{"id":599,"date":"2022-07-05T14:43:00","date_gmt":"2022-07-05T14:43:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=599"},"modified":"2023-10-20T11:38:10","modified_gmt":"2023-10-20T11:38:10","slug":"endoscopy-and-diagnostic-waiting-lists-what-can-be-done","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/cs_cz\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endoskopick\u00e9 a diagnostick\u00e9 po\u0159adn\u00edky: co lze d\u011blat"},"content":{"rendered":"

Dne\u0161n\u00ed NHS \u010del\u00ed \u0159ad\u011b v\u00fdznamn\u00fdch tlak\u016f, v\u010detn\u011b rychle rostouc\u00edho st\u00e1rnut\u00ed populace a komorbidit, kter\u00e9 mohou p\u0159in\u00e9st, nerovnom\u011brn\u00e9 roz\u0161\u00ed\u0159en\u00ed dostupn\u00e9 p\u00e9\u010de po cel\u00e9m Spojen\u00e9m kr\u00e1lovstv\u00ed a rostouc\u00ed tlaky na udr\u017eiteln\u011bj\u0161\u00ed zdravotnick\u00e9 postupy. Rostouc\u00ed \u010dekac\u00ed listiny byly probl\u00e9mem dlouho p\u0159ed pandemi\u00ed Covid-19, p\u0159i\u010dem\u017e mnoho pl\u00e1novan\u00fdch procedur p\u00e9\u010de bylo zru\u0161eno v d\u016fsledku \u00fanavy a 'rozpadaj\u00edc\u00ed se'<\/a> nemocni\u010dn\u00ed infrastruktura. S \u010dekac\u00edmi seznamy na dosah diagnostick\u00fdch slu\u017eeb 435,000<\/a> v Anglii v lednu 2022 je z\u0159ejm\u00e9, \u017ee zejm\u00e9na tato specializace byla zna\u010dn\u011b ovlivn\u011bna omezen\u00edmi zaveden\u00fdmi zastaralou infrastrukturou a ukon\u010den\u00edm endoskopick\u00fdch slu\u017eeb b\u011bhem pandemie Covid-19.<\/p>\n

V pr\u016fb\u011bhu let byly budovy NHS p\u0159izp\u016fsobov\u00e1ny a vyv\u00edjeny tak, aby vyhovovaly rostouc\u00edm po\u017eadavk\u016fm od zalo\u017een\u00ed zdravotnick\u00e9 slu\u017eby v roce 1948, av\u0161ak zastaral\u00e1 infrastruktura m\u00e1 omezen\u00e9 mo\u017enosti adaptace, aby se ve\u0161ly spolu s pokroky ve zdravotnick\u00fdch postupech. N\u00e1klady na vypo\u0159\u00e1d\u00e1n\u00ed se s nevy\u0159\u00edzenou \u00fadr\u017ebou NHS skute\u010dn\u011b st\u00e1ly 9,2 miliardy liber<\/a> na konci roku 2020\/21 v\u0161ak kv\u016fli ned\u00e1vn\u00fdm zv\u00fd\u0161en\u00fdm opat\u0159en\u00edm na kontrolu infekc\u00ed bylo pro dodavatele st\u00e1le obt\u00ed\u017en\u011bj\u0161\u00ed prov\u00e1d\u011bt takovou pr\u00e1ci v \u017eiv\u00fdch prost\u0159ed\u00edch NHS. Po\u010det klinick\u00fdch incident\u016f, ke kter\u00fdm do\u0161lo v d\u016fsledku zastaral\u00e9 infrastruktury, se zv\u00fd\u0161il ztrojn\u00e1sobil<\/a> v posledn\u00edch 5 letech ned\u00e1vno zpr\u00e1va<\/a> byl nalezen.<\/p>\n

