{"id":3684,"date":"2021-04-27T09:14:20","date_gmt":"2021-04-27T09:14:20","guid":{"rendered":"\/?p=3684"},"modified":"2021-04-27T09:14:20","modified_gmt":"2021-04-27T09:14:20","slug":"how-do-our-waiting-times-compare","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/ro_ro\/how-do-our-waiting-times-compare\/","title":{"rendered":"Cum se compar\u0103 timpul nostru de a\u0219teptare?"},"content":{"rendered":"

Trebuie s\u0103 vedem \u00eenc\u0103 impactul total al Covid-19 asupra listelor de a\u0219teptare \u0219i momentele \u00een care pacien\u021bii vor trebui s\u0103 a\u0219tepte pentru o interven\u021bie chirurgical\u0103 electiv\u0103. De\u0219i nu exist\u0103 nicio \u00eendoial\u0103 c\u0103 a provocat un restan\u021be temporar \u00een unele domenii \u0219i pentru unele specialit\u0103\u021bi, nu \u0219tim care va fi efectul pe termen lung, deoarece \u00eenc\u0103 ne str\u0103duim s\u0103 ie\u0219im din pandemie.<\/p>\n

Poate fi util s\u0103 l\u0103rgi perspectiva \u0219i s\u0103 privim tendin\u021bele pe termen lung \u0219i contextul interna\u021bional, precum \u0219i politicile pe care diferite \u021b\u0103ri le-au adoptat pentru a gestiona listele de a\u0219teptare.<\/p>\n

Timpii de a\u0219teptare au fost o preocupare de lung\u0103 durat\u0103 \u00een multe \u021b\u0103ri \u0219i un\n\n raport OCDE\n<\/a>\na fost publicat recent pe aceast\u0103 tem\u0103. Acesta analizeaz\u0103 timpii de a\u0219teptare din 17 \u021b\u0103ri OCDE, precum \u0219i efectul unei game de politici implementate pentru a rezolva problema, folosind date p\u00e2n\u0103 \u00een 2018-2019 inclusiv.\n\n O compara\u021bie corect\u0103\n<\/strong>\nO problem\u0103 c\u00e2nd se compar\u0103 mai multe \u021b\u0103ri este c\u0103 defini\u021bia, modalit\u0103\u021bile de m\u0103surare, colectare, structurare \u0219i raportare a datelor variaz\u0103 \u00eentre \u021b\u0103ri, limit\u00e2nd comparabilitatea.<\/p>\n

Timpii de a\u0219teptare, de exemplu, pot fi \u00eenregistra\u021bi de la trimiterea medicului de familie sau \u00een urma unei vizite de specialitate. Unele sisteme de s\u0103n\u0103tate vor m\u0103sura timpul de a\u0219teptare \u201e\u00een ambulatoriu\u201d, altele, timpul de a\u0219teptare \u201e\u00een spital\u201d, altele vor m\u0103sura timpul complet de a\u0219teptare pentru trimiterea la tratament, a\u0219a cum este cazul \u00een Danemarca, Norvegia \u0219i Anglia.<\/p>\n

\u00cen timp ce timpul mediu \u0219i median de a\u0219teptare, timpul de a\u0219teptare la anumite percentile ale distribu\u021biei - \u0219i num\u0103rul sau propor\u021bia de pacien\u021bi care a\u0219teapt\u0103 mai mult de o perioad\u0103 de timp de prag (de exemplu, 3, 6 sau 12 luni) - sunt toate modalit\u0103\u021bi valide de m\u0103surare a a\u0219tept\u0103rii. ori, mediana este folosit\u0103 cel mai frecvent pentru compara\u021bii interna\u021bionale.<\/p>\n

Cu toate acestea, distribu\u021bia timpilor de a\u0219teptare este, \u00een general, neregulat\u0103, cu o mic\u0103 propor\u021bie de pacien\u021bi care a\u0219teapt\u0103 un timp foarte lung, ceea ce \u00eenseamn\u0103 c\u0103 timpul mediu de a\u0219teptare poate fi substan\u021bial mai lung dec\u00e2t mediana.\n\n Cum se compar\u0103 Regatul Unit?\n<\/strong>\nStudiul OCDE arat\u0103 c\u0103 timpii de a\u0219teptare pentru o interven\u021bie chirurgical\u0103 electiv\u0103 pot varia mult \u00eentre \u021b\u0103ri, timpii de a\u0219teptare de aproape 10 ori mai mari \u00een unele \u021b\u0103ri dec\u00e2t \u00een altele.<\/p>\n

