{"id":2686,"date":"2021-04-27T13:53:18","date_gmt":"2021-04-27T13:53:18","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2686"},"modified":"2021-04-27T13:53:18","modified_gmt":"2021-04-27T13:53:18","slug":"how-do-waiting-times-compare-internationally","status":"publish","type":"post","link":"http:\/\/www.q-bital.com\/cs_cz\/how-do-waiting-times-compare-internationally\/","title":{"rendered":"Jak se \u010dekac\u00ed doby porovn\u00e1vaj\u00ed v mezin\u00e1rodn\u00edm m\u011b\u0159\u00edtku?"},"content":{"rendered":"

Je\u0161t\u011b jsme nevid\u011bli \u00fapln\u00fd dopad Covid-19 na \u010dekac\u00ed listiny a doby, kdy budou muset pacienti \u010dekat na elektivn\u00ed operaci. I kdy\u017e nen\u00ed pochyb o tom, \u017ee to v n\u011bkter\u00fdch oblastech a u n\u011bkter\u00fdch specialit zp\u016fsobilo do\u010dasn\u00e9 nahromad\u011bn\u00ed, nev\u00edme, jak\u00fd to bude m\u00edt efekt v dlouhodob\u011bj\u0161\u00edm horizontu, proto\u017ee se st\u00e1le pracujeme na tom, abychom se z pandemie dostali.<\/p>\n

I kdy\u017e je samoz\u0159ejm\u011b d\u016fraz kladen na sou\u010dasnou m\u00edstn\u00ed a do\u010dasnou situaci, je tak\u00e9 zaj\u00edmav\u00e9 pod\u00edvat se na dlouhodob\u00e9 trendy a mezin\u00e1rodn\u00ed kontext, stejn\u011b jako na politiku, kterou r\u016fzn\u00e9 zem\u011b p\u0159ijaly pro spr\u00e1vu po\u0159adn\u00edk\u016f.<\/p>\n

U\u017e p\u0159ed Covid-19 byly \u010dekac\u00ed doby v mnoha zem\u00edch dlouhodob\u00fdm probl\u00e9mem\n\n zpr\u00e1va OECD\n<\/a>\nbyla k t\u00e9matu ned\u00e1vno zve\u0159ejn\u011bna. Posuzuje \u010dekac\u00ed doby v 17 zem\u00edch OECD, stejn\u011b jako vliv \u0159ady politik implementovan\u00fdch k \u0159e\u0161en\u00ed tohoto probl\u00e9mu, s vyu\u017eit\u00edm \u00fadaj\u016f a\u017e do let 2018\u201319 v\u010detn\u011b.\n\n Spravedliv\u00e9 srovn\u00e1n\u00ed\n<\/strong>\nJedn\u00edm probl\u00e9mem p\u0159i porovn\u00e1v\u00e1n\u00ed v\u00edce zem\u00ed je to, \u017ee definice, zp\u016fsoby m\u011b\u0159en\u00ed, shroma\u017e\u010fov\u00e1n\u00ed, strukturov\u00e1n\u00ed a vykazov\u00e1n\u00ed \u00fadaj\u016f se mezi zem\u011bmi li\u0161\u00ed, co\u017e omezuje srovnatelnost.<\/p>\n

\u010cekac\u00ed doby lze nap\u0159\u00edklad zaznamenat z doporu\u010den\u00ed praktick\u00e9ho l\u00e9ka\u0159e nebo po n\u00e1v\u0161t\u011bv\u011b specialisty. N\u011bkter\u00e9 zdravotnick\u00e9 syst\u00e9my budou m\u011b\u0159it \u201eambulantn\u00ed\u201c \u010dekac\u00ed dobu, jin\u00e9 \u201enemocni\u010dn\u00ed\u201c \u010dekac\u00ed dobu, jin\u00e9 zase m\u011b\u0159\u00ed plnou \u010dekac\u00ed dobu na doporu\u010den\u00ed k l\u00e9\u010db\u011b, jako je tomu v D\u00e1nsku, Norsku a Anglii.<\/p>\n

