{"id":586,"date":"2022-11-15T14:09:00","date_gmt":"2022-11-15T14:09:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=586"},"modified":"2023-10-20T11:38:08","modified_gmt":"2023-10-20T11:38:08","slug":"refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/hr_hr\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Obnova bolni\u010dkog imanja: kori\u0161tenje fleksibilnih zdravstvenih prostora za odr\u017eavanje i pove\u0107anje kapaciteta."},"content":{"rendered":"

Liste \u010dekanja NHS-a dosegnule su najvi\u0161u razinu svih vremena 7 milijuna<\/a> ljudi koji \u010dekaju lije\u010denje u Engleskoj u kolovozu, \u0161to je najvi\u0161e od po\u010detka bilje\u017eenja. Sve ve\u0107i pritisci elektivne skrbi dugo su bili problem, \u010dak i prije pauze elektivne skrbi na po\u010detku pandemije COVID-19 2020. Doista, stotine postupaka elektivne skrbi otkazane su zbog starenja i opasne bolni\u010dke infrastrukture. Robert Naylor izjavio je u 2017<\/a> da \u0107e bez zna\u010dajnih ulaganja 'imanje NHS-a ostati neprikladno za svrhu i nastavit \u0107e propadati', umanjuju\u0107i budu\u0107e izborne planove oporavka. Ovaj \u0107e se problem vjerojatno samo pove\u0107ati tijekom sljede\u0107ih mjeseci, nakon otkri\u0107a da preko 30 bolni\u010dkih zgrada<\/a> u Engleskoj imaju krovove izra\u0111ene od armiranog autoklaviranog porobetona (RAAC), \u0161to zna\u010di da bi ovi bolni\u010dki krovovi mogli biti opasno blizu ru\u0161enja. Privremena rje\u0161enja i rje\u0161enja za zamjenski kapacitet, smje\u0161tena dalje od glavne bolni\u010dke zgrade, potrebna su za odr\u017eavanje, pa \u010dak i pove\u0107anje izborne aktivnosti, dok istovremeno \u010duvaju sigurnost pacijenata tijekom opse\u017enih radova obnove koje zahtijevaju ovi krovovi.<\/p>\n

Broj klini\u010dkih incidenata kao rezultat zastarjele bolni\u010dke infrastrukture kojoj je potrebna hitna obnova utrostru\u010dio se u posljednjih 5 godina, a incidenti uklju\u010duju onesvije\u0161tenog pacijenta na respiratoru koji je bio zarobljen u dizalu 35 minuta, izvje\u0161\u0107e<\/a> by The Times je prona\u0161ao. Izvje\u0161\u0107e detaljno opisuje odgovore na zahtjeve za slobodom informacija, ilustriraju\u0107i pravi opseg razornih u\u010dinaka 'raspadaju\u0107eg imanja NHS-a' na pacijente, nagla\u0161avaju\u0107i da postoje\u0107a umorna infrastruktura ne mo\u017ee pratiti moderne zahtjeve.<\/p>\n

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O\u010dito je da uz rastu\u0107i zaostatak u skrbi, postoji zna\u010dajan zaostatak u odr\u017eavanju u NHS Trustovima i zdravstvenim odborima koji se hitno mora rije\u0161iti. Naylor navodi da se imanje NHS-a prostire na bruto unutarnjoj povr\u0161ini od 26 milijuna \u010detvornih metara, no oko 1.5 milijun<\/a> \u010detvornih metara od toga potpuno je neiskori\u0161teno kao rezultat infrastrukture koja je previ\u0161e opasna i zastarjela za moderne zahtjeve. Osim toga, nedavna anketa YouGov-a u kojoj je sudjelovalo 1000 privatnih zdravstvenih djelatnika i 750 zaposlenika NHS-a pokazala je da 50%<\/a> zdravstvenih djelatnika smatra da njihovo radno mjesto ne mo\u017ee primiti dodatno osoblje zbog nedostatka fizi\u010dkog prostora. To stoga ote\u017eava napore pri zapo\u0161ljavanju i potvr\u0111uje Naylorovu izjavu da NHS ne mo\u017ee naju\u010dinkovitije rije\u0161iti sve ve\u0107i zaostatak skrbi bez modernizacije i obnove infrastrukture.<\/p>\n

S pritiscima na NHS na vrhuncu svih vremena i tro\u0161kovima odr\u017eavanja od 5,5 milijardi funti<\/a> do 9,2 milijarde funti<\/a> u proteklih 5 godina ideja o izgradnji novih, moderniziranih bolnica \u010dini se privla\u010dnom. Me\u0111utim, u stvarnosti ovo je dugotrajna i skupa inicijativa koja ne\u0107e najbolje rije\u0161iti kratkoro\u010dna pitanja. To najbolje pokazuje primjer Kraljevske bolnice u Liverpoolu, gdje su planovi preure\u0111enja zapo\u010deli 2002. godine i jo\u0161 uvijek nisu dovr\u0161eni.<\/p>\n

Nedavni odgovor NHS-a Engleske na zahtjev za slobodom informacija otkrio je da nekoliko bolnica diljem Engleske ima krovove izgra\u0111ene od RAAC-a, laganog i jeftinijeg materijala koji je jedan \u0161ef bolnice ozna\u010dio kao "tempirana bomba<\/a>'. Materijal je kori\u0161ten u vi\u0161e od 30 zgrada u 20 razli\u010ditih bolnica u Engleskoj i predstavlja kolosalnu prijetnju osoblju i pacijentima jer bi se krovovi mogli sru\u0161iti u bilo kojem trenutku.<\/p>\n