Datele despre timpii de a\u0219teptare sunt disponibile \u00een prezent doar pentru 17 \u021b\u0103ri OCDE \u0219i pentru anumite proceduri. \u00cen medie, \u00een aceste \u021b\u0103ri, timpii medii de a\u0219teptare au fost mai scurti pentru mai multe interven\u021bii chirurgicale minore, cum ar fi opera\u021biile de cataract\u0103 (95 de zile \u00een 2018) \u0219i mai lungi pentru mai multe interven\u021bii chirurgicale majore, cum ar fi protec\u021bia \u0219oldului (110 zile) \u0219i a genunchiului (140 de zile).<\/p>\n

Cu toate acestea, exist\u0103 varia\u021bii uria\u0219e \u00eentre \u021b\u0103ri. \u00cen general, timpii de a\u0219teptare pentru o interven\u021bie chirurgical\u0103 electiv\u0103 \u00een 2018 au fost cei mai mici \u00een Danemarca, \u021a\u0103rile de Jos, Italia \u0219i Ungaria, \u00een timp ce au fost cei mai mari \u00een Estonia, Polonia \u0219i Chile.<\/p>\n

Graficul de mai jos arat\u0103 timpii medii de a\u0219teptare pentru unele \u021b\u0103ri OCDE selectate cu date comparabile pentru diferite tipuri de interven\u021bii chirurgicale.<\/p>\n

Dup\u0103 cum arat\u0103 graficul, timpii medii de a\u0219teptare pentru opera\u021bia de cataract\u0103 \u00een Regatul Unit au fost mai mici dec\u00e2t media OCDE, dar mai mari dec\u00e2t \u00een alte \u021b\u0103ri, inclusiv Italia, Danemarca \u0219i Suedia \u00een 2018. Trebuie remarcat faptul c\u0103 dou\u0103 \u021b\u0103ri nu sunt afi\u0219ate \u00een acest grafic. , Estonia \u0219i Polonia, au avut timpi de a\u0219teptare semnificativ mai mari la 180 \u0219i, respectiv, 250 de zile.<\/p>\n

\u00cen ciuda faptului c\u0103 timpii de a\u0219teptare pentru interven\u021bia chirurgical\u0103 electiv\u0103 au crescut de-a lungul timpului, timpul mediu de a\u0219teptare \u00een Marea Britanie pentru proteze de \u0219old \u0219i genunchi a fost din nou mai mic dec\u00e2t media OCDE \u0219i sub \u021b\u0103ri precum Australia, Canada \u0219i Portugalia.<\/p>\n

\u00cen Australia, a\u0219teptarea medie pentru \u00eenlocuirea genunchiului a fost una dintre cele mai mari din toate \u021b\u0103rile OCDE, cu 209 zile, mai mult de 6 luni. Media OCDE este mare pentru acest tip de procedur\u0103 \u0219i a fost adus\u0103 \u00een discu\u021bie de relativ pu\u021bine \u021b\u0103ri cu timpi de a\u0219teptare foarte mari (nu sunt prezentate aici), cum ar fi Chile, care are o a\u0219teptare medie de 840 de zile \u0219i Estonia cu 460 de zile.<\/p>\n

\u00cen toate \u021b\u0103rile, pacien\u021bii care necesit\u0103 tratamente mai urgente au, \u00een general, o a\u0219teptare mai scurt\u0103 dec\u00e2t cei a c\u0103ror stare de s\u0103n\u0103tate este mai pu\u021bin probabil s\u0103 se deterioreze \u00een timpul a\u0219tept\u0103rii. Prin urmare, timpii medii de a\u0219teptare pentru opera\u021bia de bypass coronarian sunt \u00een general mai scurte.\n\"\"\n\n Cum s-au schimbat de-a lungul timpului timpii de a\u0219teptare?\n<\/strong>\nCifrele OCDE arat\u0103 c\u0103, dup\u0103 o perioad\u0103 de stabilitate, timpii de a\u0219teptare pentru tratamentul electiv (care sunt de obicei cele mai lungi) au \u00eenceput s\u0103 creasc\u0103 \u00een mai multe \u021b\u0103ri, chiar \u00eenainte de focarul de Covid-19.<\/p>\n

