{"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\/tr_tr\/making-diagnostic-services-more-accessible\/","title":{"rendered":"Tan\u0131lama hizmetlerini daha eri\u015filebilir hale getirmek"},"content":{"rendered":"

Tan\u0131sal hizmet sunumunun yeniden d\u00fczenlenmesi ve g\u00fcvenli, hasta merkezli yollar sa\u011flamak i\u00e7in yeni bir hizmet modelinin getirilmesi ihtiyac\u0131 bir s\u00fcredir \u00f6ncelikli bir alan olsa da, Covid-19'un tan\u0131 faaliyetleri \u00fczerindeki etkisi, bunun ne kadar acil bir \u015fekilde ger\u00e7ekle\u015ftirilmesi gerekti\u011fini vurgulad\u0131.<\/p>\n

Tan\u0131lar\u0131n yeniden d\u00fczenlenmesi ve akut ve elektif bak\u0131m aras\u0131ndaki yollar\u0131n ayr\u0131lmas\u0131 ihtiyac\u0131 bir bildiride \u00f6zetlenmi\u015ftir. NHS \u0130ngiltere taraf\u0131ndan yay\u0131nlanan rapor<\/a> Ekim ay\u0131nda ise uzun vadeli plan\u0131n devam\u0131 niteli\u011finde bir geli\u015fme ya\u015fand\u0131.<\/p>\n

Covid-19 salg\u0131n\u0131, sa\u011fl\u0131k sistemimizin dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131 etkileyen bir dizi zay\u0131fl\u0131\u011f\u0131 vurgulad\u0131. Covid-19'dan \u00f6\u011frendi\u011fimiz \u015fey, akut ve elektif bak\u0131m aras\u0131ndaki yollar\u0131n net bir \u015fekilde ayr\u0131lmas\u0131n\u0131n sa\u011fl\u0131k sisteminin tamam\u0131 \u00fczerindeki domino etkilerini en aza indirebilmesine ra\u011fmen; bir sonraki salg\u0131nla etkili bir \u015fekilde ba\u015fa \u00e7\u0131kabilmek i\u00e7in de gerekli oldu\u011fudur.<\/p>\n

Covid-19 durumu daha da k\u00f6t\u00fcle\u015ftirdi<\/strong><\/p>\n

\u0130ngiltere hastaneleri, pandemiden \u00f6nce maruz kald\u0131\u011f\u0131 bask\u0131 g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, Covid-19 salg\u0131n\u0131yla nispeten iyi ba\u015fa \u00e7\u0131km\u0131\u015f olsa da, sa\u011fl\u0131k sisteminin akut olmayan \u00e7o\u011fu b\u00f6l\u00fcm\u00fcnde istenmeyen etkilere neden oldu. Randevular iptal edildi, te\u015fhis prosed\u00fcrleri ertelendi; ve hastanelerde yataklar\u0131 bo\u015faltmak i\u00e7in al\u0131nan \u00f6nlemler, toplum sa\u011fl\u0131k hizmetini olumsuz etkiledi ve hastanelerde acil olmayan hastalar i\u00e7in mevcut yatak say\u0131s\u0131n\u0131 azaltt\u0131.<\/p>\n

En belirgin etkilerden biri, vaka say\u0131s\u0131ndaki belirgin art\u0131\u015f oldu. bekleyen insanlar<\/a> Tan\u0131 testleri ve tedaviler i\u00e7in. \u0130lk karantinadan bu yana aktivite artm\u0131\u015f olsa da hen\u00fcz pandemi \u00f6ncesi seviyelere geri d\u00f6nmedi ve \u00f6zellikle BT taramas\u0131 ve endoskopi i\u00e7in hasta say\u0131s\u0131, Covid-19 enfeksiyon riskini azaltmay\u0131 ama\u00e7layan \u00f6nlemler nedeniyle daha d\u00fc\u015f\u00fck.<\/p>\n

