{"id":608,"date":"2022-04-28T15:06:00","date_gmt":"2022-04-28T15:06:00","guid":{"rendered":"https:\/\/www.vanguardhealthcare.co.uk\/?p=608"},"modified":"2023-09-14T11:43:24","modified_gmt":"2023-09-14T11:43:24","slug":"the-debilitating-effects-of-a-pandemic-on-womens-health","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sv_se\/the-debilitating-effects-of-a-pandemic-on-womens-health\/","title":{"rendered":"De f\u00f6rsvagande effekterna av en pandemi p\u00e5 kvinnors h\u00e4lsa"},"content":{"rendered":"

Pausandet av elektiv v\u00e5rd i b\u00f6rjan av Covid-19-pandemin i slutet av mars 2020 resulterade i den st\u00f6rsta eftersl\u00e4pningen i NHS historia, med 6,1 miljoner<\/a> fortfarande p\u00e5 NHS v\u00e4ntelistor i mars 2022, inklusive 24 000 som v\u00e4ntar mer \u00e4n tv\u00e5 \u00e5r. Omicron-varianten och frekvent personalbrist under vinterm\u00e5naderna bidrog inte mycket till situationen, d\u00e4r Riksrevisionen (NAO) f\u00f6rutsp\u00e5r att v\u00e4ntelistorna kommer att forts\u00e4tta att v\u00e4xa till mellan 7 och 12 miljoner med mars 2025<\/a>.<\/p>\n

N\u00e4r NHS Trusts och Health Boards \u00f6ver hela landet k\u00e4mpar f\u00f6r att ta itu med sina eftersl\u00e4pningar inom elektiv v\u00e5rd har det blivit tydligt att s\u00e4rskilt en specialitet har p\u00e5verkats kraftigt.<\/p>\n

Kvinnors h\u00e4lsa hamnade i baks\u00e4tet under hela den elektiva v\u00e5rdens paus och med omplaceringen av personal till mer kritiska specialiteter ut\u00f6kades de redan omfattande v\u00e4ntelistorna ytterligare. Under hela pandemin var huvudfokus f\u00f6r obstetrik och gynekologi (O&G) avdelningar att leverera s\u00e4kra och akuta f\u00f6rlossningstj\u00e4nster, prioritera diagnos och behandling av gynekologisk cancer och leverera akuta tj\u00e4nster relaterade till problem som uppst\u00e5r under tidig graviditet. En studie utf\u00f6rd av Royal College of Obstetricians and Gynecologists (RCOG) visade faktiskt att ca. 53%<\/a> av v\u00e5rdgivare omplacerade konsulter och Specialty Associate Specialists (SAS) f\u00f6r att st\u00f6dja obstetrik, med 50%<\/a> av gynekologer som flyttar till akut obstetrik. Detta innebar att v\u00e4sentliga delar, s\u00e5som akuta kirurgiska ingrepp, v\u00e5rd efter graviditet och kvinnliga cancertj\u00e4nster blev underprioriterade.<\/p>\n

Sedan starten av Covid-19-pandemin har v\u00e4ntelistorna f\u00f6r gynekologi fortsatt att \u00f6ka dramatiskt, med sammanlagt totalt 570,000<\/a> kvinnor p\u00e5 v\u00e4ntelistor \u00f6ver hela Storbritannien senast i december 2021. V\u00e4ntan skjutit i h\u00f6jden 60%<\/a>, skarpare \u00e4n n\u00e5gon annan specialitet, med mer \u00e4n 1 300 enbart i England kvar p\u00e5 v\u00e4ntelistor i \u00f6ver tv\u00e5 \u00e5r, men LCP<\/a> f\u00f6resl\u00e5r att detta inte \u00e5terspeglar den verkliga omfattningen av det aktuella problemet. F\u00f6rutom de f\u00f6rsvagande effekter som s\u00e5dana problem kan ha p\u00e5 det dagliga livet, kan tillst\u00e5nd som endometrios och myom leda till fertilitetsproblem om de l\u00e4mnas obehandlade och med m\u00e5nga som v\u00e4ntar p\u00e5 operation innan behandlingen p\u00e5b\u00f6rjas och en \u00e5ldersgr\u00e4ns f\u00f6r IVF p\u00e5 NHS, m\u00e5nga kvinnor har l\u00e4mnats i f\u00f6r\u00f6dande situationer. I en unders\u00f6kning gjord av RCOG<\/a> av 837 kvinnor uppgav 80% av kvinnor att de hade drabbats av p\u00e5verkan p\u00e5 sin mentala h\u00e4lsa, d\u00e4r 61% erk\u00e4nde att de k\u00e4nde f\u00f6rtvivlan vid l\u00e5nga v\u00e4ntan och ytterligare en 63%-k\u00e4nsla ignorerades.<\/p>\n