Cu toate acestea, modific\u0103rile aduse timpului mediu de a\u0219teptare \u00een \u021b\u0103ri precum Regatul Unit \u0219i Australia au fost, de\u0219i semnificative, relativ mici din perspectiv\u0103 interna\u021bional\u0103, comparativ cu, de exemplu, Estonia \u0219i Portugalia.<\/p>\n

Multe \u021b\u0103ri au implementat politici axate pe reducerea timpilor de a\u0219teptare, cu rezultate mixte. Danemarca, Anglia \u0219i Finlanda au reu\u0219it s\u0103 reduc\u0103 timpii de a\u0219teptare pentru multe servicii de s\u0103n\u0103tate electiv\u0103 \u0219i au men\u021binut aceste reduceri pe perioade sus\u021binute \u0219i, a\u0219a cum se arat\u0103 \u00een grafice, Polonia a reu\u0219it s\u0103 reduc\u0103 timpii de a\u0219teptare \u00een mod substan\u021bial \u00een ultimii cinci ani.<\/p>\n

Not\u0103: \u2020 Pentru \u021a\u0103rile de Jos, datele sunt media, deoarece mediana nu este disponibil\u0103 * Pentru Norvegia, timpii de a\u0219teptare sunt supraestima\u021bi din cauza modului \u00een care sunt calculati timpii de a\u0219teptare.\n\n Sursa: Statistici de s\u0103n\u0103tate OCDE\n<\/a>\n\n \"\"\n<\/strong>\n\n Cum sunt aborda\u021bi timpii de a\u0219teptare \u00een diferite \u021b\u0103ri?\n<\/strong>\nAtunci c\u00e2nd apar liste de a\u0219teptare, este \u00een general rezultatul unui dezechilibru \u00eentre cererea \u0219i oferta de servicii de s\u0103n\u0103tate. Politicile corecte de implementat vor fi diferite \u00een fiecare \u021bar\u0103 \u0219i depind de sistemul de s\u0103n\u0103tate, situa\u021bia financiar\u0103 \u0219i politic\u0103, printre al\u021bi factori.<\/p>\n

Timpii maximi de a\u0219teptare au fost folosi\u021bi \u00een multe \u021b\u0103ri ca \u021bint\u0103 pentru furnizori \u0219i, \u00een unele cazuri, o garan\u021bie pentru pacien\u021bi, dar nu exist\u0103 un timp maxim de a\u0219teptare \u201eunic pentru to\u021bi\u201d.<\/p>\n

Cre\u0219terile permanente \u0219i sus\u021binute ale ofertei sunt cea mai eficient\u0103 modalitate de a ob\u021bine reduceri permanente ale timpilor de a\u0219teptare. Cu toate acestea, interven\u021biile pe termen scurt care utilizeaz\u0103 pachete de finan\u021bare suplimentare ocazionale servesc, de asemenea, unui scop important. R\u0103spunz\u00e2nd rapid la o cre\u0219tere temporar\u0103 a cererii sau la o \u00eentrerupere pe termen scurt a aprovizion\u0103rii, listele de a\u0219teptare pot fi prevenite s\u0103 creasc\u0103 substan\u021bial \u0219i s\u0103 creeze \u00eent\u00e2rzieri \u0219i s\u0103 creeze timpi de a\u0219teptare mai departe sau pe o perioad\u0103 mai lung\u0103 de timp.<\/p>\n

Nici m\u0103car cre\u0219terea permanent\u0103 a ofertei nu este o garan\u021bie a succesului. \u00cen unele cazuri, oferta suplimentar\u0103 poate fi compensat\u0103 de o cre\u0219tere a cererii, printr-o cre\u0219tere a recomand\u0103rilor, a testelor \u0219i a procedurilor. De exemplu, timpii de a\u0219teptare pentru unele interven\u021bii chirurgicale elective \u00een Canada \u0219i Australia au crescut \u00een ultimii ani, \u00een ciuda finan\u021b\u0103rii suplimentare \u0219i a cre\u0219terii activit\u0103\u021bii.<\/p>\n

Acolo unde exist\u0103 un exces de cerere substan\u021bial, partea cererii este uneori vizat\u0103 pentru a reduce timpii de a\u0219teptare. Instrumentele de prioritizare clinic\u0103 care se concentreaz\u0103 pe \u00eembun\u0103t\u0103\u021birea rezultatelor s\u0103n\u0103t\u0103\u021bii pot \u00eembun\u0103t\u0103\u021bi procesul de trimitere \u0219i gestionarea listelor de a\u0219teptare.<\/p>\n