Etki en uzun s\u00fcre bekleyenlerde en y\u00fcksek oldu. Eyl\u00fcl ay\u0131na gelindi\u011finde, aktivite \u00f6nemli \u00f6l\u00e7\u00fcde artmas\u0131na ra\u011fmen, listedeki hastalar\u0131n \u00fc\u00e7te biri bir tarama veya ba\u015fka bir tan\u0131 testi i\u00e7in alt\u0131 haftadan fazla beklemi\u015fti ve endoskopi i\u00e7in bu rakam 50%'nin \u00fczerindeydi. Endoskopi i\u00e7in 13 haftadan fazla bekleyen hasta say\u0131s\u0131 Haziran ay\u0131ndaki zirvesinden d\u00fc\u015ft\u00fc, ancak en son Covid-19 dalgas\u0131n\u0131n hizmetlerde daha fazla kesintiye neden olmas\u0131 bekleniyor.<\/p>\n

Ayr\u0131ca endi\u015feye neden olan \u015fey, bir dan\u0131\u015fmanla randevu almak i\u00e7in bekleme s\u00fcrelerinin de uzamas\u0131yla ertelenmi\u015f sevklerin 'gizli birikimi'dir. Hasta ak\u0131\u015flar\u0131n\u0131n azald\u0131\u011f\u0131 dan\u0131\u015fman liderli\u011findeki bir sistemde, bir dan\u0131\u015fman\u0131 g\u00f6rmek i\u00e7in beklemek bir darbo\u011faz haline gelir.<\/p>\n

Tan\u0131 hizmetlerinin reformu<\/strong><\/p>\n

Ancak pandemi ayn\u0131 zamanda de\u011fi\u015fim i\u00e7in bir f\u0131rsat da sa\u011flad\u0131. \u0130lerledik\u00e7e odak, Nightingale hastaneleri gibi k\u0131sa vadeli ge\u00e7ici \u00e7\u00f6z\u00fcmler kullanarak acil krize \u00e7\u00f6z\u00fcm aramaktan, uzun vadede Covid-19 riskiyle ya\u015famaya uyum sa\u011flamaya do\u011fru kayd\u0131. Gelecek i\u00e7in daha b\u00fcy\u00fck yerle\u015fik dayan\u0131kl\u0131l\u0131k arama konusunda yenilenen bir vurgu var.<\/p>\n

Tan\u0131 hizmetlerinin sunulma bi\u00e7iminde k\u00f6kten iyile\u015ftirmelere ihtiya\u00e7 duyuldu\u011fu pandemi \u00f6ncesinde de yayg\u0131n olarak kabul ediliyordu; \u00f6zellikle son be\u015f y\u0131lda talep h\u0131zla artm\u0131\u015f ve son y\u0131llarda alt\u0131 haftal\u0131k tan\u0131 standard\u0131n\u0131n ihlallerinde art\u0131\u015f ya\u015fanm\u0131\u015ft\u0131.<\/p>\n

Endoskopi ekipman\u0131na ve tesislerine eri\u015fim, \u00f6zellikle kolonoskopi i\u00e7in pandemi \u00f6ncesinde bile \u00f6nemli \u00f6l\u00e7\u00fcde zorlan\u0131yor. \u0130lk Defada Do\u011fru Yap (GIRFT)<\/a> program, yakla\u015f\u0131k 20 NHS Vakf\u0131n\u0131n endoskopi tesislerinin tamamen yeniden in\u015fa edilmesi gerekece\u011fini, di\u011ferlerinin ise iyile\u015ftirmeye ihtiya\u00e7 duyaca\u011f\u0131n\u0131 g\u00f6steriyor.<\/p>\n

Endoskopi tesisleri i\u00e7in ulusal bir varl\u0131k kayd\u0131 bulunmamakla birlikte, bir rapor<\/a> Kamu Politikas\u0131 Projeleri'nin Vanguard ortakl\u0131\u011f\u0131yla iki y\u0131l \u00f6nce yay\u0131nlad\u0131\u011f\u0131 bir ara\u015ft\u0131rma, hastanelerin yakla\u015f\u0131k 25%'sinde on y\u0131ldan daha eski endoskopi dekontaminasyon \u00fcniteleri ve ekipmanlar\u0131n\u0131n bulundu\u011funu ortaya koydu.<\/p>\n