Zat\u00edmco pr\u016fm\u011br a medi\u00e1n \u010dekac\u00ed doby, \u010dekac\u00ed doba na ur\u010dit\u00fdch percentilech distribuce - a po\u010det nebo pod\u00edl pacient\u016f \u010dekaj\u00edc\u00edch d\u00e9le ne\u017e prahovou dobu (nap\u0159. 3, 6 nebo 12 m\u011bs\u00edc\u016f) - jsou v\u0161echny platn\u00e9 zp\u016fsoby m\u011b\u0159en\u00ed \u010dek\u00e1n\u00ed. kr\u00e1t se pro mezin\u00e1rodn\u00ed srovn\u00e1n\u00ed nej\u010dast\u011bji pou\u017e\u00edv\u00e1 medi\u00e1n.<\/p>\n

Rozlo\u017een\u00ed \u010dekac\u00edch dob je v\u0161ak obecn\u011b zkreslen\u00e9 s mal\u00fdm pod\u00edlem pacient\u016f, kte\u0159\u00ed \u010dekaj\u00ed velmi dlouho, co\u017e znamen\u00e1, \u017ee st\u0159edn\u00ed \u010dekac\u00ed doby mohou b\u00fdt podstatn\u011b del\u0161\u00ed ne\u017e medi\u00e1n.\n\n Jak jsou na tom zem\u011b OECD ve srovn\u00e1n\u00ed?\n<\/strong>\nStudie OECD ukazuje, \u017ee \u010dekac\u00ed doby na elektivn\u00ed operaci se mohou mezi zem\u011bmi zna\u010dn\u011b li\u0161it, p\u0159i\u010dem\u017e \u010dekac\u00ed doby jsou v n\u011bkter\u00fdch zem\u00edch t\u00e9m\u011b\u0159 10kr\u00e1t vy\u0161\u0161\u00ed ne\u017e v jin\u00fdch.<\/p>\n

\u00dadaje o \u010dekac\u00edch dob\u00e1ch jsou v sou\u010dasnosti k dispozici pouze pro 17 zem\u00ed OECD a pro ur\u010dit\u00e9 postupy. V pr\u016fm\u011bru v t\u011bchto zem\u00edch byly st\u0159edn\u00ed \u010dekac\u00ed doby krat\u0161\u00ed u men\u0161\u00edch operac\u00ed, jako jsou operace \u0161ed\u00e9ho z\u00e1kalu (95 dn\u00ed v roce 2018), a del\u0161\u00ed u v\u011bt\u0161\u00edch operac\u00ed, jako je n\u00e1hrada ky\u010deln\u00edho kloubu (110 dn\u00ed) a n\u00e1hrada kolena (140 dn\u00ed).<\/p>\n

Ve v\u0161ech zem\u00edch maj\u00ed pacienti vy\u017eaduj\u00edc\u00ed nal\u00e9hav\u011bj\u0161\u00ed l\u00e9\u010dbu obecn\u011b krat\u0161\u00ed dobu \u010dek\u00e1n\u00ed ne\u017e pacienti, jejich\u017e zdravotn\u00ed stav se b\u011bhem \u010dek\u00e1n\u00ed m\u00e9n\u011b pravd\u011bpodobn\u011b zhor\u0161\u00ed. Proto jsou st\u0159edn\u00ed \u010dekac\u00ed doby na operaci koron\u00e1rn\u00edho bypassu obecn\u011b krat\u0161\u00ed ne\u017e na n\u00e1hradu ky\u010deln\u00edho a kolenn\u00edho kloubu.<\/p>\n

Mezi zem\u011bmi v\u0161ak existuj\u00ed obrovsk\u00e9 rozd\u00edly. Celkov\u011b byly \u010dekac\u00ed doby na elektivn\u00ed operaci v roce 2018 nejni\u017e\u0161\u00ed v D\u00e1nsku, Nizozemsku, It\u00e1lii a Ma\u010farsku, zat\u00edmco nejvy\u0161\u0161\u00ed byly v Estonsku, Polsku a Chile.<\/p>\n