\u00cen raportul OCDE,\n\n Noua Zeeland\u0103\n<\/strong>\neste folosit ca exemplu de \u021bar\u0103 care a \u00eencercat s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 prioritizarea pacien\u021bilor (dar \u00een combina\u021bie cu cre\u0219terea ofertei). \u00cen urma unei reduceri a timpilor de a\u0219teptare pentru interven\u021bii chirurgicale elective la maximum 4 luni \u00een 2012,\n\n timpii de a\u0219teptare au sc\u0103zut\n<\/a>\npentru multe proceduri comune \u0219i sunt mult sub mediile OCDE.\n\n Impactul asupra accesului la \u00eengrijire \u0219i asupra rezultatelor s\u0103n\u0103t\u0103\u021bii\n<\/strong>\nO mare cantitate de dovezi indic\u0103 faptul c\u0103 timpii lungi de a\u0219teptare pot avea efecte negative at\u00e2t asupra accesului la \u00eengrijire, c\u00e2t \u0219i asupra rezultatelor de s\u0103n\u0103tate pentru pacien\u021bi. Aceasta este o preocupare cu abordarea listelor de a\u0219teptare din partea cererii prin ra\u021bionalizarea timpilor de a\u0219teptare \u0219i implementarea politicilor de prioritizare.<\/p>\n

Starea pacien\u021bilor se poate deteriora \u00een timpul a\u0219tept\u0103rii, mai ales dac\u0103 a\u0219teptarea este prelungit\u0103 sau pacientul este deprioritizat. De\u0219i necesitatea unei proteze de \u0219old, de exemplu, nu pune via\u021ba \u00een pericol, tr\u0103irea pe termen lung cu o astfel de afec\u021biune este debilitant\u0103 \u0219i poate reduce substan\u021bial calitatea vie\u021bii pacientului.<\/p>\n

Pe l\u00e2ng\u0103 faptul c\u0103 au consecin\u021be poten\u021bial grave pentru pacien\u021bi \u0219i sunt o surs\u0103 de nevoi de \u00eengrijire nesatisf\u0103cute \u00een unele \u021b\u0103ri, timpii lungi de a\u0219teptare pot duce, de asemenea, la inegalit\u0103\u021bi \u00een ceea ce prive\u0219te accesul. \u00cen mod ideal, accesul la \u00eengrijire ar trebui s\u0103 se bazeze pe nevoi \u0219i nu pe capacitatea de plat\u0103.<\/p>\n

Unii pacien\u021bi vor avea inevitabil mai multe op\u021biuni dec\u00e2t al\u021bii, iar la nivel interna\u021bional, exist\u0103 inegalit\u0103\u021bi vaste \u00een ceea ce prive\u0219te accesul, \u00een func\u021bie de locul \u00een care locuie\u0219te pacientul. De exemplu, timpul maxim de a\u0219teptare pentru o opera\u021bie de cataract\u0103\n\n variaz\u0103 \u00eentre \u021b\u0103ri\n<\/a>\nde la o lun\u0103 \u00een Danemarca la 1,5 ani \u00een Estonia. Chiar \u0219i \u00een interiorul unei \u021b\u0103ri, pot exista diferen\u021be substan\u021biale \u00eentre accesul \u00een zonele rurale \u0219i metropolitane.<\/p>\n

De asemenea, este probabil ca pandemia de Covid-19 s\u0103 fi avut un impact foarte diferit asupra sistemelor de s\u0103n\u0103tate din diferite \u021b\u0103ri, dar sunt necesare mai multe date pentru a analiza acest lucru.\n\n Ce se poate face pentru a \u00eembun\u0103t\u0103\u021bi timpul de a\u0219teptare \u00een Marea Britanie?\n<\/strong>\nDe\u0219i listele de a\u0219teptare din Marea Britanie nu sunt semnificativ \u00een urma celor mai multe \u021b\u0103ri europene, adev\u0103rul este c\u0103 listele de a\u0219teptare \u0219i, prin urmare, timpii de a\u0219teptare, au crescut substan\u021bial \u00een ultimul deceniu. Am v\u0103zut, de asemenea, c\u0103 Covid-19 are impact asupra timpilor de a\u0219teptare, iar pacien\u021bii care a\u0219teapt\u0103 mai mult de 52 de s\u0103pt\u0103m\u00e2ni pentru o interven\u021bie chirurgical\u0103 electiv\u0103 reprezint\u0103 acum peste 8% din totalul de 4,7 milioane de oameni care a\u0219teapt\u0103 o interven\u021bie chirurgical\u0103.<\/p>\n