A\u00e7\u0131k\u00e7a, bu sadece binalara ve ekipmana yat\u0131r\u0131m yapmakla ilgili de\u011fil. Artan kapasitenin yan\u0131 s\u0131ra, i\u015f g\u00fcc\u00fcn\u00fcn geni\u015fletilmesi gerekecek ve yeni hizmet modellerinin hastane ortamlar\u0131n\u0131n d\u0131\u015f\u0131nda tam bir te\u015fhis hizmeti seti sunmas\u0131 gerekecek.<\/p>\n

Tan\u0131: \u0130yile\u015fme ve Yenilenme<\/strong><\/p>\n

\u00d6nerilen bir \u00e7\u00f6z\u00fcm ana hatlar\u0131yla belirtilmi\u015ftir son rapor<\/a>NHS \u0130ngiltere taraf\u0131ndan g\u00f6revlendirilen tan\u0131 hizmetlerinin bir incelemesine dayanarak Uzun Vadeli Plan<\/a>M\u00fcmk\u00fcn olan her yerde akut ve elektif tan\u0131lar\u0131n ayr\u0131lmas\u0131n\u0131 savunuyor ve teklife g\u00f6re, tan\u0131 de\u011ferlendirmeleri i\u00e7in 'tek elden hizmet' sa\u011flamak amac\u0131yla akut hastane merkezlerinden uzakta, toplum i\u00e7inde ba\u011f\u0131ms\u0131z tan\u0131 merkezleri kurulacak.<\/p>\n

Rapor, kapasiteyi art\u0131rma ihtiyac\u0131n\u0131 vurguluyor ve mevcut talep art\u0131\u015f\u0131n\u0131 kar\u015f\u0131lamak ve ba\u011f\u0131rsak tarama program\u0131n\u0131n planlanan uzant\u0131s\u0131n\u0131 sa\u011flamak i\u00e7in NHS Trusts'ta tahmini 200 yeni endoskopi odas\u0131na ihtiya\u00e7 duyuldu\u011funu belirtiyor. Ayr\u0131ca, 10 y\u0131ldan eski t\u00fcm mevcut g\u00f6r\u00fcnt\u00fcleme ekipmanlar\u0131n\u0131n de\u011fi\u015ftirilmesi ve \u00f6n\u00fcm\u00fczdeki be\u015f y\u0131l i\u00e7inde BT tarama kapasitesinin 100% art\u0131r\u0131lmas\u0131 ihtiyac\u0131 da belirlendi. \u0130ngiltere'de n\u00fcfus ba\u015f\u0131na BT taray\u0131c\u0131 temini, di\u011fer geli\u015fmi\u015f \u00fclkelere g\u00f6re \u00e7ok daha d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n

Bu yakla\u015f\u0131m, akut hastane ortam\u0131na gelen hasta say\u0131s\u0131nda \u00f6nemli bir azalma sa\u011flayacak ve sa\u011fl\u0131k sistemi genelinde verimlilik yaratacakt\u0131r. Yay\u0131mland\u0131\u011f\u0131 tarihten bu yana, rapor evrensel olarak memnuniyetle kar\u015f\u0131land\u0131 ve \u00f6neriler tam olarak uygulan\u0131rsa, i\u015f g\u00fcc\u00fc, ekipman ve tesislere \u00f6nemli yat\u0131r\u0131mlar yap\u0131lmas\u0131na vesile olacakt\u0131r.<\/p>\n

Daha esnek bir yakla\u015f\u0131m<\/strong><\/p>\n

Son harcama incelemesinin bir par\u00e7as\u0131 olarak duyurulan 2021\/22'de sermaye harcamalar\u0131nda 2,3 milyar sterlinlik art\u0131\u015f, MRI ve BT taray\u0131c\u0131lar\u0131 gibi te\u015fhis makineleri i\u00e7in ve eski g\u00f6r\u00fcnt\u00fcleme ekipmanlar\u0131n\u0131n de\u011fi\u015ftirilmesi i\u00e7in 325 milyon sterlin i\u00e7eriyor ve bu, maliyeti bir \u00f6l\u00e7\u00fcde kar\u015f\u0131lamaya yard\u0131mc\u0131 olacak.<\/p>\n