Pandemin har belyst den verkliga omfattningen av regionala oj\u00e4mlikheter i h\u00e4lsa \u00f6ver hela Storbritannien, med en rapport av Health Foundation i juli 2021<\/a> visar att de i mindre bemedlade och minoritetssamh\u00e4llen mer ben\u00e4gna att drabbas av allvarligare konsekvenser av b\u00e5de Covid-19 och de konsekvenser som d\u00e4refter f\u00f6ljer. F\u00f6r gynekologi fanns faktiskt 8 av de 10 v\u00e4rst drabbade Clinical Commissioning Groups (CCGs) i nordv\u00e4stra Storbritannien, vilket f\u00f6rv\u00e4rrade behovet av att ta itu med geografiska variationer i v\u00e5rden. F\u00f6r att utvidga detta, efter en uppmaning till bevis fr\u00e5n Department of Health and Social Care i mars 2021 avsl\u00f6jades det att just 2 i 5<\/a> kvinnor k\u00e4nner att de bekv\u00e4mt kan f\u00e5 tillg\u00e5ng till sjukv\u00e5rden lokalt. De viktigaste resultaten som skulle f\u00f6rb\u00e4ttra tj\u00e4nsterna var b\u00e4ttre geografisk m\u00e5ngfald, f\u00f6rb\u00e4ttrad utbildning av allm\u00e4nl\u00e4kare och en \u00f6kning av specialister p\u00e5 kvinnors h\u00e4lsotillst\u00e5nd. F\u00f6r att framg\u00e5ngsrikt kunna ta itu med den v\u00e4xande gynekologiska elektiva eftersl\u00e4pningen \u00e4r det uppenbart att det beh\u00f6vs en lokal strategi f\u00f6r att ta itu med de omr\u00e5den d\u00e4r de regionala skillnaderna \u00e4r st\u00f6rst, vilket inneb\u00e4r attpostnummerlotteri<\/a>' f\u00f6r gynekologisk v\u00e5rd till ett slut.<\/p>\n

I slutet av 2021 publicerade Royal College of Surgeons (RCS) en\u00a0Rapportera<\/a>\u00a0efterlyser inf\u00f6randet av valfritt\u00a0kirurgiska nav<\/a>\u00a0f\u00f6r att ta itu med eftersl\u00e4pningen av elektiv v\u00e5rd som NHS Trusts och Health Boards st\u00e5r inf\u00f6r \u00f6ver hela Storbritannien. Inf\u00f6randet av frist\u00e5ende kirurgiska faciliteter ger inte bara ytterligare klinisk kapacitet snabbt och effektivt, utan de maximerar ocks\u00e5 infektionskontrollen inom v\u00e5rdmilj\u00f6er, vilket \u00f6kar b\u00e5de patientens och personalens f\u00f6rtroende och d\u00e4rf\u00f6r minskar antalet patienter som inte dyker upp f\u00f6r planerade v\u00e5rdbes\u00f6k. Den flexibla karakt\u00e4ren hos dessa v\u00e5rdutrymmen s\u00e4kerst\u00e4ller att faciliteter kan skr\u00e4ddarsys f\u00f6r skr\u00e4ddarsydda lokala krav, vilket s\u00e4kerst\u00e4ller att v\u00e4ntelistor inom akut gynekologisk v\u00e5rd kan \u00e5tg\u00e4rdas i enlighet d\u00e4rmed, vilket frig\u00f6r utrymme inom huvudsjukhuset f\u00f6r mer komplexa procedurer, s\u00e5som akut obstetrik.<\/p>\n

\"\"<\/figure>\n

Inf\u00f6randet av flexibla v\u00e5rdplatser har varit framg\u00e5ngsrikt f\u00f6r att st\u00f6dja den \u00f6kade efterfr\u00e5gan p\u00e5 f\u00f6rlossningstj\u00e4nster i Nederl\u00e4nderna genom inf\u00f6randet av en mobil leveranssvit p\u00e5 Wilhelminasjukhuset i Assen<\/a>. Det fullt utrustade f\u00f6rlossningsrummet var s\u00f6ml\u00f6st kopplat till huvudsjukhuset och 125 barn f\u00f6ddes i anl\u00e4ggningen under hela kontraktets varaktighet. Inf\u00f6randet av denna skr\u00e4ddarsydda m\u00f6drav\u00e5rdsinr\u00e4ttning visar effektiviteten i att ut\u00f6ka kvinnov\u00e5rdsanl\u00e4ggningar f\u00f6r att st\u00f6dja de v\u00e4xande p\u00e5frestningarna p\u00e5 m\u00f6drav\u00e5rden och st\u00f6djer de bredare kraven p\u00e5 implementering av kirurgiska nav och ytterligare kapacitetsl\u00f6sningar f\u00f6r att minska v\u00e4ntelistorna f\u00f6r akutv\u00e5rd.<\/p>\n

