{"id":3257,"date":"2020-11-03T16:22:28","date_gmt":"2020-11-03T16:22:28","guid":{"rendered":"\/?p=3257"},"modified":"2020-11-03T16:22:28","modified_gmt":"2020-11-03T16:22:28","slug":"flexible-healthcare-infrastructure-can-alleviate-ae-pressure","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sq_al\/flexible-healthcare-infrastructure-can-alleviate-ae-pressure\/","title":{"rendered":"Infrastruktura fleksib\u00ebl e kujdesit sh\u00ebndet\u00ebsor mund t\u00eb leht\u00ebsoj\u00eb presionin e A&E"},"content":{"rendered":"

Nd\u00ebrsa frekuentimet e A&E rriten dhe kapaciteti i kujdesit sh\u00ebndet\u00ebsor vazhdon t\u00eb kufizohet nga nevoja p\u00ebr t\u00eb akomoduar pacient\u00ebt Covid-19, nj\u00eb nj\u00ebsi e p\u00ebrkohshme e l\u00ebndimeve t\u00eb lehta (MIU) ose nj\u00eb qend\u00ebr trajtimi urgjent (UTC) mund t\u00eb ndihmoj\u00eb n\u00eb uljen e presionit n\u00eb periudh\u00ebn afatshkurt\u00ebr dhe afatmesme dhe t\u00eb shtoj\u00eb jetike kapacitet shtes\u00eb p\u00ebr trajtimin e pacient\u00ebve.<\/p>\n

Shqet\u00ebsimi \u00ebsht\u00eb se vala e dyt\u00eb mund t\u00eb shkaktoj\u00eb q\u00eb departamentet e A&E t\u00eb mbingarkohen edhe nj\u00eb her\u00eb k\u00ebt\u00eb sezon dim\u00ebror. Nd\u00ebrsa modeli i ri p\u00ebr caktimin e takimeve q\u00eb qeveria po provon duhet t\u00eb reduktoj\u00eb koh\u00ebn e pritjes p\u00ebr rastet e urgjenc\u00ebs, do t\u00eb nevojitet nj\u00eb qasje m\u00eb e gjer\u00eb p\u00ebr p\u00ebrmir\u00ebsimin e fluksit t\u00eb pacient\u00ebve.<\/p>\n

Nj\u00eb \u00e7\u00ebshtje afatgjat\u00eb<\/strong><\/p>\n

Rritja e presionit n\u00eb departamentet e urgjenc\u00ebs \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje afatgjat\u00eb, e nxitur nga nj\u00eb s\u00ebr\u00eb faktor\u00ebsh demografik\u00eb dhe faktor\u00eb t\u00eb tjer\u00eb, por shkalla e problemit \u00ebsht\u00eb rritur me kalimin e koh\u00ebs duke kulmuar n\u00eb nj\u00eb kulm gjat\u00eb dimrit t\u00eb kaluar. Gjat\u00eb pes\u00eb viteve t\u00eb fundit, frekuentimet n\u00eb departamentet kryesore t\u00eb A&E n\u00eb spitalet e p\u00ebrgjithshme jan\u00eb rritur me m\u00eb shum\u00eb se 10%,<\/a> me rritjen midis 2018 dhe 2019 m\u00eb e r\u00ebnd\u00ebsishmja n\u00eb 4.9%.<\/p>\n

Me banim krevate ne mbi 90% n\u00eb nivel komb\u00ebtar<\/a>, shum\u00eb objekte ishin n\u00eb kapacitetin maksimal p\u00ebrpara pandemis\u00eb, q\u00eb do t\u00eb thot\u00eb se ka shum\u00eb pak fleksibilitet n\u00eb sistem p\u00ebr t\u00eb p\u00ebrballuar rritjet e p\u00ebrkohshme t\u00eb k\u00ebrkes\u00ebs, si\u00e7 \u00ebsht\u00eb ajo nga Covid-19. Vler\u00ebsohet se k\u00ebrkesa p\u00ebr distancimin shoq\u00ebror ka ulur ndjesh\u00ebm baz\u00ebn e shtratit t\u00eb NHS England.<\/p>\n