Soru, bunun yeterli olup olmayaca\u011f\u0131 ve etkisini k\u0131sa ve orta vadede bekleme s\u00fcreleri ve hasta sonu\u00e7lar\u0131nda ger\u00e7ek bir fark yaratmak i\u00e7in yeterince erken g\u00f6r\u00fcp g\u00f6rmeyece\u011fimizdir. Rapordaki \u00f6nerilerin uygulanmas\u0131 zaman alacakt\u0131r - ancak her ay artan i\u015f y\u00fck\u00fcyle, beklemek bir se\u00e7enek midir?<\/p>\n

Mevcut y\u00f6ntemleri kullanarak yollar\u0131n net bir \u015fekilde ayr\u0131lmas\u0131 zaten m\u00fcmk\u00fcn esnek sa\u011fl\u0131k altyap\u0131s\u0131<\/a>, entegre bir bak\u0131m a\u011f\u0131n\u0131n ayr\u0131lmaz bir par\u00e7as\u0131 olarak hastalara daha yak\u0131n kurulabilir. Mobil ve mod\u00fcler g\u00f6r\u00fcnt\u00fcleme ve endoskopi \u00fcniteleri, \u00e7ok k\u0131sa bir s\u00fcre i\u00e7inde ba\u011f\u0131ms\u0131z, Covid'siz bir te\u015fhis tesisi olu\u015fturmak i\u00e7in hemen hemen her yere kurulabilir.<\/p>\n

Mobil \u00fcniteler genellikle hastane alan\u0131n\u0131n bir par\u00e7as\u0131 olarak daha fazla esneklik sa\u011flamak i\u00e7in kullan\u0131lsa da, ayn\u0131 zamanda hizmetleri hastalara daha yak\u0131n hale getirmek i\u00e7in de idealdir. Entegre bir bak\u0131m sisteminin par\u00e7as\u0131 olarak, \u00e7e\u015fitli uzman ve genel prosed\u00fcrler i\u00e7in kullan\u0131labilen mobil altyap\u0131, yerel bir GP muayenehanesinde, bir toplum hastanesinde, bir di\u015f muayenehanesinde veya di\u011fer sa\u011fl\u0131k tesislerinde bulunabilir.<\/p>\n

Bu ba\u011flamda mobil sa\u011fl\u0131k birimlerinin faydalar\u0131 a\u00e7\u0131kt\u0131r. Esnek ve ta\u015f\u0131nabilir yap\u0131lar\u0131, baz\u0131 mobil birim t\u00fcrlerinin toplulukta hasta hizmetlerinin sunulmas\u0131nda \u00f6nemli bir rol oynad\u0131\u011f\u0131 anlam\u0131na gelmektedir. Mobil altyap\u0131, ihtiya\u00e7lar de\u011fi\u015ftik\u00e7e geli\u015febilir ve de\u011fi\u015febilir ve bir acil duruma yan\u0131t vermek i\u00e7in h\u0131zla uyarlanabilir.<\/p>\n

Topluma sa\u011fl\u0131k hizmeti sunmak<\/strong><\/p>\n

Entegre bak\u0131m sunmak i\u00e7in, b\u00fct\u00fcnsel bir sistem perspektifi benimsemek gerekir. Esnek ve dayan\u0131kl\u0131 bir sa\u011fl\u0131k sisteminin hayati bir bile\u015feni, kaynaklar\u0131 daha geni\u015f bir alanda bir araya getirme yetene\u011fidir, bu da hizmetlerin en \u00e7ok ihtiya\u00e7 duyuldu\u011fu zaman ve yerde sa\u011flanmas\u0131n\u0131 m\u00fcmk\u00fcn k\u0131lar. Bu her zaman do\u011fruydu, ancak Covid-19 salg\u0131n\u0131 sa\u011flam entegre bak\u0131m sistemlerine olan ihtiyac\u0131 art\u0131rd\u0131 ve bu, bir ICS'nin geni\u015f kapsaml\u0131 ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131layacak kadar esnek bir m\u00fclk\u00fcm\u00fcz olmad\u0131\u011f\u0131 s\u00fcrece ger\u00e7ekle\u015femez.<\/p>\n