Kako bi pacijenti i osoblje bili sigurni, neke su bolnice odabrale postaviti \u010deli\u010dne potpore kako bi smanjile rizik od uru\u0161avanja, no to ne slu\u017ei kao trajno rje\u0161enje. 685 milijuna funti<\/a> izdvojeno je za izravno rje\u0161avanje problema krova RAAC-a, a Program nove bolnice nastojat \u0107e uvesti dodatnih 40 novih bolnica koje \u0107e postupno po\u010deti zamjenjivati zastarjelu infrastrukturu. Osim toga, mogu se koristiti privremena rje\u0161enja za odr\u017eavanje i pove\u0107anje kapaciteta tijekom razdoblja obnove. Mobilne i modularne zdravstvene ustanove idealno su rje\u0161enje za brzo uvo\u0111enje u bolni\u010dko imanje.<\/p>\n

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U situacijama kada je potrebno rije\u0161iti hitne probleme s kapacitetom, ali postoje\u0107e bolni\u010dko imanje nije dovoljno za to, mogu se primijeniti fleksibilna rje\u0161enja Healthcare Space. Suvremene metode gradnje (MMC), poput onih koje se koriste s instalacijom modularnih zdravstvenih objekata, omogu\u0107uju ubrzanu isporuku dodatnih rje\u0161enja kapaciteta za pro\u0161irenje postoje\u0107eg bolni\u010dkog posjeda. Mobilna, modularna i mje\u0161ovita rje\u0161enja Healthcare Space mogu se instalirati tijekom razdoblja obnove ili napregnutih kapaciteta, pru\u017eaju\u0107i isplativu i odr\u017eivu alternativu za rje\u0161avanje rastu\u0107ih lista \u010dekanja i transformaciju skrbi za pacijente. \u0160tovi\u0161e, uvo\u0111enje modernih tehnologija i suvremene infrastrukture olak\u0161ava poticaje za zapo\u0161ljavanje, nude\u0107i ve\u0107e mogu\u0107nosti za razvoj vje\u0161tina u modernom radnom okru\u017eenju.<\/p>\n

Nakon poziva Kraljevskog koled\u017ea kirurga iz 2021. za uvo\u0111enje kirur\u0161kih centara, modularne operacijske dvorane instalirane su u Newcastleu i Roehamptonu kako bi se rije\u0161ili rastu\u0107i zaostaci u kirur\u0161kim zahvatima. Brza isporuka ovih rje\u0161enja za zdravstveni prostor pro\u0161irila je postoje\u0107i bolni\u010dki posjed, pru\u017eaju\u0107i dodatne kapacitete i osiguravaju\u0107i da su bolnice najbolje opremljene za rje\u0161avanje svojih lista \u010dekanja za akutnu skrb u roku od nekoliko mjeseci, a ne godina. Nedavni zahtjevi za kapacitetom pove\u0107ali su atraktivnost MMC objekata zahvaljuju\u0107i prirodi njihove ubrzane isporuke i prednostima koje su povezane s izgradnjom izvan lokacije, kao \u0161to su minimalno ometanje lokacije i u\u0161tede tro\u0161kova. \u0160tovi\u0161e, upotreba odr\u017eivijih materijala, poput \u010delika i drva, pobolj\u0161ava fleksibilnu prirodu objekata, osiguravaju\u0107i da se mogu najbolje prilagoditi trenutnim potrebama, za razliku od tradicionalnih NHS zgrada od cigle i morta, od kojih mnoge postoje jo\u0161 od prije osnivanja zdravstvene slu\u017ebe 1948. godine.<\/p>\n

Dugo se povezivalo s pojmovima "privremeno" i "hitno", ako NHS poku\u0161a u\u010dinkovito "izgraditi bolje" nakon pandemije, vrijeme je da se po\u010dne promatrati fleksibilna klini\u010dka infrastruktura i MMC kao odr\u017eivo i trajno sredstvo za brzo pobolj\u0161ati postoje\u0107u bolni\u010dku imovinu, ne samo za pove\u0107anje i zamjenu kapaciteta, ve\u0107 i za pobolj\u0161anje ishoda pacijenata i olak\u0161avanje pokretanja zapo\u0161ljavanja.<\/p>","protected":false},"excerpt":{"rendered":"

Pitanje zastarjelog bolni\u010dkog imanja vjerojatno \u0107e se tek pove\u0107ati nakon otkri\u0107a da vi\u0161e od 30 bolni\u010dkih zgrada u Engleskoj ima krovove izra\u0111ene od armiranog autoklaviranog gaziranog betona (RAAC), \u0161to zna\u010di da bi ti bolni\u010dki krovovi mogli biti opasno blizu uru\u0161avanju. Potrebna su privremena rje\u0161enja kako bi se odr\u017eao kapacitet i osigurao siguran prostor za pacijente.<\/p>","protected":false},"author":1,"featured_media":587,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-586","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nRefurbishing the hospital estate: The use of flexible Healthcare Spaces to maintain and increase capacity. - 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\/hr_hr\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Refurbishing the hospital estate: The use of flexible Healthcare Spaces to maintain and increase capacity. - Q-bital Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The issue of the the outdated hospital estate is only likely to increase following the revelation that over 30 hospital buildings in England have roofs made out of reinforced autoclaved aerated concrete (RAAC), meaning that these hospital roofs may be perilously close to collapse. 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