program\u0103rile au fost anulate, procedurile de diagnosticare au fost am\u00e2nate; iar ac\u021biunile \u00eentreprinse pentru a elibera paturile \u00een spitale au avut un impact negativ asupra asigur\u0103rii s\u0103n\u0103t\u0103\u021bii comunitare \u0219i au redus num\u0103rul de paturi disponibile \u00een spitale pentru pacien\u021bii care nu sunt urgente.<\/p>\n

Unul dintre cele mai vizibile efecte a fost cre\u0219terea semnificativ\u0103 a num\u0103rului de oameni care asteapta<\/a> pentru teste de diagnostic \u0219i tratamente. De\u0219i activitatea a crescut de la prima blocare, aceasta nu \u0219i-a revenit \u00eenc\u0103 la niveluri pre-pandemice, iar debitul de pacien\u021bi este mai sc\u0103zut, \u00een special pentru scanarea CT \u0219i endoscopie, datorit\u0103 m\u0103surilor care vizeaz\u0103 reducerea riscului de infec\u021bie cu Covid-19.<\/p>\n

Impactul a fost cel mai mare asupra celor care a\u0219teptau cel mai mult. P\u00e2n\u0103 \u00een septembrie, \u00een ciuda cre\u0219terii substan\u021biale a activit\u0103\u021bii, o treime dintre pacien\u021bii de pe list\u0103 a\u0219teptaser\u0103 mai mult de \u0219ase s\u0103pt\u0103m\u00e2ni pentru o scanare sau un alt test de diagnosticare, iar pentru endoscopie, aceast\u0103 cifr\u0103 era de peste 50%. Num\u0103rul de pacien\u021bi care a\u0219teapt\u0103 mai mult de 13 s\u0103pt\u0103m\u00e2ni pentru o endoscopie a sc\u0103zut de la v\u00e2rful din iunie, dar cel mai recent val de Covid-19 este de a\u0219teptat s\u0103 provoace perturb\u0103ri suplimentare ale serviciilor.<\/p>\n

Ceea ce provoac\u0103, de asemenea, \u00eengrijorare este \u201e\u00eent\u00e2rzierea ascuns\u0103\u201d a trimiterilor am\u00e2nate, deoarece timpii de a\u0219teptare pentru ob\u021binerea unei \u00eent\u00e2lniri cu un consultant au devenit, de asemenea, mai lungi. \u00centr-un sistem condus de consultan\u021bi, cu fluxuri reduse de pacien\u021bi, a\u0219teptarea de a vedea un consultant devine un blocaj.<\/p>\n

Reformarea serviciilor de diagnosticare<\/strong><\/p>\n

Cu toate acestea, pandemia a oferit \u0219i o oportunitate de schimbare. Pe m\u0103sur\u0103 ce a progresat, accentul s-a mutat de la c\u0103utarea de solu\u021bii pentru criza imediat\u0103, folosind solu\u021bii temporare pe termen scurt, cum ar fi spitalele Nightingale, spre adaptarea la a tr\u0103i cu riscul Covid-19 pe termen lung. Exist\u0103 un accent re\u00eennoit pe c\u0103utarea unei mai mari rezisten\u021be \u00eencorporate pentru viitor.<\/p>\n

Necesitatea unei \u00eembun\u0103t\u0103\u021biri radicale a modului \u00een care sunt furnizate serviciile de diagnostic a fost recunoscut\u0103 pe scar\u0103 larg\u0103 \u00eenainte de pandemie, cererea cresc\u00e2nd rapid \u00een special \u00een ultimii cinci ani, duc\u00e2nd la o cre\u0219tere a \u00eenc\u0103lc\u0103rilor standardului de diagnostic de \u0219ase s\u0103pt\u0103m\u00e2ni \u00een ultimii ani.<\/p>\n

