{"id":3932,"date":"2021-07-26T12:54:11","date_gmt":"2021-07-26T12:54:11","guid":{"rendered":"\/?p=3932"},"modified":"2021-07-26T12:54:11","modified_gmt":"2021-07-26T12:54:11","slug":"are-you-ready-for-the-winter-season","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/ro_ro\/are-you-ready-for-the-winter-season\/","title":{"rendered":"E\u0219ti preg\u0103tit pentru sezonul de iarn\u0103?"},"content":{"rendered":"

O alt\u0103 cre\u0219tere a cazurilor este posibil\u0103 \u00een urma eliber\u0103rii restric\u021biilor \u00een aceast\u0103 lun\u0103 \u0219i, de\u0219i \u00een prezent ne afl\u0103m \u00een mijlocul unui val de c\u0103ldur\u0103, evaluarea preg\u0103tirii \u00eenainte de sezonul de iarn\u0103 trebuie s\u0103 \u00eenceap\u0103 acum. \u00centr-o raport<\/a> publicat s\u0103pt\u0103m\u00e2na trecut\u0103, Academia de \u0218tiin\u021be Medicale a avertizat c\u0103 impactul combinat al Covid-19, al gripei sezoniere \u0219i al virusului respirator al virusului respirator sincitial (RSV), ar putea \u00eempinge NHS la punctul de rupere \u00een aceast\u0103 iarn\u0103.<\/p>\n

Se spune c\u0103 noua modelare sugereaz\u0103 c\u0103 intern\u0103rile \u0219i decesele legate de grip\u0103 \u0219i RSV ar putea fi de dou\u0103 ori mai mari dec\u00e2t \u00eentr-un an \u201enormal\u201d \u0219i ar putea coincide cu o cre\u0219tere a cazurilor de Covid-19, precum \u0219i cu povara obi\u0219nuit\u0103 de iarn\u0103 din afec\u021biuni precum astmul \u0219i BPOC. . Efectul asupra \u00eengrijirii elective \u0219i a altor servicii non-urgente din spitalele aflate \u00een centrul unui focar local ar putea fi devastator.<\/p>\n

Spitalele se vor confrunta cu o serie de provoc\u0103ri \u00een sezonul de iarn\u0103, inclusiv capacitatea redus\u0103 de paturi din cauza m\u0103surilor de control al infec\u021biilor, gradul de ocupare ridicat al patului, lipsa de personal \u0219i riscul apari\u021biei unor epidemii localizate suplimentare de Covid-19 sau apari\u021biei unor noi variante. Ad\u0103uga\u021bi la aceasta restan\u021ba cauzat\u0103 de suspendarea ini\u021bial\u0103 a serviciilor non-urgente \u00een timpul bloc\u0103rii ini\u021biale \u0219i \u00eentreruperea \u00een timpul focarelor ulterioare \u0219i este u\u0219or de observat cu ce urgen\u021b\u0103 trebuie rezolvat\u0103 problema.<\/p>\n

Cre\u0219terea capacit\u0103\u021bii<\/strong><\/p>\n

Pe l\u00e2ng\u0103 protejarea serviciilor elective \u00eempotriva impactului \u00een timpul viitoarelor epidemii de Covid-19 sau a altor boli infec\u021bioase, este necesar\u0103 \u0219i o capacitate suplimentar\u0103 pentru a reduce \u00eent\u00e2rzierea existent\u0103 \u00een \u00eengrijirea electiv\u0103. Prioritizarea clinic\u0103 este o strategie propus\u0103, dar aceasta poate avea un efect negativ asupra vie\u021bii pacien\u021bilor \u0219i este pu\u021bin probabil s\u0103 conduc\u0103 la o reducere a num\u0103rului total de persoane care a\u0219teapt\u0103. Este clar c\u0103 sunt necesare capacit\u0103\u021bi suplimentare \u0219i solu\u021bii scalabile.<\/p>\n

The BMA a estimat<\/a> c\u0103, chiar \u0219i cu o cre\u0219tere de 10% a activit\u0103\u021bii pre-pandemice, ar putea dura p\u00e2n\u0103 la cinci ani pentru a reduce stocul de \u00eengrijire electiv\u0103 din Anglia \u00eenapoi la nivelurile din martie 2019. Ar fi necesar\u0103 o cre\u0219tere de p\u00e2n\u0103 la 20% pentru a rezolva restan\u021ba \u00eentr-un interval de timp mai rezonabil, endoscopia necesit\u00e2nd o cre\u0219tere de 30% \u00een activitatea din martie 2019. De la aceste estim\u0103ri, restan\u021ba a crescut \u0219i mai mult.<\/p>\n