N\u00ed\u017ee uveden\u00fd graf ukazuje st\u0159edn\u00ed \u010dekac\u00ed doby pro n\u011bkter\u00e9 vybran\u00e9 zem\u011b OECD se srovnateln\u00fdmi \u00fadaji pro r\u016fzn\u00e9 typy operac\u00ed.<\/p>\n

Jak ukazuje graf, st\u0159edn\u00ed \u010dekac\u00ed doby na operaci \u0161ed\u00e9ho z\u00e1kalu byly nejvy\u0161\u0161\u00ed v Norsku, Portugalsku a Finsku. Je v\u0161ak t\u0159eba poznamenat, \u017ee dv\u011b zem\u011b neuveden\u00e9 v tomto grafu \u2013 Estonsko a Polsko \u2013 m\u011bly v\u00fdrazn\u011b vy\u0161\u0161\u00ed \u010dekac\u00ed doby, a to 180 a 250 dn\u00ed. Norsk\u00e9 \u010dekac\u00ed doby se tak\u00e9 po\u010d\u00edtaj\u00ed trochu jin\u00fdm zp\u016fsobem. V\u011bt\u0161ina zem\u00ed zahrnut\u00fdch v grafu m\u011bla \u010dekac\u00ed doby krat\u0161\u00ed, ne\u017e je pr\u016fm\u011br OECD, p\u0159i\u010dem\u017e It\u00e1lie, D\u00e1nsko a \u0160v\u00e9dsko zaznamenaly jedny z nejkrat\u0161\u00edch \u010dek\u00e1n\u00ed.<\/p>\n

U ky\u010deln\u00edch n\u00e1hrad byl obr\u00e1zek podobn\u00fd a mnoho zem\u00ed zaznamenalo dlouh\u00e9 \u010dek\u00e1n\u00ed na ky\u010deln\u00ed n\u00e1hrady. \u0160pan\u011blsko a Kanada v\u0161ak m\u011bly vysok\u00e9 st\u0159edn\u00ed \u010dekac\u00ed doby a \u010dek\u00e1n\u00ed v Austr\u00e1lii bylo tak\u00e9 nad pr\u016fm\u011brem OECD a v\u00fdrazn\u011b nad novoz\u00e9landsk\u00fdm medi\u00e1nem.<\/p>\n

Spolu s Portugalskem vynik\u00e1 tak\u00e9 Austr\u00e1lie \u010dekac\u00ed dobou na n\u00e1hrady kolenn\u00edho kloubu; jedna z nejvy\u0161\u0161\u00edch ze v\u0161ech zem\u00ed OECD za v\u00edce ne\u017e 6 m\u011bs\u00edc\u016f. Pr\u016fm\u011br OECD je pro tento typ \u0159\u00edzen\u00ed vysok\u00fd a uvedlo jej relativn\u011b m\u00e1lo zem\u00ed s velmi vysokou \u010dekac\u00ed dobou, jako je Chile, kter\u00e9 m\u00e1 st\u0159edn\u00ed \u010dekac\u00ed dobu 840 dn\u016f, a Estonsko se 460 dny.\n\"\"\n\n Jak se \u010dekac\u00ed doby m\u011bnily v pr\u016fb\u011bhu \u010dasu?\n<\/strong>\n\u00dadaje OECD ukazuj\u00ed, \u017ee po obdob\u00ed stability se \u010dekac\u00ed doby na elektivn\u00ed l\u00e9\u010dbu (kter\u00e9 jsou obvykle nejdel\u0161\u00ed) za\u010daly v \u0159ad\u011b zem\u00ed prodlu\u017eovat, a to je\u0161t\u011b p\u0159ed vypuknut\u00edm Covid-19.<\/p>\n

Zm\u011bny st\u0159edn\u00ed \u010dekac\u00ed doby v zem\u00edch, jako je Spojen\u00e9 kr\u00e1lovstv\u00ed a Austr\u00e1lie, jsou v\u0161ak z mezin\u00e1rodn\u00edho hlediska relativn\u011b mal\u00e9 ve srovn\u00e1n\u00ed nap\u0159\u00edklad s Estonskem a Portugalskem.<\/p>\n