Accesul la echipamentele \u0219i instala\u021biile de endoscopie era deja supus unei presiuni considerabile \u00eenainte de pandemie, \u00een special pentru colonoscopie. Estim\u0103ri bazate pe Face\u021bi-l corect pentru prima dat\u0103 (GIRFT)<\/a> Programul indic\u0103 faptul c\u0103 aproximativ 20 de trusturi NHS vor necesita o reconstruc\u021bie complet\u0103 a instala\u021biilor lor de endoscopie, altele av\u00e2nd nevoie de \u00eembun\u0103t\u0103\u021biri.<\/p>\n

De\u0219i nu exist\u0103 un registru na\u021bional de active pentru unit\u0103\u021bile de endoscopie, un raport<\/a> publicat de Public Policy Projects \u00een parteneriat cu Vanguard \u00een urm\u0103 cu doi ani, a ar\u0103tat c\u0103 aproximativ 25% de spitale au suite \u0219i echipamente de decontaminare pentru endoscopie care au mai mult de zece ani.<\/p>\n

\u00cen mod clar, nu este vorba doar de investi\u021bii \u00een cl\u0103diri \u0219i echipamente. Pe l\u00e2ng\u0103 capacitatea crescut\u0103, for\u021ba de munc\u0103 va trebui extins\u0103 \u0219i noile modele de servicii vor trebui s\u0103 ofere un set complet de servicii de diagnostic \u00een afara spitalelor.<\/p>\n

Diagnosticare: Recuperare \u0219i Re\u00eennoire<\/strong><\/p>\n

O solu\u021bie propus\u0103 a fost conturat\u0103 \u00een raport recent<\/a>, pe baza unei analize a serviciilor de diagnostic comandate de NHS England ca parte a Plan pe termen lung<\/a>. Acesta pledeaz\u0103 pentru separarea diagnosticelor acute \u0219i elective ori de c\u00e2te ori este posibil \u0219i, \u00een conformitate cu propunerea, vor fi \u00eenfiin\u021bate centre de diagnosticare autonome \u00een comunitate, departe de spitalele acute, pentru a oferi \u201eghi\u0219ee unice\u201d pentru evalu\u0103ri de diagnostic.<\/p>\n

Raportul subliniaz\u0103 necesitatea cre\u0219terii capacit\u0103\u021bii \u0219i se estimeaz\u0103 c\u0103 sunt necesare 200 de noi camere de endoscopie \u00een NHS Trusts pentru a acoperi cre\u0219terea actual\u0103 a cererii \u0219i pentru a permite extinderea planificat\u0103 a programului de screening intestinal. A fost identificat\u0103, de asemenea, necesitatea \u00eenlocuirii tuturor echipamentelor de imagistic\u0103 existente mai vechi de 10 ani, \u00eempreun\u0103 cu necesitatea de a extinde capacitatea de scanare CT cu 100% \u00een urm\u0103torii cinci ani. Furnizarea de scaner CT per popula\u021bie \u00een Marea Britanie este mult mai mic\u0103 dec\u00e2t \u00een alte \u021b\u0103ri dezvoltate.<\/p>\n

Abordarea ar aduce o reducere semnificativ\u0103 a num\u0103rului de pacien\u021bi care frecventeaz\u0103 un spital de acut\u0103 \u0219i ar crea eficien\u021be \u00een sistemul de s\u0103n\u0103tate \u00een ansamblu. De la lansare, raportul a fost binevenit universal \u0219i, dac\u0103 recomand\u0103rile sunt implementate pe deplin, va anunta investi\u021bii substan\u021biale \u00een for\u021ba de munc\u0103, echipamente \u0219i facilit\u0103\u021bi.<\/p>\n

O abordare mai flexibil\u0103<\/strong><\/p>\n

Cre\u0219terea de 2,3 miliarde de lire sterline a cheltuielilor de capital \u00een 2021\/2022, anun\u021bat\u0103 ca parte a celei mai recente analize a cheltuielilor, care include 325 de milioane de lire sterline pentru aparate de diagnosticare, cum ar fi scanerele RMN \u0219i CT \u0219i pentru \u00eenlocuirea echipamentelor de imagistic\u0103 vechi, va contribui \u00eentr-un fel la acoperirea costului. .<\/p>\n