Solu\u021biile flexibile de asisten\u021b\u0103 medical\u0103, cum ar fi s\u0103lile de opera\u021bie modulare \u0219i s\u0103lile de proceduri pot ajuta la reducerea listelor de a\u0219teptare. Ele pot fi configurate relativ rapid \u00een aproape orice configura\u021bie; \u0219i poate fi asamblat \u00een complexe chirurgicale complete care \u00eencorporeaz\u0103 o gam\u0103 larg\u0103 de servicii. Centrele chirurgicale precum acestea sunt folosite din ce \u00een ce mai mult de NHS Trusts pentru opera\u021bii cu volum mare, pentru a face o diferen\u021b\u0103 real\u0103 la cre\u0219terea listelor de a\u0219teptare.<\/p>\n

\u00cembun\u0103t\u0103\u021birea fluxului de pacien\u021bi<\/strong><\/p>\n

Nu este vorba doar de cre\u0219terea capacit\u0103\u021bii. O solu\u021bie de succes \u00eencepe cu o evaluare a \u00eentregului mediu \u0219i a fluxului \u0219i aranjamentului activit\u0103\u021bilor, inclusiv zone poten\u021biale f\u0103r\u0103 Covid-19 sau \u201ec\u0103i verzi\u201d at\u00e2t \u00een zonele clinice, c\u00e2t \u0219i \u00een cele non-clinice. Un centru de chirurgie electiv\u0103 de sine st\u0103t\u0103toare poate oferi o zon\u0103 liber\u0103 de Covid, unde pacien\u021bii pot fi v\u0103zu\u021bi \u00een continuare, indiferent de situa\u021bia din interiorul spitalului principal, cu presiuni de iarn\u0103 sau cazuri de Covid-19, \u0219i unde pacien\u021bii pot fi interna\u021bi direct \u00een unitate. O astfel de solu\u021bie are multe avantaje fa\u021b\u0103 de externalizarea c\u0103tre sectorul privat; Trustul p\u0103streaz\u0103 controlul asupra traseului pacientului, personalului \u0219i costurilor \u0219i exist\u0103 mai pu\u021bine perturb\u0103ri pentru pacien\u021bi.<\/p>\n

Asisten\u021ba primar\u0103 \u0219i de urgen\u021b\u0103 risc\u0103, de asemenea, s\u0103 fie sub presiune tot mai mare \u00een timpul iernii. De\u0219i mesajul \u201esta\u021bi acas\u0103\u201d a avut succes \u00een limitarea r\u0103sp\u00e2ndirii virusului, a descurajat oamenii s\u0103 caute acces \u00een timp util la asisten\u021b\u0103 medical\u0103, provoc\u00e2nd un \u201e\u00eent\u00e2rziere ascuns\u0103\u201d.<\/p>\n

Activit\u0103\u021bile sportive \u0219i recreative nu au revenit \u00eenc\u0103 la nivelurile de dinainte de pandemie \u0219i nici la nivelurile de trafic. Pe m\u0103sur\u0103 ce restric\u021biile se elibereaz\u0103 \u0219i se reia o anumit\u0103 form\u0103 de normalitate, admiterile de urgen\u021b\u0103 vor cre\u0219te \u0219i mai mul\u021bi oameni vor participa, de asemenea, cu preocup\u0103ri non-urgente, poten\u021bial \u00een acela\u0219i timp \u00een care presiunile de iarn\u0103 se intensific\u0103 \u0219i vor avea loc noi valuri sau focare locale de Covid-19.<\/p>\n

\u00cen departamentele A&E exist\u0103 o nevoie continu\u0103 de a putea izola pacien\u021bii cu simptome de Covid-19 \u0219i de a putea face fa\u021b\u0103 nivelurilor mai ridicate a\u0219teptate de cerere. Evaluarea eficient\u0103 \u0219i procesele de triaj sunt esen\u021biale \u0219i pot fi necesare domenii suplimentare pentru evaluarea \u0219i tratarea pacien\u021bilor - cum ar fi unit\u0103\u021bile de leziuni minore sau spa\u021biul dedicat pentru evaluarea simptomelor respiratorii. MIU-urile modulare pot fi plasate adiacent intr\u0103rilor \u00een departamentul de urgen\u021b\u0103, permi\u021b\u00e2nd o cale eficient\u0103 \u0219i reduc\u00e2nd timpii de a\u0219teptare pentru pacien\u021bi - precum \u0219i riscul Covid \u00een departamentul principal A&E.<\/p>\n

Cu majoritatea persoanelor \u00een v\u00e2rst\u0103 complet vaccinate, focarele recente au fost \u00een r\u00e2ndul copiilor. Guvernul a anun\u021bat c\u0103 copiii nu vor fi vaccina\u021bi, a\u0219a c\u0103 sunt posibile noi focare atunci c\u00e2nd copiii se \u00eentorc la \u0219coal\u0103 \u00een toamn\u0103. Dac\u0103 un procent mai mare de spitaliz\u0103ri sunt copii, ar putea fi nevoie de extinderea spa\u021biului pediatric \u00een cadrul spitalelor. Instala\u021biile modulare sunt construite la comand\u0103, iar aspectul, designul \u0219i decorarea pot fi adaptate pentru orice scop; pot fi conectate \u0219i la spa\u021biul pediatric existent.<\/p>\n