Rritja e k\u00ebrkes\u00ebs n\u00eb kombinim me kapacitetin e kufizuar dhe reduktuar ka \u00e7uar n\u00eb rritjen e konsiderueshme t\u00eb koh\u00ebs s\u00eb pritjes me kalimin e koh\u00ebs. N\u00eb nivel komb\u00ebtar, 23,81 TP4T pacient\u00eb<\/a> n\u00eb departamentet kryesore t\u00eb A&E prit\u00ebn m\u00eb shum\u00eb se kat\u00ebr or\u00eb vitin e kaluar, krahasuar me 8.5% n\u00eb 2014, me tendenca t\u00eb ngjashme t\u00eb v\u00ebrejtura n\u00eb Skoci dhe Uells.<\/p>\n

Kjo tani \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje urgjente. Mbipopullimi mund t\u00eb n\u00ebnkuptoj\u00eb nj\u00eb rrezik m\u00eb t\u00eb lart\u00eb t\u00eb transmetimit t\u00eb virusit dhe nevoja p\u00ebr ndarjen e pacient\u00ebve me Covid-19 t\u00eb dyshuar nga pacient\u00ebt jo-Covid po shton presionin e menj\u00ebhersh\u00ebm. Cilado qoft\u00eb metrika e p\u00ebrdorur p\u00ebr t\u00eb matur performanc\u00ebn e A&E, \u00ebsht\u00eb e qart\u00eb se situata nd\u00ebrsa hyjm\u00eb n\u00eb sezonin e dimrit \u00ebsht\u00eb m\u00eb pak se ideale.<\/p>\n

Reduktimi i k\u00ebrkes\u00ebs p\u00ebr A&E<\/strong><\/p>\n

Rritja themelore e k\u00ebrkes\u00ebs p\u00ebr kujdes sh\u00ebndet\u00ebsor nuk do t\u00eb dob\u00ebsohet me kalimin e koh\u00ebs, dhe n\u00eb terma afatgjat\u00eb, shtimi i m\u00eb shum\u00eb kapaciteteve n\u00eb form\u00ebn e m\u00eb shum\u00eb hap\u00ebsirave n\u00eb reparte dhe spitaleve t\u00eb reja do t\u00eb jet\u00eb gjithashtu thelb\u00ebsore.<\/p>\n

Sh\u00ebrbimet e kujdesit urgjent dhe urgjent tashm\u00eb po kalonin transformim p\u00ebr t\u00eb arritur nj\u00eb sistem t\u00eb thjeshtuar dhe t\u00eb integruar dhe flukse t\u00eb p\u00ebrmir\u00ebsuara t\u00eb pacient\u00ebve, por shfaqja e Covid-19 ka p\u00ebrshpejtuar ritmin e ndryshimit. Duke pasur parasysh situat\u00ebn aktuale, A&E nuk ka gjasa t\u00eb jet\u00eb vendi m\u00eb i p\u00ebrshtatsh\u00ebm p\u00ebr pacient\u00ebt me kushte t\u00eb caktuara.<\/p>\n

Skema e re, e cila p\u00ebrfshin punonj\u00ebsit e NHS 111 q\u00eb drejtojn\u00eb pacient\u00ebt n\u00eb sh\u00ebrbimin m\u00eb t\u00eb p\u00ebrshtatsh\u00ebm klinik, duhet t\u00eb zvog\u00ebloj\u00eb grumbullimin n\u00eb dhomat e pritjes, t\u00eb ul\u00eb rrezikun dhe t\u00eb shkurtoj\u00eb frekuentimet e panevojshme A&E. Por kjo mund t\u00eb sjell\u00eb gjithashtu sfida p\u00ebr sa i p\u00ebrket hap\u00ebsir\u00ebs fizike dhe kapacitetit n\u00eb pjes\u00eb t\u00eb tjera t\u00eb sistemit t\u00eb kujdesit sh\u00ebndet\u00ebsor. Njer\u00ebzit e devijuar nga departamentet e A&E do t\u00eb ken\u00eb nevoj\u00eb diku p\u00ebr t\u00eb shkuar.<\/p>\n