\u00centrebarea este dac\u0103 va fi suficient \u0219i dac\u0103 vom vedea impactul suficient de cur\u00e2nd, pentru a face o diferen\u021b\u0103 real\u0103 \u00een ceea ce prive\u0219te timpul de a\u0219teptare \u0219i rezultatele pacien\u021bilor pe termen scurt \u0219i mediu. Recomand\u0103rile din raport vor dura timp pentru a fi implementate - dar odat\u0103 cu cre\u0219terea \u00een a\u0219teptare \u00een fiecare lun\u0103, este a\u0219teptarea o op\u021biune?<\/p>\n

O separare clar\u0103 a c\u0103ilor este deja posibil\u0103 de realizat folosind cele existente infrastructur\u0103 flexibil\u0103 de asisten\u021b\u0103 medical\u0103<\/a>, care poate fi configurat mai aproape de pacien\u021bi ca parte integrant\u0103 a unei re\u021bele integrate de \u00eengrijire. Unit\u0103\u021bile mobile \u0219i modulare de imagistic\u0103 \u0219i endoscopie pot fi instalate \u00een aproape orice loca\u021bie pentru a crea o unitate de diagnosticare autonom\u0103, f\u0103r\u0103 Covid, \u00eentr-un interval de timp foarte scurt.<\/p>\n

\u00cen timp ce unit\u0103\u021bile mobile sunt adesea folosite pentru a oferi o flexibilitate mai mare ca parte a propriet\u0103\u021bii spitalului, ele sunt ideale \u0219i pentru a aduce serviciile mai aproape de pacien\u021bi. Ca parte a unui sistem de \u00eengrijire integrat, infrastructura mobil\u0103, care este disponibil\u0103 pentru o gam\u0103 larg\u0103 de proceduri de specialitate \u0219i generale, poate fi situat\u0103 \u00eentr-un cabinet local de medicin\u0103 general\u0103, un spital comunitar, un cabinet stomatologic sau alt\u0103 unitate de asisten\u021b\u0103 medical\u0103.<\/p>\n

Beneficiile unit\u0103\u021bilor medicale mobile \u00een acest context sunt clare. Natura lor flexibil\u0103 \u0219i relocabil\u0103 a f\u0103cut ca unele tipuri de unit\u0103\u021bi mobile s\u0103 joace deja un rol important \u00een furnizarea de servicii pentru pacien\u021bi \u00een comunitate. Infrastructura mobil\u0103 poate evolua \u0219i se poate schimba pe m\u0103sur\u0103 ce nevoile se schimb\u0103 \u0219i poate fi adaptat\u0103 rapid pentru a r\u0103spunde unei situa\u021bii de urgen\u021b\u0103.<\/p>\n

Oferirea asisten\u021bei medicale comunitare<\/strong><\/p>\n

Pentru a oferi \u00eengrijire integrat\u0103, este necesar s\u0103 se adopte o perspectiv\u0103 a \u00eentregului sistem. O component\u0103 vital\u0103 a unui sistem de asisten\u021b\u0103 medical\u0103 flexibil \u0219i rezistent este capacitatea de a pune \u00een comun resursele \u00eentr-o zon\u0103 mai larg\u0103, permi\u021b\u00e2nd furnizarea de servicii atunci c\u00e2nd \u0219i unde este cel mai necesar. Acest lucru a fost \u00eentotdeauna adev\u0103rat, dar pandemia de Covid-19 a sporit nevoia de sisteme integrate de \u00eengrijire robuste, iar acest lucru nu se poate \u00eent\u00e2mpla dec\u00e2t dac\u0103 avem o proprietate suficient de flexibil\u0103 pentru a satisface sfera larg\u0103 de nevoi ale unui ICS.<\/p>\n