De ce este at\u00e2t de urgent?<\/strong><\/p>\n

Gradul \u00een care cre\u0219terea actual\u0103 a infec\u021biilor cu Covid-19 va pune presiune asupra serviciului de s\u0103n\u0103tate este incert, dar exist\u0103 riscul clar ca serviciile s\u0103 poat\u0103 fi extinse \u00een urm\u0103toarele dou\u0103-trei luni sau \u00een perioada de iarn\u0103 - nu numai din cauza o cre\u0219tere a infec\u021biilor, dar \u0219i din cauza efectului combinat perturb\u0103rii personalului cauzat de cerin\u021bele de autoizolare \u0219i de admiteri de urgen\u021b\u0103 \u00een cre\u0219tere pe m\u0103sur\u0103 ce \u021bara se deschide. R\u0103sp\u00e2ndirea rapid\u0103 a variantei Delta demonstreaz\u0103 c\u0103 Marea Britanie va r\u0103m\u00e2ne expus\u0103 riscului de variantele viitoare at\u00e2ta timp c\u00e2t virusul continu\u0103 s\u0103 circule la nivel global.<\/p>\n

Restul este substan\u021bial. Se estimeaz\u0103 c\u0103 aproximativ 1,5 milioane de opera\u021biuni au fost anulate doar \u00een 2020, iar acum sunt peste 5,3 milioane de persoane care a\u0219teapt\u0103 procedurile elective \u00een Anglia \u0219i \u021aara Galilor. Acest \u00eent\u00e2rziere nu se reduce \u2013 \u00een ciuda faptului c\u0103 activitatea a revenit la niveluri aproape normale, num\u0103rul de persoane care a\u0219teapt\u0103 cre\u0219te \u00een fiecare lun\u0103.<\/p>\n

Situa\u021bia r\u0103m\u00e2ne fragil\u0103. Dac\u0103 permitem ca o cre\u0219tere a num\u0103rului de admiteri de urgen\u021b\u0103 Covid-19 sau non-Covid \u0219i presiunile obi\u0219nuite de iarn\u0103 s\u0103 conduc\u0103 la anul\u0103ri suplimentare ale activit\u0103\u021bilor elective sau de diagnosticare \u00een acest an, lista de a\u0219teptare s-ar putea ridica la un punct dincolo de recuperarea rezonabil\u0103.<\/p>\n

Ave\u021bi suficient\u0103 capacitate de supratensiune pentru a face fa\u021b\u0103 presiunii suplimentare din aceast\u0103 iarn\u0103? Dac\u0103 nu, o solu\u021bie modular\u0103 ar putea fi r\u0103spunsul. Infrastructura temporar\u0103 poate oferi capacitatea fizic\u0103 suplimentar\u0103 necesar\u0103 pentru a men\u021bine interven\u021bia chirurgical\u0103 electiv\u0103 pe timpul iernii sau pentru a stimula activitatea de interven\u021bie chirurgical\u0103 electiv\u0103 dincolo de capacitatea 100%, pentru a reduce substan\u021bial listele de a\u0219teptare existente pentru a merge mai departe.<\/p>\n

Preg\u0103tirile trebuie s\u0103 \u00eenceap\u0103 acum; disponibilitatea solu\u021biilor de \u00eengrijire a s\u0103n\u0103t\u0103\u021bii modulare pe deplin conforme \u0219i adaptate cerin\u021belor dumneavoastr\u0103 este limitat\u0103. Intra\u021bi \u00een leg\u0103tur\u0103<\/a> acum pentru a rezerva o consulta\u021bie.<\/p>","protected":false},"excerpt":{"rendered":"

Av\u00e2nd \u00een vedere perspectivele pentru Covid-19 incerte, este acum mai important ca oric\u00e2nd s\u0103 se planifice din timp pentru iarn\u0103 pentru a ne asigura c\u0103 exist\u0103 o capacitate suficient\u0103 pentru a face fa\u021b\u0103 poten\u021bialelor cre\u0219teri ale cererii f\u0103r\u0103 a avea impact asupra furniz\u0103rii de servicii de \u00eengrijire electiv\u0103 sau de diagnosticare.<\/p>","protected":false},"author":1,"featured_media":1457,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3932","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nAre you ready for the winter season? - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Uncertainty of Covid makes it more important to plan for winter to ensure sufficient capacity to deal with potential spikes in demand\" \/>\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\/are-you-ready-for-the-winter-season\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are you ready for the winter season? 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