Bu yakla\u015f\u0131m\u0131n i\u015fe yaramas\u0131n\u0131n anahtar\u0131, taray\u0131c\u0131lar ve endoskoplar gibi yeni te\u015fhis ekipmanlar\u0131 maliyetli oldu\u011fundan ve herhangi bir yeni tesisin kullan\u0131m\u0131n\u0131n en \u00fcst d\u00fczeye \u00e7\u0131kar\u0131lmas\u0131 gerekece\u011finden, i\u015fbirlik\u00e7i a\u011flar geli\u015ftirmektir. Pratik ve finansal nedenlerden dolay\u0131, bir MRI taray\u0131c\u0131s\u0131 veya bir endoskopi tesisini bar\u0131nd\u0131rabilecek s\u0131n\u0131rl\u0131 say\u0131da yer olacak, bu da bir\u00e7ok hastan\u0131n merkezi bir konuma gitmek i\u00e7in yine de bir miktar mesafe kat etmesi gerekece\u011fi anlam\u0131na geliyor.<\/p>\n

Ancak mobil altyap\u0131 ile tesis, hastalara daha yak\u0131n hizmetler sunmak i\u00e7in konumlar aras\u0131nda ta\u015f\u0131nabilir. Mobil sa\u011fl\u0131k birimlerinin sundu\u011fu esneklik, birincil bak\u0131m tesislerinin, toplum hastanelerinin ve di\u011fer sa\u011fl\u0131k ortamlar\u0131n\u0131n bir 'hub-and-spoke' sistemi kullanarak merkezi tan\u0131 kaynaklar\u0131n\u0131 payla\u015ft\u0131\u011f\u0131 bir a\u011f olu\u015fturulabilece\u011fi anlam\u0131na gelir.<\/p>\n

Bu, bir al\u0131c\u0131 tesis veya 'yerle\u015ftirme \u00fcnitesi' ve bir dizi mobil sa\u011fl\u0131k tesisi kombinasyonu kullan\u0131larak sa\u011flanabilir. Yerle\u015ftirme \u00fcnitesi, mobil bir tesis almaya haz\u0131rl\u0131k olarak tesisatlar ve ba\u011flant\u0131 koridorlar\u0131 gibi uygun ba\u011flant\u0131larla kurulur ve mobil tesislerin kolayca ve h\u0131zl\u0131 bir \u015fekilde ba\u011flanmas\u0131na olanak tan\u0131r.<\/p>\n

B\u00f6yle bir sistem, sa\u011flay\u0131c\u0131lara tam donan\u0131ml\u0131 te\u015fhis tesislerine neredeyse an\u0131nda eri\u015fim sa\u011flar. Mobil tesisler daha sonra a\u011f i\u00e7inde kolayca ta\u015f\u0131nabilir ve h\u0131zla ba\u015fka bir yere kurulabilir. \u0130\u015fbirlik\u00e7i a\u011f i\u00e7inde, yerel alandaki talebi ve sa\u011fl\u0131k hizmeti ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131layan veya rotasyonda farkl\u0131 uzman tesisler sunan bir dizi klinik hizmet se\u00e7ilebilir.<\/p>\n

Esnek altyap\u0131 kullanarak hizmetlere eri\u015fimi art\u0131rman\u0131n temel avantajlar\u0131 aras\u0131nda, esnek fiyatland\u0131rma yap\u0131lar\u0131yla d\u00fc\u015f\u00fck riskli ve daha az sermaye yo\u011fun bir \u00e7\u00f6z\u00fcm sa\u011flamas\u0131 yer al\u0131r. Ayr\u0131ca, bak\u0131m ve onar\u0131m\u0131n tesisin tedarik\u00e7isi taraf\u0131ndan yap\u0131lmas\u0131 nedeniyle d\u00fc\u015f\u00fck operasyonel risk de sunar. Bu t\u00fcr esnek bir \u00e7\u00f6z\u00fcmle, tesisin s\u00f6zle\u015fme, personel ve donan\u0131m maliyeti ve faydalar\u0131 sa\u011flay\u0131c\u0131lar aras\u0131nda payla\u015f\u0131labilir.<\/p>\n

Alternatif olarak, mobil ve mod\u00fcler \u00fcniteler, hemen hemen her t\u00fcrl\u00fc d\u00fczende hasta bekleme alanlar\u0131, kons\u00fcltasyon odalar\u0131, tarama ve i\u015flem odalar\u0131, t\u00fcm uzman ekipmanlar\u0131, iyile\u015fme b\u00f6lmeleri ve personel ve hasta tesislerini i\u00e7eren ba\u011f\u0131ms\u0131z bir sabit tan\u0131 merkezi olu\u015fturmak i\u00e7in birle\u015ftirilebilir.<\/p>\n