Cheia pentru ca aceast\u0103 abordare s\u0103 func\u021bioneze este dezvoltarea re\u021belelor de colaborare, deoarece noile echipamente de diagnosticare, cum ar fi scanere \u0219i endoscoape, sunt costisitoare, iar utilizarea oric\u0103rei noi instala\u021bii va trebui s\u0103 fie maximizat\u0103. Din motive practice \u0219i financiare, va exista un num\u0103r limitat de loca\u021bii care pot g\u0103zdui un scaner RMN sau o unitate de endoscopie, ceea ce \u00eenseamn\u0103 c\u0103 mul\u021bi pacien\u021bi vor trebui totu\u0219i s\u0103 parcurg\u0103 o anumit\u0103 distan\u021b\u0103 p\u00e2n\u0103 la o loca\u021bie central\u0103.<\/p>\n

Cu infrastructura mobil\u0103, cu toate acestea, unitatea poate fi mutat\u0103 \u00eentre loca\u021bii pentru a oferi servicii mai aproape de pacien\u021bi. Flexibilitatea oferit\u0103 de unit\u0103\u021bile mobile de asisten\u021b\u0103 medical\u0103 \u00eenseamn\u0103 c\u0103 poate fi creat\u0103 o re\u021bea \u00een care unit\u0103\u021bile de \u00eengrijire primar\u0103, spitalele comunitare \u0219i alte institu\u021bii de asisten\u021b\u0103 medical\u0103 \u00eemp\u0103rt\u0103\u0219esc resursele centrale de diagnosticare folosind un sistem \u201ehub-and-spoke\u201d.<\/p>\n

Acest lucru ar putea fi livrat folosind o combina\u021bie \u00eentre o unitate de primire sau \u201eunitate de andocare\u201d \u0219i o serie de unit\u0103\u021bi mobile de asisten\u021b\u0103 medical\u0103. Unitatea de andocare este configurat\u0103 cu conexiunile corespunz\u0103toare, cum ar fi utilit\u0103\u021bile \u0219i coridoarele de leg\u0103tur\u0103, \u00een preg\u0103tirea pentru primirea unei instala\u021bii mobile, permi\u021b\u00e2nd conectarea u\u0219or \u0219i rapid\u0103 a instala\u021biilor mobile.<\/p>\n

Un astfel de sistem ofer\u0103 furnizorilor acces aproape instantaneu la facilit\u0103\u021bi de diagnosticare complet echipate. Facilit\u0103\u021bile mobile pot fi apoi mutate cu u\u0219urin\u021b\u0103 \u00een cadrul re\u021belei \u0219i instalate rapid \u00eentr-o alt\u0103 loca\u021bie. \u00cen cadrul re\u021belei de colaborare, poate fi selectat\u0103 o gam\u0103 de servicii clinice care se potrivesc cererii \u0219i nevoilor de asisten\u021b\u0103 medical\u0103 din zona local\u0103 sau ofer\u0103 diferite facilit\u0103\u021bi de specialitate prin rota\u021bie.<\/p>\n

Printre beneficiile cheie ale cre\u0219terii accesului la servicii folosind infrastructura flexibil\u0103 se num\u0103r\u0103 faptul c\u0103 ofer\u0103 o solu\u021bie cu risc sc\u0103zut \u0219i mai pu\u021bin intensiv\u0103 de capital, cu structuri de pre\u021buri flexibile. De asemenea, ofer\u0103 un risc opera\u021bional sc\u0103zut, deoarece \u00eentre\u021binerea \u0219i repararea sunt asigurate de furnizorul unit\u0103\u021bii. Cu o solu\u021bie flexibil\u0103 ca aceasta, costurile de contractare, personal \u0219i echipare a unit\u0103\u021bii, precum \u0219i beneficiile acesteia, ar putea fi \u00eemp\u0103r\u021bite \u00eentre furnizori.<\/p>\n