Mnoho zem\u00ed zavedlo politiky zam\u011b\u0159en\u00e9 na zkr\u00e1cen\u00ed \u010dekac\u00edch dob se sm\u00ed\u0161en\u00fdmi v\u00fdsledky. D\u00e1nsku, Anglii a Finsku se poda\u0159ilo zkr\u00e1tit \u010dekac\u00ed doby na mnoho voliteln\u00fdch zdravotnick\u00fdch slu\u017eeb a udr\u017eet je po dlouhou dobu, a jak je zn\u00e1zorn\u011bno v grafech, Polsku se b\u011bhem posledn\u00edch p\u011bti let poda\u0159ilo podstatn\u011b zkr\u00e1tit \u010dekac\u00ed doby.\n\"\"\nPozn\u00e1mka: \u2020 Pro Nizozemsko jsou \u00fadaje pr\u016fm\u011brem, proto\u017ee medi\u00e1n nen\u00ed k dispozici * Pro Norsko jsou \u010dekac\u00ed doby nadhodnoceny kv\u016fli zp\u016fsobu v\u00fdpo\u010dtu \u010dekac\u00edch dob.\n\n Zdroj: Zdravotn\u00ed statistika OECD\n<\/a>\n\n Jak se \u0159e\u0161\u00ed \u010dekac\u00ed doby v r\u016fzn\u00fdch zem\u00edch?\n<\/strong>\nKdy\u017e po\u0159adn\u00edky vznikaj\u00ed, je to obecn\u011b d\u016fsledek nerovnov\u00e1hy mezi popt\u00e1vkou po zdravotn\u00edch slu\u017eb\u00e1ch a jejich nab\u00eddkou. Spr\u00e1vn\u00e1 implementace politik se bude v ka\u017ed\u00e9 zemi li\u0161it a z\u00e1vis\u00ed mimo jin\u00e9 na zdravotn\u00edm syst\u00e9mu, finan\u010dn\u00ed a politick\u00e9 situaci.<\/p>\n

Maxim\u00e1ln\u00ed \u010dekac\u00ed doby byly v mnoha zem\u00edch pou\u017eity jako c\u00edl pro poskytovatele a v n\u011bkter\u00fdch p\u0159\u00edpadech jako z\u00e1ruka pro pacienty, ale neexistuje \u017e\u00e1dn\u00e1 \u201euniverz\u00e1ln\u00ed\u201c maxim\u00e1ln\u00ed \u010dekac\u00ed doba.<\/p>\n

Trval\u00e9 a trval\u00e9 zvy\u0161ov\u00e1n\u00ed nab\u00eddky je nej\u00fa\u010dinn\u011bj\u0161\u00edm zp\u016fsobem, jak dos\u00e1hnout trval\u00e9ho zkr\u00e1cen\u00ed \u010dekac\u00edch dob. Kr\u00e1tkodob\u00e9 intervence vyu\u017e\u00edvaj\u00edc\u00ed p\u0159\u00edle\u017eitostn\u00e9 dodate\u010dn\u00e9 finan\u010dn\u00ed bal\u00ed\u010dky v\u0161ak tak\u00e9 slou\u017e\u00ed d\u016fle\u017eit\u00e9mu \u00fa\u010delu. Rychlou reakc\u00ed na do\u010dasn\u00fd n\u00e1r\u016fst popt\u00e1vky nebo kr\u00e1tkodob\u00e9 p\u0159eru\u0161en\u00ed dod\u00e1vek lze zabr\u00e1nit tomu, aby se po\u0159adn\u00edky podstatn\u011b zv\u00fd\u0161ily a zp\u016fsobily nahromad\u011bn\u00ed nevy\u0159\u00edzen\u00fdch polo\u017eek a zp\u016fsobily prodlou\u017een\u00ed \u010dekac\u00edch dob d\u00e1le v \u0159ad\u011b nebo po del\u0161\u00ed \u010dasov\u00e9 obdob\u00ed.<\/p>\n