P\u00ebrmir\u00ebsimi i rrjedh\u00ebs s\u00eb pacientit<\/strong><\/p>\n

Krijimi i nj\u00eb MIU ose UTC t\u00eb bashk\u00ebvendosur n\u00eb t\u00eb nj\u00ebjtin vend me departamentin A&E i lejon spitalet t\u00eb ndajn\u00eb burimet brenda sitit dhe pacient\u00ebt t\u00eb trajtohen n\u00eb mjedisin m\u00eb t\u00eb p\u00ebrshtatsh\u00ebm, duke \u00e7uar n\u00eb uljen e koh\u00ebs s\u00eb pritjes dhe rrjedh\u00ebn m\u00eb efektive t\u00eb pacient\u00ebve. Nj\u00eb reduktim i presionit t\u00eb m\u00ebtejsh\u00ebm n\u00eb shtret\u00ebrit e shtret\u00ebrve \u00ebsht\u00eb gjithashtu i mundur, pasi pacient\u00ebt shihen dhe trajtohen m\u00eb shpejt dhe kan\u00eb m\u00eb pak gjasa p\u00ebr t'u caktuar nj\u00eb shtrat.<\/p>\n

Por shtimi i kapaciteteve n\u00eb form\u00ebn e nj\u00eb nd\u00ebrtese t\u00eb re ose nj\u00eb zgjerimi t\u00eb p\u00ebrhersh\u00ebm mund t\u00eb jet\u00eb i v\u00ebshtir\u00eb p\u00ebr shkak t\u00eb kufizimeve n\u00eb terren dhe riorganizimi i nj\u00eb departamenti t\u00eb urgjenc\u00ebs ose nd\u00ebrtimi i nj\u00eb nj\u00ebsie MIU ose UTC mund t\u00eb marr\u00eb koh\u00eb.<\/p>\n

Nj\u00eb MIU ose UTC fleksib\u00ebl, i bashk\u00ebvendosur ose modular, mund t\u00eb vendoset shpejt ngjitur me nj\u00eb departament ekzistues A&E p\u00ebr t\u00eb leht\u00ebsuar presionin e menj\u00ebhersh\u00ebm. Duke p\u00ebrdorur nj\u00eb zgjidhje t\u00eb p\u00ebrkohshme, nj\u00eb m\u00ebnyr\u00eb e re e pun\u00ebs mund t\u00eb arrihet shum\u00eb shpejt nd\u00ebrkoh\u00eb q\u00eb po b\u00ebhet nj\u00eb rikonfigurim m\u00eb i p\u00ebrhersh\u00ebm.<\/p>\n

Nj\u00eb MIU e bashk\u00ebvendosur<\/strong><\/p>\n

Nj\u00eb spital q\u00eb e ka b\u00ebr\u00eb k\u00ebt\u00eb \u00ebsht\u00eb Infermieria Mbret\u00ebrore e Edinburgut<\/a>, e cila ngriti nj\u00eb MIU n\u00eb vitin 2019. Menaxhmenti i spitalit zbuloi se njer\u00ebzit po prisnin n\u00eb A&E p\u00ebr trajtim p\u00ebr kushte q\u00eb mund t\u00eb trajtoheshin diku tjet\u00ebr n\u00eb sistemin e kujdesit sh\u00ebndet\u00ebsor, duke e vendosur departamentin n\u00ebn presion dhe duke \u00e7uar n\u00eb koh\u00eb m\u00eb t\u00eb gjata pritjeje p\u00ebr pacient\u00ebt.<\/p>\n