\u010cekac\u00ed listiny nemocnic od t\u00e9 doby skute\u010dn\u011b p\u0159ib\u00fdvaj\u00ed 2009<\/a>11 let p\u0159edt\u00edm, ne\u017e pandemie vyvolala naru\u0161en\u00ed p\u00e9\u010de. V dubnu 2022 \u010dekac\u00ed listiny nemocnic dos\u00e1hly historick\u00e9ho maxima 6,2 milionu, s p\u0159edpov\u011bd\u00ed, kter\u00e1 bude do b\u0159ezna nad\u00e1le stoupat na 10,7 milionu. 2024<\/a>. K tomu se p\u0159idal po\u010det jedinc\u016f \u010dekaj\u00edc\u00edch na kl\u00ed\u010dov\u00e9 diagnostick\u00e9 testy v Anglii 369,100<\/a> v srpnu 2021, p\u0159i\u010dem\u017e do roku 2022 se toto \u010d\u00edslo n\u00e1sledn\u011b zv\u00fd\u0161ilo na v\u00fd\u0161e zm\u00edn\u011bn\u00fdch 435 000, co\u017e dokazuje skute\u010dn\u00e9 nahromad\u011bn\u00ed, kter\u00e9mu tato specialita \u010del\u00ed. Ned\u00e1vn\u00e1 zpr\u00e1va FOI nav\u00edc zd\u016fraznila aktu\u00e1ln\u00ed stav endoskopick\u00fdch slu\u017eeb NHS England, p\u0159i\u010dem\u017e 41% ze 105 respondent\u016f uvedlo, \u017ee jejich dekontamina\u010dn\u00ed soupravy se bu\u010f bl\u00ed\u017e\u00ed nebo p\u0159ekra\u010duj\u00ed 10letou \u017eivotnost doporu\u010denou v\u00fdrobcem. Z t\u011bchto trust\u016f 87% nesplnilo 6t\u00fddenn\u00ed \u010dekac\u00ed c\u00edle mezi dubnem 2018 a b\u0159eznem 2019. To ilustruje, \u017ee ano, a\u010dkoli pandemie Covid-19 a pozastaven\u00ed elektivn\u00ed p\u00e9\u010de v cel\u00e9m Spojen\u00e9m kr\u00e1lovstv\u00ed br\u00e1nily \u010dekac\u00edm listin\u00e1m nemocnic, nelze to pln\u011b vinit. proto\u017ee probl\u00e9m sah\u00e1 d\u00e1le.<\/p>\n

The\u00a02021 britsk\u00e9 n\u00e1rodn\u00ed s\u010d\u00edt\u00e1n\u00ed pro endoskopii<\/a>\u00a0se pod\u00edval na endoskopick\u00e9 a dekontamina\u010dn\u00ed slu\u017eby ve Spojen\u00e9m kr\u00e1lovstv\u00ed a zjistil, \u017ee 42,71 TP3T dot\u00e1zan\u00fdch poskytovatel\u016f zdravotn\u00ed p\u00e9\u010de vy\u017eadovalo dodate\u010dn\u00e9 stavebn\u00ed pr\u00e1ce ke zv\u00fd\u0161en\u00ed \u00fa\u010dinnosti dekontaminace a\u017e o 201 TP3T. Krom\u011b toho 591 TP3T respondent\u016f uvedlo, \u017ee ke zv\u00fd\u0161en\u00ed dekontamina\u010dn\u00ed kapacity jsou zapot\u0159eb\u00ed dal\u0161\u00ed reprocesory endoskop\u016f a su\u0161\u00edc\u00ed sk\u0159\u00edn\u011b. Dekontamina\u010dn\u00ed za\u0159\u00edzen\u00ed jsou pravideln\u011b um\u00edst\u011bna v r\u00e1mci endoskopick\u00fdch slu\u017eeb nemocnice, lze v\u0161ak instalovat samostatn\u00e1 za\u0159\u00edzen\u00ed a hladce je propojit s hlavn\u00ed nemocnic\u00ed, aby se zv\u00fd\u0161ila kapacita a zajistila vy\u0161\u0161\u00ed efektivita endoskopick\u00fdch slu\u017eeb, \u010d\u00edm\u017e se sni\u017euj\u00ed \u010dekac\u00ed listiny. To je u\u017eite\u010dn\u00e9 zejm\u00e9na v obdob\u00edch rekonstrukc\u00ed, kdy se zav\u00e1d\u011bj\u00ed mobiln\u00ed a modul\u00e1rn\u00ed dekontamina\u010dn\u00ed za\u0159\u00edzen\u00ed pro udr\u017een\u00ed kapacity. Vy\u0161et\u0159ov\u00e1n\u00ed tak\u00e9 odhalilo, \u017ee neochota dostavit se a n\u00e1sledn\u00e9 \u201ene\u00fa\u010dasti nebo DNA\u201c u procedur byly na sv\u00e9 druh\u00e9 nejvy\u0161\u0161\u00ed \u00farovni od roku 2019, p\u0159i\u010dem\u017e mo\u017en\u00fdm d\u016fvodem byl strach z n\u00e1kazy Covid-19 p\u0159i n\u00e1v\u0161t\u011bv\u011b nemocnice. To proto zesiluje pot\u0159ebu samostatn\u00e9ho\u00a0endoskopick\u00e9 slu\u017eby<\/a>, odd\u011blen\u00e9 od hlavn\u00ed nemocnice, kter\u00e9 zvy\u0161uj\u00ed d\u016fv\u011bru pacient\u016f, a proto pom\u00e1haj\u00ed p\u0159i vy\u0159izov\u00e1n\u00ed po\u0159adn\u00edk\u016f.<\/p>\n