Ani trval\u00e9 zvy\u0161ov\u00e1n\u00ed nab\u00eddky nen\u00ed z\u00e1rukou \u00fasp\u011bchu. V n\u011bkter\u00fdch p\u0159\u00edpadech m\u016f\u017ee b\u00fdt dodate\u010dn\u00e1 nab\u00eddka kompenzov\u00e1na zv\u00fd\u0161en\u00edm popt\u00e1vky prost\u0159ednictv\u00edm zv\u00fd\u0161en\u00ed po\u010dtu doporu\u010den\u00ed, test\u016f a postup\u016f. Nap\u0159\u00edklad \u010dekac\u00ed doby na n\u011bkter\u00e9 pl\u00e1novan\u00e9 operace v Kanad\u011b a Austr\u00e1lii se v posledn\u00edch letech prodlou\u017eily navzdory dodate\u010dn\u00e9mu financov\u00e1n\u00ed a n\u00e1r\u016fstu aktivity.<\/p>\n

v\n\n<\/strong>\nAustr\u00e1lie,\n\n<\/strong>\ninvestice do elektivn\u00ed chirurgie v r\u00e1mci dohody o n\u00e1rodn\u00edm partnerstv\u00ed na obdob\u00ed 2011\u20132015 znamenala uspokojen\u00ed rostouc\u00ed popt\u00e1vky, ale nevedla k v\u00fdznamn\u00e9mu dopadu na \u010dekac\u00ed doby. V letech 2015 a\u017e 2018\n\n \u010dekac\u00ed doby na operaci \u0161ed\u00e9ho z\u00e1kalu\n<\/a>\nm\u00edrn\u011b poklesl, ale m\u00edrn\u011b se zv\u00fd\u0161il u n\u00e1hrady kolenn\u00edho kloubu a n\u00e1hrady ky\u010dle.<\/p>\n

Tam, kde existuje zna\u010dn\u00fd p\u0159evis popt\u00e1vky, je n\u011bkdy zam\u011b\u0159ena i strana popt\u00e1vky, aby se zkr\u00e1tily \u010dekac\u00ed doby. Klinick\u00e9 n\u00e1stroje pro stanoven\u00ed priorit, kter\u00e9 se zam\u011b\u0159uj\u00ed na zlep\u0161en\u00ed zdravotn\u00edch v\u00fdsledk\u016f, mohou zlep\u0161it proces doporu\u010den\u00ed a spr\u00e1vu po\u0159adn\u00edk\u016f.<\/p>\n

Ve zpr\u00e1v\u011b OECD\n\n Nov\u00fd Z\u00e9land\n<\/strong>\nse pou\u017e\u00edv\u00e1 jako p\u0159\u00edklad zem\u011b, kter\u00e1 se pokusila zlep\u0161it up\u0159ednost\u0148ov\u00e1n\u00ed pacient\u016f (ov\u0161em v kombinaci s rostouc\u00ed nab\u00eddkou). Po zkr\u00e1cen\u00ed \u010dekac\u00edch dob na pl\u00e1novanou operaci na maxim\u00e1ln\u011b 4 m\u011bs\u00edce v roce 2012,\n\n \u010dekac\u00ed doby se zkr\u00e1tily\n<\/a>\npro mnoho b\u011b\u017en\u00fdch postup\u016f a jsou hluboko pod pr\u016fm\u011brem OECD.<\/p>\n

Od roku 2019 zav\u00e1d\u00ed novoz\u00e9landsk\u00e9 ministerstvo zdravotnictv\u00ed \u0161ir\u0161\u00ed p\u0159\u00edstup se zam\u011b\u0159en\u00edm na celou cestu pacienta v r\u00e1mci sv\u00e9ho \u201eStrategick\u00e9ho p\u0159\u00edstupu k pl\u00e1novan\u00e9 p\u00e9\u010di 2019\u20132024\u201c.\n\n Dopad na p\u0159\u00edstup k p\u00e9\u010di a zdravotn\u00ed v\u00fdsledky\n<\/strong>\nVelk\u00e9 mno\u017estv\u00ed d\u016fkaz\u016f poukazuje na skute\u010dnost, \u017ee dlouh\u00e9 \u010dekac\u00ed doby mohou m\u00edt negativn\u00ed dopad jak na p\u0159\u00edstup k p\u00e9\u010di, tak na zdravotn\u00ed v\u00fdsledky pro pacienty. Jedn\u00e1 se o probl\u00e9m \u0159e\u0161en\u00ed \u010dekac\u00edch listin na stran\u011b popt\u00e1vky p\u0159id\u011blov\u00e1n\u00edm \u010dekac\u00edch dob a implementac\u00ed priorit.<\/p>\n