NHS Lothian donte t\u00eb ndihmonte m\u00eb shum\u00eb njer\u00ebz q\u00eb t\u00eb trajtoheshin shpejt, n\u00eb m\u00ebnyr\u00eb efektive dhe n\u00eb mjedisin m\u00eb t\u00eb rehatsh\u00ebm t\u00eb mundsh\u00ebm, k\u00ebshtu q\u00eb u mor nj\u00eb vendim p\u00ebr t\u00eb krijuar nj\u00eb MIU pran\u00eb departamentit A&E t\u00eb spitalit, i cili mund t\u00eb trajtonte njer\u00ebzit me l\u00ebndime m\u00eb pak serioze. Objekti q\u00eb rezultoi u krijua duke p\u00ebrdorur nj\u00eb teat\u00ebr operativ t\u00eb l\u00ebvizsh\u00ebm me rrjedhje laminare n\u00eb kombinim me nd\u00ebrtesa modulare.<\/p>\n

Kompleksi ofron t\u00eb gjith\u00eb hap\u00ebsir\u00ebn e nevojshme p\u00ebr t\u00eb ofruar nj\u00eb sh\u00ebrbim t\u00eb plot\u00eb MIU, duke p\u00ebrfshir\u00eb nj\u00eb zon\u00eb pritjeje dhe pritjeje, dhoma trajtimi, hap\u00ebsira sh\u00ebrbimi t\u00eb pastra dhe t\u00eb pista dhe nj\u00eb dhom\u00eb zhveshjeje. Nj\u00eb k\u00ebrkes\u00eb e r\u00ebnd\u00ebsishme ishte q\u00eb nj\u00ebsia t\u00eb ishte e aksesueshme nga departamenti ekzistues i A&E, di\u00e7ka q\u00eb u arrit n\u00ebp\u00ebrmjet nd\u00ebrtimit t\u00eb nj\u00eb vendkalimi t\u00eb nd\u00ebrtuar me q\u00ebllim q\u00eb bashkonte t\u00eb dy departamentet.<\/p>\n

Pasi u instalua, objekti pati nj\u00eb ndikim t\u00eb menj\u00ebhersh\u00ebm pozitiv. Brenda or\u00ebs s\u00eb par\u00eb, m\u00eb shum\u00eb se 20 pacient\u00eb u devijuan nga A&E dhe q\u00eb nga hapja, nga 80 deri n\u00eb 100 pacient\u00eb jan\u00eb trajtuar n\u00eb MIU \u00e7do dit\u00eb p\u00ebr nj\u00eb s\u00ebr\u00eb l\u00ebndimesh t\u00eb lehta si fraktura, l\u00ebndime t\u00eb indeve t\u00eb buta dhe pickime. MIU n\u00eb vend po redukton gjithashtu sasin\u00eb e koh\u00ebs q\u00eb njer\u00ebzit presin p\u00ebr t'u par\u00eb dhe po leht\u00ebson presionin n\u00eb hap\u00ebsirat e shtratit n\u00eb spitalin kryesor.<\/p>\n

P\u00ebrfitime fleksib\u00ebl t\u00eb kujdesit sh\u00ebndet\u00ebsor<\/strong><\/p>\n

Nj\u00ebsit\u00eb e p\u00ebrkohshme t\u00eb l\u00ebvizshme dhe modulare mund t\u00eb p\u00ebrdoren p\u00ebr t\u00eb ofruar hap\u00ebsir\u00eb klinike shtes\u00eb n\u00eb nj\u00eb baz\u00eb afatshkurt\u00ebr ose afatgjat\u00eb. Natyra fleksibile e nj\u00ebsive t\u00eb p\u00ebrkohshme t\u00eb l\u00ebvizshme ose modulare MIU do t\u00eb thot\u00eb se ato mund t\u00eb modifikohen me kalimin e koh\u00ebs nd\u00ebrsa k\u00ebrkesat dhe kapaciteti ndryshojn\u00eb. Ato gjithashtu mund t\u00eb \u00e7montohen, zhvendosen ose rip\u00ebrdoren pasi t\u00eb jet\u00eb vendosur nj\u00eb zgjidhje m\u00eb e p\u00ebrhershme.<\/p>\n