Hasta merkezli bir \u00e7\u00f6z\u00fcm<\/strong><\/p>\n

NHS raporunda belirtildi\u011fi gibi, bir reformun nihai amac\u0131 hem akut hem de elektif bekleme s\u00fcrelerini azaltmak ve hasta sonu\u00e7lar\u0131n\u0131n iyile\u015ftirilmesine yard\u0131mc\u0131 olmakt\u0131r. Ancak, plan\u0131n uygulanmas\u0131 ve kanser hastalar\u0131n\u0131n erken evre te\u015fhisi gibi temel hedeflere ula\u015f\u0131lmas\u0131 zaman alacakt\u0131r, acilen bir \u00e7\u00f6z\u00fcme ihtiya\u00e7 vard\u0131r.<\/p>\n

Ortakl\u0131k yakla\u015f\u0131m\u0131 kullanmak ve sa\u011fl\u0131k sistemini destekleyebilen ve onunla \u00e7al\u0131\u015fabilen sa\u011flay\u0131c\u0131lardan kapasite sa\u011flamak \u00f6nemli faydalar sa\u011flayabilir. Uzmanlar\u0131n e\u011fitilmesi ve i\u015fe al\u0131nmas\u0131, sermaye b\u00fct\u00e7elerinin onaylanmas\u0131, b\u00fcy\u00fck \u00f6l\u00e7ekli ekipman sat\u0131n al\u0131mlar\u0131n\u0131n yap\u0131lmas\u0131 ve binalar\u0131n in\u015fa edilmesi i\u00e7in beklemeye gerek kalmadan uygulanabilen \u00e7\u00f6z\u00fcmler zaten mevcuttur, bu da faydalar\u0131n hastalara \u00e7ok daha h\u0131zl\u0131 bir \u015fekilde aktar\u0131labilece\u011fi anlam\u0131na gelir.<\/p>\n

ICS'ler \u00f6n\u00fcm\u00fczdeki y\u0131llarda evrimlerini h\u0131zland\u0131rd\u0131k\u00e7a, esnek sa\u011fl\u0131k hizmetleri altyap\u0131s\u0131 tan\u0131 hizmetlerinin eri\u015filebilirli\u011fini art\u0131rmada giderek daha \u00f6nemli bir rol oynayacakt\u0131r. Hastalar\u0131n deneyimlerini iyile\u015ftirmenin yan\u0131 s\u0131ra, yerel olarak hizmetlere eri\u015fimi art\u0131rmak da tarama ve tan\u0131 prosed\u00fcrlerine y\u00f6nelik kullan\u0131m\u0131 art\u0131rabilir. Ve e\u011fer klinisyenlerin y\u00f6nlendirmeleri kolayla\u015ft\u0131rmaya ve \u00f6ng\u00f6r\u00fclebilir gelecekte sanal dan\u0131\u015fmanl\u0131klar\u0131 \u015fu ankine benzer \u00f6l\u00e7ekte kullanmaya devam etti\u011fini g\u00f6rmeye devam edersek, bu faydalar zamanla artacakt\u0131r.<\/p>\n

Bu makale ilk olarak d\u00f6rd\u00fcnc\u00fc bask\u0131da yay\u0131nlanm\u0131\u015ft\u0131r. <\/em>Hastane Zamanlar\u0131<\/em><\/a> dergi. <\/em><\/p>","protected":false},"excerpt":{"rendered":"

NHS \u0130ngiltere taraf\u0131ndan Ekim ay\u0131nda yay\u0131nlanan ve uzun vadeli plan\u0131n bir devam\u0131 niteli\u011finde olan bir raporda, tan\u0131lama y\u00f6ntemlerinin yeniden d\u00fczenlenmesi ve akut ve elektif bak\u0131m aras\u0131ndaki yollar\u0131n ayr\u0131lmas\u0131 gerekti\u011fi belirtildi.<\/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\/tr_tr\/making-diagnostic-services-more-accessible\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Making diagnostic services more accessible - 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