Stav pacient\u016f se m\u016f\u017ee b\u011bhem \u010dek\u00e1n\u00ed zhor\u0161it, zejm\u00e9na pokud se \u010dek\u00e1n\u00ed prodlu\u017euje nebo je pacientovi sn\u00ed\u017eena priorita. T\u0159eba\u017ee pot\u0159eba n\u00e1hrady ky\u010deln\u00edho kloubu nap\u0159\u00edklad neohro\u017euje \u017eivot, dlouhodob\u00fd \u017eivot v takov\u00e9m stavu je vysiluj\u00edc\u00ed a m\u016f\u017ee podstatn\u011b sn\u00ed\u017eit kvalitu \u017eivota pacienta.<\/p>\n

Dlouh\u00e9 \u010dekac\u00ed doby mohou m\u00edt nejen potenci\u00e1ln\u011b v\u00e1\u017en\u00e9 d\u016fsledky pro pacienty a jsou zdrojem neuspokojen\u00fdch pot\u0159eb p\u00e9\u010de v n\u011bkter\u00fdch zem\u00edch, ale tak\u00e9 mohou v\u00e9st k nerovnosti v p\u0159\u00edstupu. V ide\u00e1ln\u00edm p\u0159\u00edpad\u011b by m\u011bl b\u00fdt p\u0159\u00edstup k p\u00e9\u010di zalo\u017een na pot\u0159eb\u011b, nikoli na schopnosti platit.<\/p>\n

N\u011bkte\u0159\u00ed pacienti budou m\u00edt nevyhnuteln\u011b v\u00edce mo\u017enost\u00ed ne\u017e jin\u00ed a na mezin\u00e1rodn\u00ed \u00farovni existuj\u00ed obrovsk\u00e9 nerovnosti v p\u0159\u00edstupu v z\u00e1vislosti na tom, kde pacient \u017eije. Nap\u0159\u00edklad maxim\u00e1ln\u00ed \u010dekac\u00ed doba na operaci \u0161ed\u00e9ho z\u00e1kalu\n\n se pohybuje mezi zem\u011bmi\n<\/a>\nod jednoho m\u011bs\u00edce v D\u00e1nsku do 1,5 roku v Estonsku. Dokonce i v r\u00e1mci zem\u011b mohou existovat zna\u010dn\u00e9 rozd\u00edly mezi p\u0159\u00edstupem ve venkovsk\u00fdch a metropolitn\u00edch oblastech.<\/p>\n

Je tak\u00e9 pravd\u011bpodobn\u00e9, \u017ee pandemie Covid-19 bude m\u00edt velmi rozd\u00edln\u00fd dopad na zdravotnick\u00e9 syst\u00e9my v r\u016fzn\u00fdch zem\u00edch, ale k pochopen\u00ed toho je zapot\u0159eb\u00ed v\u00edce \u00fadaj\u016f.\n\n Co lze ud\u011blat pro zlep\u0161en\u00ed \u010dekac\u00ed doby?\n<\/strong>\nI kdy\u017e se li\u0161\u00ed, faktem je, \u017ee \u010dekac\u00ed listiny, a tedy i \u010dekac\u00ed doby, se v mnoha zem\u00edch za posledn\u00ed desetilet\u00ed podstatn\u011b prodlou\u017eily. Covid-19 m\u00e1 tak\u00e9 \u0161kodliv\u00fd dopad na \u010dekac\u00ed doby, p\u0159i\u010dem\u017e o\u010dek\u00e1van\u00e9 zotaven\u00ed brzd\u00ed druh\u00e1 a t\u0159et\u00ed vlna.<\/p>\n