Zgjidhjet fleksib\u00ebl gjithashtu i lejojn\u00eb spitalet t\u00eb testojn\u00eb skenar\u00eb dhe t\u00eb provojn\u00eb rastet e biznesit p\u00ebrpara se t\u00eb investojn\u00eb shuma t\u00eb konsiderueshme parash n\u00eb nj\u00eb nd\u00ebrtes\u00eb t\u00eb re ose t\u00eb rimodeluar t\u00eb p\u00ebrhershme. P\u00ebrve\u00e7 testimit t\u00eb proceseve t\u00eb reja ose praktikave t\u00eb pun\u00ebs, nj\u00ebsia e p\u00ebrkohshme mund t\u00eb p\u00ebrdoret gjithashtu p\u00ebr t\u00eb provuar teknologjin\u00eb e re, duke i lejuar spitalet t\u00eb p\u00ebrmir\u00ebsojn\u00eb dhe t\u00eb sigurojn\u00eb sisteme t\u00eb s\u00eb ardhmes.<\/p>\n

Megjithat\u00eb, zgjidhjet modulare nuk duhet t\u00eb jen\u00eb t\u00eb p\u00ebrkohshme; Nd\u00ebrtesat modulare moderne mund t\u00eb b\u00ebhen plot\u00ebsisht me porosi dhe t\u00eb dizajnuara p\u00ebr t'u p\u00ebrshtatur pa probleme me nj\u00eb nd\u00ebrtes\u00eb ekzistuese. Instalimi i nj\u00eb nj\u00ebsie modulare \u00ebsht\u00eb shum\u00eb m\u00eb i shpejt\u00eb se nd\u00ebrtimi n\u00eb nj\u00eb m\u00ebnyr\u00eb tradicionale - koha e nd\u00ebrtimit p\u00ebr nj\u00eb nj\u00ebsi modulare mund t\u00eb reduktohet me pothuajse 50% - dhe ka m\u00eb pak rrezik nga moti i pafavorsh\u00ebm ose faktor\u00eb t\u00eb tjer\u00eb t\u00eb jasht\u00ebm q\u00eb shkaktojn\u00eb vonesa.<\/p>\n

Nj\u00eb nevoj\u00eb urgjente<\/strong><\/p>\n

Covid-19 po vendos nj\u00eb sistem q\u00eb tashm\u00eb ishte i shtrir\u00eb dhe n\u00ebn presion. Numri i pacient\u00ebve q\u00eb ndjekin departamentet kryesore t\u00eb A&E n\u00eb spitalet e p\u00ebrgjithshme ka pothuajse u dyfishua n\u00eb 20 vitet e fundit<\/a>, me popullsin\u00eb ton\u00eb t\u00eb plakur dhe n\u00eb rritje t\u00eb shpejt\u00eb nj\u00eb faktor ky\u00e7. Kjo kategori pacient\u00ebsh p\u00ebrdor gjithashtu m\u00eb shum\u00eb dit\u00eb shtrati se njer\u00ebzit e tjer\u00eb pas nj\u00eb shtrimi urgjent.<\/p>\n