\"\"<\/figure>\n

Pr\u016fm\u011brn\u00e1 d\u00e9lka \u017eivota ve Spojen\u00e9m kr\u00e1lovstv\u00ed se rok od roku prodlu\u017euje, roste 0.15%<\/a> mezi roky 2021 a 2022, a p\u0159esto\u017ee je to n\u011bco, co je t\u0159eba oslavovat, znamen\u00e1 to, \u017ee existuje v\u011bt\u0161\u00ed po\u010det jedinc\u016f \u017eij\u00edc\u00edch s chronick\u00fdmi onemocn\u011bn\u00edmi, jako je demence a cukrovka, kte\u0159\u00ed vy\u017eaduj\u00ed dlouhodob\u011bj\u0161\u00ed p\u00e9\u010di. To vytvo\u0159ilo zv\u00fd\u0161en\u00fd tlak na slu\u017eby NHS, zejm\u00e9na proto, \u017ee bylo uzn\u00e1no, \u017ee pr\u016fm\u011brn\u00e9 90let\u00e9 n\u00e1klady kolem 7kr\u00e1t<\/a> o tolik p\u00e9\u010de, ne\u017e je tomu u pr\u016fm\u011brn\u00e9ho 30let\u00e9ho \u010dlov\u011bka. V d\u016fsledku toho se objevily po\u017eadavky na zlep\u0161en\u00ed a implementaci diagnostick\u00fdch slu\u017eeb po cel\u00e9m Spojen\u00e9m kr\u00e1lovstv\u00ed, kter\u00e9 by lidem umo\u017enily z\u016fstat d\u00e9le zdrav\u011bj\u0161\u00ed, a t\u00edm odstranit tlak na slu\u017eby NHS. Krom\u011b toho v\u00fdvoj komunitn\u00ed diagnostick\u00e1 centra<\/a> v cel\u00e9 zemi p\u0159ibl\u00ed\u017e\u00ed slu\u017eby pacient\u016fm, sn\u00ed\u017e\u00ed tlak na akutn\u00ed nemocnice a bude m\u00edt pozitivn\u00ed dopad na region\u00e1ln\u00ed nerovnosti v oblasti zdrav\u00ed t\u00edm, \u017ee zajist\u00ed dostupnost diagnostick\u00fdch za\u0159\u00edzen\u00ed.<\/p>\n

N\u00e1rodn\u00ed census ve Spojen\u00e9m kr\u00e1lovstv\u00ed pro endoskopick\u00e9 slu\u017eby d\u00e1le tak\u00e9 odhalil, \u017ee i kdy\u017e \u010dekac\u00ed doby na v\u00fdkony st\u00e1le rostou, existuj\u00ed zde jasn\u00e9 region\u00e1ln\u00ed rozd\u00edly:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M a kol., N\u00e1rodn\u00ed census britsk\u00fdch endoskopick\u00fdch slu\u017eeb 2021, Frontline Gastroenterology Publikov\u00e1no online Prvn\u00ed: 09. kv\u011btna 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Region\u00e1ln\u00ed nerovnosti ve zdravotnictv\u00ed jsou probl\u00e9mem ji\u017e dlouho, pandemie Covid-19 a n\u00e1sledn\u00e1 pl\u00e1novan\u00e1 nevy\u0159\u00edzen\u00e1 p\u00e9\u010de to v\u0161ak je\u0161t\u011b zhor\u0161ila. Nerovnosti ve zdravotn\u00ed p\u00e9\u010di jsou rozmanit\u00fdm pojmem, kter\u00fd zahrnuje nerovnom\u011brn\u00e9 rozd\u011blen\u00ed dostupnosti zdravotn\u00ed p\u00e9\u010de mezi r\u016fzn\u00e9 skupiny lid\u00ed. V kone\u010dn\u00e9m d\u016fsledku se nerovnosti v oblasti zdrav\u00ed t\u00fdkaj\u00ed dopadu postaven\u00ed jednotlivce na jeho zdrav\u00ed. To m\u016f\u017ee zahrnovat zdravotn\u00ed stav, dostupnost pe\u010dovatelsk\u00fdch slu\u017eeb, kvalitu p\u00e9\u010de a \u0161ir\u0161\u00ed \u00fajmy na zdrav\u00ed, nap\u0159\u00edklad bydlen\u00ed. Zaji\u0161t\u011bn\u00ed toho, aby p\u00e9\u010de a diagnostick\u00e9 slu\u017eby byly pro pacienta pohodln\u011bji dostupn\u00e9, pozitivn\u011b ovlivn\u00ed v\u00fdsledky pacient\u016f prost\u0159ednictv\u00edm v\u010dasn\u011bj\u0161\u00ed diagn\u00f3zy a jak ji\u017e bylo zm\u00edn\u011bno d\u0159\u00edve, uvoln\u00ed tlak na m\u00edstech hlavn\u00edch nemocnic, a t\u00edm pozitivn\u011b ovlivn\u00ed v\u00fdsledky pacient\u016f na \u010dekac\u00edch listin\u00e1ch pro jin\u00e9 specializace.<\/p>\n