K vy\u0159e\u0161en\u00ed tohoto probl\u00e9mu je pot\u0159eba podstatn\u011b roz\u0161\u00ed\u0159it kapacitu \u2013 a to rychle. Jednou z cest, jak rychle a efektivn\u011b zv\u00fd\u0161it kapacitu, je vyu\u017eit\u00ed flexibiln\u00ed zdravotnick\u00e9 infrastruktury, jako je nap\u0159\n\n mobiln\u00ed nebo modul\u00e1rn\u00ed opera\u010dn\u00ed s\u00e1ly\n<\/a>\n.<\/p>\n

Do\u010dasn\u00e9 divadlo m\u016f\u017ee b\u00fdt z\u0159\u00edzeno na del\u0161\u00ed dobu, aby pokrylo pr\u00e1ce na roz\u0161\u00ed\u0159en\u00ed st\u00e1vaj\u00edc\u00edho odd\u011blen\u00ed, nebo na krat\u0161\u00ed dobu, aby se zv\u00fd\u0161ila aktivita a \u201ebleskov\u00e9\u201c \u010dekac\u00ed listiny, kter\u00e9 se \u010dasem vytvo\u0159ily. Takov\u00e9 \u0159e\u0161en\u00ed lze nastavit jako vyhrazenou samostatnou jednotku pro velkoobjemovou chirurgii s minim\u00e1ln\u00edm dopadem na st\u00e1vaj\u00edc\u00ed zdroje nemocnice. K dispozici je \u0159ada flexibiln\u00edch \u0159e\u0161en\u00ed\n\n Q-bital Healthcare Solutions\n<\/a>\n.<\/p>\n

Dal\u0161\u00ed strategie jsou zam\u011b\u0159eny na zlep\u0161en\u00ed koordinace mezi prim\u00e1rn\u00ed a sekund\u00e1rn\u00ed p\u00e9\u010d\u00ed, co\u017e m\u016f\u017ee poskytnout lep\u0161\u00ed tok pacient\u016f a cenn\u00fd n\u00e1hled na celou cestu pacienta a \u010dekac\u00ed doby v ka\u017ed\u00e9 f\u00e1zi cesty. I s t\u00edm m\u016f\u017ee pomoci flexibiln\u00ed zdravotnictv\u00ed; nap\u0159\u00edklad mobiln\u00ed nebo modul\u00e1rn\u00ed klinika pro drobn\u00e1 poran\u011bn\u00ed m\u016f\u017ee b\u00fdt um\u00edst\u011bna vedle hlavn\u00edho odd\u011blen\u00ed A&E nemocnice, aby pomohla nasm\u011brovat pacienty na nejvhodn\u011bj\u0161\u00ed cestu.<\/p>\n

V kone\u010dn\u00e9m d\u016fsledku je zkr\u00e1cen\u00ed doby, kterou lid\u00e9 mus\u00ed \u010dekat na p\u0159\u00edstup ke zdravotnick\u00fdm slu\u017eb\u00e1m, z\u00e1sadn\u00ed pro zlep\u0161en\u00ed zku\u0161enost\u00ed pacient\u016f \u2013 kl\u00ed\u010dov\u00e1 priorita ve v\u011bt\u0161in\u011b zem\u00ed.<\/p>","protected":false},"excerpt":{"rendered":"

\u010cekac\u00ed doby z\u016fstaly b\u011bhem pandemie v mnoha zem\u00edch hork\u00fdm t\u00e9matem. Ale jak\u00e9 jsou \u010dekac\u00ed doby na elektivn\u00ed operaci v porovn\u00e1n\u00ed mezi zem\u011bmi? A jak\u00fd je \u0161ir\u0161\u00ed dlouhodob\u00fd trend?<\/p>","protected":false},"author":1,"featured_media":1754,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-2686","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nHow do waiting times compare internationally? - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Waiting times have remained a hot topic in many countries throughout the pandemic. How do countries compare? 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