Dessutom har det uppskattats att n\u00e4stan 1,5 miljoner kvinnor<\/a> hade br\u00f6stcancerscreeningar f\u00f6rsenade med mellan 2 och 7 m\u00e5nader mellan juli 2020 och juni 2021, vilket ledde till ca. 687<\/a> ytterligare d\u00f6dsfall fr\u00e5n br\u00f6stcancer, screen-detekterade tum\u00f6rd\u00f6dsfall och DCIS. Br\u00f6stscreeningtj\u00e4nsterna avbr\u00f6ts i slutet av mars 2020, med faciliteter endast tillg\u00e4ngliga f\u00f6r de med h\u00f6gre risk eller de med befintliga fynd och detta \u00e5terupptogs f\u00f6rst efter inbjudan f\u00f6ljande september. Som ett resultat av \u00f6kade infektionskontroll\u00e5tg\u00e4rder, personalbrist och p\u00e5frestningar p\u00e5 kapacitet, \u00e5terupptogs inte screeningtj\u00e4nsterna till tidigare kapacitetsniv\u00e5er, vilket skapade ytterligare risk f\u00f6r odiagnostiserade patienter. Detta har lett till \u00f6kade efterlysningar av medel f\u00f6r kommunala diagnostiska centra<\/a> (CDC), s\u00e4rskilt i omr\u00e5den d\u00e4r tillg\u00e5ng till sjukv\u00e5rd \u00e4r mindre l\u00e4ttillg\u00e4nglig.<\/p>\n

Br\u00f6stscreening minskar antalet d\u00f6dsfall i br\u00f6stcancer med 1,300<\/a> per \u00e5r, vilket betonar vikten av att implementera samh\u00e4llstj\u00e4nster f\u00f6r att uppmuntra tidig uppt\u00e4ckt. Den h\u00e4r m\u00e5naden tillk\u00e4nnagavs att CDC:er hade levererat mer \u00e4n 700 000 ytterligare tester \u00f6ver de 73 centra som redan finns p\u00e5 plats i England, vilket f\u00f6rt h\u00e4lsov\u00e5rdstj\u00e4nster till lokala samh\u00e4llen och hj\u00e4lpt till att minska regionala oj\u00e4mlikheter i h\u00e4lsa.<\/p>\n

Det finns fortfarande mycket att g\u00f6ra f\u00f6r att ta itu med k\u00f6nsskillnaderna inom v\u00e5rd i Storbritannien, och RCOG kr\u00e4ver en \u00f6versyn av prioriteringen av v\u00e5rden f\u00f6r att erk\u00e4nna det dolda lidande som upplevs med kvinnors h\u00e4lsotillst\u00e5nd. Elektiva \u00e5terh\u00e4mtningsplaner b\u00f6r behandla alarmerande \u00f6kning av gynekologiska v\u00e4ntelistor<\/a> i j\u00e4mf\u00f6relse med andra specialiteter, inklusive st\u00f6d f\u00f6r lokala l\u00f6sningar och anv\u00e4ndning av kirurgiska nav. Flexibla l\u00f6sningar f\u00f6r att \u00f6ka b\u00e5de kirurgisk och screeningkapacitet, s\u00e4rskilt i omr\u00e5den d\u00e4r tillg\u00e5ngen till sjukv\u00e5rdsinr\u00e4ttningar \u00e4r mer knapp, kommer inte bara att bidra till att minska v\u00e4ntelistorna, utan de kommer att bidra till en \u00f6verlag b\u00e4ttre livskvalitet f\u00f6r kvinnor som lider.<\/p>","protected":false},"excerpt":{"rendered":"

Pausandet av elektiv v\u00e5rd i b\u00f6rjan av Covid-19-pandemin i slutet av mars 2020 resulterade i den st\u00f6rsta eftersl\u00e4pningen i NHS historia, med 6,1 miljoner fortfarande p\u00e5 NHS v\u00e4ntelistor i mars 2022, inklusive 24 000 som v\u00e4ntade i mer \u00e4n tv\u00e5 \u00e5r. I synnerhet har de f\u00f6rsvagande effekterna av pandemin orsakat f\u00f6r\u00f6delse f\u00f6r kvinnors h\u00e4lsa.<\/p>","protected":false},"author":1,"featured_media":609,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nThe debilitating effects of a pandemic on women\u2019s health - Vanguard Healthcare Solutions<\/title>\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\/sv_se\/the-debilitating-effects-of-a-pandemic-on-womens-health\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The debilitating effects of a pandemic on women\u2019s health - Vanguard Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The pausing of elective care at the start of the Covid-19 pandemic in late March 2020 resulted in the greatest backlog in NHS history, with 6.1 million still on NHS waiting lists by March 2022, including 24,000 waiting more than two years. 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