Z\u00e1vazek NHS poskytovat udr\u017eiteln\u011bj\u0161\u00ed infrastrukturu se odr\u00e1\u017e\u00ed v Stavebn\u00ed p\u0159\u00edru\u010dka 2020<\/a> kde podrobn\u011b popisuje \u0161ir\u0161\u00ed vyu\u017eit\u00ed modern\u00edch metod v\u00fdstavby (MMC) k dosa\u017een\u00ed c\u00edl\u016f nulov\u00fdch \u010dist\u00fdch emis\u00ed uhl\u00edku. Na podzim roku 2020 se vl\u00e1da zav\u00e1zala postavit v Anglii do roku 2030 40 nov\u00fdch nemocnic, p\u0159i\u010dem\u017e v\u0161echny budou vyu\u017e\u00edvat postupy udr\u017eiteln\u00e9 infrastruktury, kter\u00e9 pomohou v \u00fasil\u00ed o dosa\u017een\u00ed nulov\u00fdch \u010dist\u00fdch emis\u00ed do roku 2040. Krom\u011b toho bude modernizov\u00e1no dal\u0161\u00edch 70 nemocnic, p\u0159i\u010dem\u017e 850 milion\u016f liber bude p\u0159isl\u00edbeno na zlep\u0161en\u00ed prostor odd\u011blen\u00ed, za\u0159\u00edzen\u00ed pro du\u0161evn\u00ed zdrav\u00ed a opera\u010dn\u00edch s\u00e1l\u016f. Je z\u0159ejm\u00e9, \u017ee velk\u00fd po\u010det endoskopick\u00fdch slu\u017eeb v Anglii pot\u0159ebuje rozs\u00e1hlou rekonstrukci, aby se zv\u00fd\u0161ila efektivita, a zaveden\u00ed mobiln\u00edch, modul\u00e1rn\u00edch a sm\u00ed\u0161en\u00fdch zdravotnick\u00fdch prostor, a\u0165 u\u017e se nach\u00e1zej\u00ed v are\u00e1lu nemocnice nebo v r\u00e1mci komunity, slou\u017e\u00ed jako \u010dasov\u011b a n\u00e1kladov\u011b efektivn\u00ed \u0159e\u0161en\u00ed pro udr\u017een\u00ed a zv\u00fd\u0161en\u00ed kapacity.<\/p>","protected":false},"excerpt":{"rendered":"

Vzhledem k tomu, \u017ee \u010dekac\u00ed seznamy na diagnostick\u00e9 slu\u017eby dos\u00e1hly v lednu 2022 v Anglii 435 000, je jasn\u00e9, \u017ee zejm\u00e9na tato specializace byla zna\u010dn\u011b ovlivn\u011bna omezen\u00edmi zaveden\u00fdmi zastaralou infrastrukturou a ukon\u010den\u00edm endoskopick\u00fdch slu\u017eeb b\u011bhem pandemie Covid-19.<\/p>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nEndoscopy and diagnostic waiting lists: what can be done - Q-bital 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.q-bital.com\/cs_cz\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy and diagnostic waiting lists: what can be done - 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