Pentru a rezolva acest lucru, este nevoie de a extinde substan\u021bial capacitatea \u2013 \u0219i de a face acest lucru rapid. \u00cen multe trusturi NHS, exist\u0103 o lips\u0103 at\u00e2t de capacitate fizic\u0103, c\u00e2t \u0219i de personal pentru a cre\u0219te nivelul de activitate. O modalitate de a cre\u0219te rapid \u0219i eficient capacitatea este utilizarea infrastructurii flexibile de asisten\u021b\u0103 medical\u0103, cum ar fi s\u0103lile de opera\u021bie mobile sau modulare.<\/p>\n

A\n\n teatru temporar\n<\/a>\npoate fi \u00een vigoare pentru o perioad\u0103 mai lung\u0103 pentru a acoperi lucr\u0103rile de extindere a departamentului existent sau pentru o perioad\u0103 mai scurt\u0103 pentru a stimula activitatea \u0219i a \u201eblitz\u201d listele de a\u0219teptare care s-au acumulat de-a lungul timpului. O astfel de solu\u021bie poate fi configurat\u0103 ca unitate autonom\u0103 dedicat\u0103 pentru opera\u021bii de mare volum, av\u00e2nd un impact minim asupra resurselor existente ale spitalului. O gam\u0103 de solu\u021bii flexibile, care pot fi furnizate cu personal calificat \u0219i cu experien\u021b\u0103, dac\u0103 este necesar, sunt disponibile de la Vanguard.<\/p>\n

Alte strategii vizeaz\u0103 \u00eembun\u0103t\u0103\u021birea coordon\u0103rii dintre \u00eengrijirea primar\u0103 \u0219i secundar\u0103, ceea ce poate oferi un flux mai bun al pacien\u021bilor \u0219i o perspectiv\u0103 valoroas\u0103 asupra \u00eentregului traseu al pacientului \u0219i a timpilor de a\u0219teptare \u00een fiecare etap\u0103 a c\u0103l\u0103toriei. Asisten\u021ba medical\u0103 flexibil\u0103 poate ajuta \u0219i \u00een acest sens; de exemplu, o clinic\u0103 mobil\u0103 sau modular\u0103 pentru leziuni minore poate fi amplasat\u0103 l\u00e2ng\u0103 departamentul principal A&E al spitalului pentru a ajuta la direc\u021bionarea pacien\u021bilor c\u0103tre calea cea mai potrivit\u0103.<\/p>\n

\u00cen momentul de fa\u021b\u0103, cererea este mai mic\u0103 dec\u00e2t anterior \u0219i exist\u0103 \u00eengrijorarea c\u0103, odat\u0103 ce se va materializa \u00eent\u00e2rzierea de trimiteri, listele de a\u0219teptare vor \u00eenregistra o cre\u0219tere semnificativ\u0103 \u0219i mai mult, a\u0219a c\u0103 momentul s\u0103 ac\u021bion\u0103m acum este. \u00cen cele din urm\u0103, reducerea timpului pe care oamenii trebuie s\u0103-l a\u0219tepte pentru accesul la serviciile de s\u0103n\u0103tate este esen\u021bial\u0103 pentru \u00eembun\u0103t\u0103\u021birea experien\u021bei pacientului - o prioritate cheie \u00een majoritatea \u021b\u0103rilor.<\/p>","protected":false},"excerpt":{"rendered":"

Timpii de a\u0219teptare au r\u0103mas un subiect fierbinte pe tot parcursul pandemiei - \u0219i nu doar aici, \u00een Marea Britanie. Dar cum se compar\u0103 timpii no\u0219tri de a\u0219teptare pentru o interven\u021bie chirurgical\u0103 electiv\u0103 la nivel interna\u021bional? \u0218i care este tendin\u021ba mai larg\u0103 pe termen lung?<\/p>","protected":false},"author":1,"featured_media":1692,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[122],"class_list":["post-3684","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-operating-theatre"],"acf":[],"yoast_head":"\nHow do our waiting times compare? - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Comparing international waiting times, a hot topic throughout the pandemic in UK and beyond, and reviewing the long-term trends\" \/>\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\/how-do-our-waiting-times-compare\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How do our waiting times compare? 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