Shkurtimet n\u00eb kujdesin par\u00ebsor, komunitar dhe social kan\u00eb shkaktuar gjithashtu n\u00eb m\u00ebnyr\u00eb indirekte nj\u00eb rritje t\u00eb frekuentimeve dhe pranimeve t\u00eb parandalueshme A&E, t\u00eb tilla si ato q\u00eb lidhen me l\u00ebndime t\u00eb lehta, dehje nga alkooli ose droga, \u00e7menduria dhe sh\u00ebndeti mendor, dhe mungesa e p\u00ebrgjithshme e shtret\u00ebrve mund t\u00eb shkaktoj\u00eb bllokime gjetk\u00eb, duke p\u00ebrfshir\u00eb departamentet e A&E. K\u00ebrkohet nj\u00eb zgjidhje m\u00eb e p\u00ebrhershme p\u00ebr t'iu p\u00ebrshtatur kushteve t\u00eb reja dhe p\u00ebr t\u00eb siguruar q\u00eb kapaciteti i p\u00ebrgjithsh\u00ebm t\u00eb jet\u00eb n\u00eb gjendje t\u00eb p\u00ebrmbush\u00eb rritjen e parashikuar demografike.<\/p>\n

Megjithat\u00eb, nd\u00ebrsa i afrohemi dimrit, nuk ka koh\u00eb t\u00eb mjaftueshme p\u00ebr t\u00eb pritur q\u00eb zgjidhjet afatgjata t\u00eb zbatohen. Ekziston nj\u00eb rrezik serioz i mbipopullimit, duke e b\u00ebr\u00eb t\u00eb v\u00ebshtir\u00eb distancimin social dhe duke rritur rrezikun e transmetimit, dhe zgjidhje praktike duhet t\u00eb vendosen tani.<\/p>\n

Nj\u00eb MIU ose UTC modulare e bashk\u00ebvendosur mund t\u00eb shtoj\u00eb kapacitet fleksib\u00ebl, duke i lejuar spitalet t\u00eb zbatojn\u00eb ndryshimet e rekomanduara pa pasur nevoj\u00eb t\u00eb presin q\u00eb t\u00eb nd\u00ebrmerren punime t\u00eb m\u00ebdha ose nj\u00eb nd\u00ebrtes\u00eb t\u00eb re. T\u00eb gjith\u00eb spitalet jan\u00eb t\u00eb ndrysh\u00ebm dhe nj\u00eb zgjidhje e p\u00ebrkohshme ofron mund\u00ebsin\u00eb p\u00ebr t\u00eb testuar koncepte t\u00eb reja p\u00ebr t\u00eb par\u00eb se si do t\u00eb funksionoj\u00eb p\u00ebr ta p\u00ebrpara se t\u00eb angazhohen p\u00ebr investime t\u00eb konsiderueshme.<\/p>\n

Kontaktoni<\/a> p\u00ebr t\u00eb m\u00ebsuar m\u00eb shum\u00eb rreth zgjidhjeve tona modulare p\u00ebr MIU ose UTC n\u00eb vend.<\/p>","protected":false},"excerpt":{"rendered":"

Nd\u00ebrsa frekuentimet e A&E rriten dhe kapaciteti i kujdesit sh\u00ebndet\u00ebsor vazhdon t\u00eb kufizohet nga nevoja p\u00ebr t\u00eb akomoduar pacient\u00ebt Covid-19, nj\u00eb nj\u00ebsi e p\u00ebrkohshme e l\u00ebndimeve t\u00eb lehta (MIU) ose nj\u00eb qend\u00ebr trajtimi urgjent (UTC) mund t\u00eb ndihmoj\u00eb n\u00eb uljen e presionit n\u00eb periudh\u00ebn afatshkurt\u00ebr dhe afatmesme dhe t\u00eb shtoj\u00eb jetike kapacitet shtes\u00eb p\u00ebr trajtimin e pacient\u00ebve.<\/p>","protected":false},"author":1,"featured_media":1361,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[142,127,5,4],"class_list":["post-3257","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-estates","tag-minor-injuries-unit-miu","tag-mobile","tag-modular"],"acf":[],"yoast_head":"\nFlexible healthcare infrastructure can alleviate A&E pressure - 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