Alternativ, unit\u0103\u021bile mobile \u0219i modulare pot fi combinate pentru a crea un centru de diagnostic fix autonom \u00een aproape orice aspect, care con\u021bine zone de a\u0219teptare pentru pacien\u021bi, s\u0103li de consulta\u021bie, s\u0103li de scanare \u0219i proceduri, toate echipamentele specializate, spa\u021bii de recuperare \u0219i facilit\u0103\u021bi pentru personal \u0219i pentru pacien\u021bi.<\/p>\n

O solu\u021bie centrat\u0103 pe pacient<\/strong><\/p>\n

\u00cen cele din urm\u0103, scopul unei reforme, a\u0219a cum este subliniat \u00een raportul NHS, este de a reduce at\u00e2t timpii de a\u0219teptare acute, c\u00e2t \u0219i electivi \u0219i de a ajuta la \u00eembun\u0103t\u0103\u021birea rezultatelor pacien\u021bilor. Cu toate acestea, planul va dura timp pentru a se livra \u0219i pentru a atinge obiectivele cheie, inclusiv diagnosticarea timpurie a pacien\u021bilor cu cancer, o solu\u021bie este necesar\u0103 urgent.<\/p>\n

Utilizarea unei abord\u0103ri de parteneriat \u0219i a capacit\u0103\u021bii de externalizare de la furnizori care pot sprijini \u0219i lucra cu sistemul de s\u0103n\u0103tate poate aduce beneficii substan\u021biale. Exist\u0103 deja solu\u021bii care pot fi implementate f\u0103r\u0103 a fi nevoie s\u0103 a\u0219tepta\u021bi preg\u0103tirea \u0219i recrutarea speciali\u0219tilor, aprobarea bugetelor de capital, achizi\u021biile de echipamente la scar\u0103 larg\u0103 \u0219i construirea cl\u0103dirilor, ceea ce \u00eenseamn\u0103 c\u0103 beneficiile pot fi transmise pacien\u021bilor mult mai rapid.<\/p>\n

Pe m\u0103sur\u0103 ce ICS-urile \u00ee\u0219i accelereaz\u0103 evolu\u021bia \u00een urm\u0103torii ani, infrastructura flexibil\u0103 de asisten\u021b\u0103 medical\u0103 va juca un rol din ce \u00een ce mai important \u00een \u00eembun\u0103t\u0103\u021birea accesibilit\u0103\u021bii serviciilor de diagnostic. Pe l\u00e2ng\u0103 \u00eembun\u0103t\u0103\u021birea experien\u021belor pacien\u021bilor, cre\u0219terea accesului la servicii la nivel local poate determina, de asemenea, adoptarea pentru procedurile de screening \u0219i diagnostic. \u0218i dac\u0103 continu\u0103m s\u0103 vedem c\u0103 medicii simplific\u0103 recomand\u0103rile \u0219i folosesc consulta\u021bii virtuale la o scar\u0103 similar\u0103 cu cea de acum pentru viitorul apropiat, aceste beneficii vor cre\u0219te doar \u00een timp.<\/p>\n

Acest articol a ap\u0103rut pentru prima dat\u0103 \u00een a patra edi\u021bie a <\/em>Spital Times<\/em><\/a> revist\u0103. <\/em><\/p>","protected":false},"excerpt":{"rendered":"

Nevoia de reformare a diagnosticului \u0219i separarea c\u0103ilor dintre \u00eengrijirea acut\u0103 \u0219i electiv\u0103 a fost subliniat\u0103 \u00eentr-un raport lansat de NHS England \u00een octombrie, care a urmat planului pe termen lung.<\/p>","protected":false},"author":1,"featured_media":1354,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[131,137,5],"class_list":["post-3621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-endoscope-decontamination","tag-endoscopy-suite","tag-mobile"],"acf":[],"yoast_head":"\nMaking diagnostic services more accessible - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"A need for reforming diagnostic services and the separation of pathways between acute and elective care was outlined in NHS England report\" \/>\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\/making-diagnostic-services-more-accessible\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Making diagnostic services more accessible - 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