{"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\/hr_hr\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Liste \u010dekanja za endoskopiju i dijagnostiku: \u0161to se mo\u017ee u\u010diniti"},"content":{"rendered":"

Dana\u0161nji NHS suo\u010den je s brojnim zna\u010dajnim pritiscima, uklju\u010duju\u0107i ubrzano starenje stanovni\u0161tva i popratne bolesti koje mogu donijeti, nejednaku rasprostranjenost dostupne skrbi diljem Ujedinjenog Kraljevstva i rastu\u0107e pritiske za odr\u017eivijom praksom zdravstvene skrbi. Rastu\u0107e liste \u010dekanja bile su problem davno prije pandemije Covid-19, s mnogim planiranim postupcima skrbi koji su otkazani zbog umora i 'raspadanje'<\/a> bolni\u010dka infrastruktura. S listama \u010dekanja za dijagnosti\u010dke usluge 435,000<\/a> u Engleskoj u sije\u010dnju 2022., jasno je da je posebno ova specijalnost bila pod velikim utjecajem ograni\u010denja nametnutih zastarjelom infrastrukturom i prestankom endoskopskih usluga tijekom pandemije Covid-19.<\/p>\n

Tijekom godina zgrade NHS-a prilago\u0111avane su i razvijane kako bi se prilagodile sve ve\u0107im zahtjevima od osnutka zdravstvene slu\u017ebe 1948., me\u0111utim zastarjela infrastruktura ima ograni\u010dene mogu\u0107nosti prilagodbe kako bi se uklopila uz napredak u praksi zdravstvene skrbi. Doista, tro\u0161kovi rje\u0161avanja zaostataka u odr\u017eavanju NHS-a iznosili su 9,2 milijarde funti<\/a> na kraju 2020.\/21., me\u0111utim zbog nedavnih poja\u010danih mjera kontrole infekcije, izvo\u0111a\u010dima je postalo sve te\u017ee izvoditi takve radove u \u017eivim NHS okru\u017eenjima. Broj klini\u010dkih incidenata koji su se dogodili zbog zastarjele infrastrukture je utrostru\u010dio<\/a> u posljednjih 5 godina, nedavna izvje\u0161\u0107e<\/a> prona\u0161ao.<\/p>\n

Doista, liste \u010dekanja u bolnicama od tada su u porastu 2009<\/a>, 11 godina prije nego \u0161to je pandemija uzrokovala prekid skrbi. U travnju 2022. bolni\u010dke liste \u010dekanja dosegnule su rekordnih 6,2 milijuna, s predvi\u0111anjima da \u0107e do o\u017eujka nastaviti rasti na 10,7 milijuna 2024<\/a>. K tome, broj pojedinaca koji \u010dekaju na klju\u010dne dijagnosti\u010dke testove u Engleskoj je iznosio 369,100<\/a> u kolovozu 2021., s tim da se taj broj naknadno pove\u0107ao na gore spomenutih 435 000 do 2022., pokazuju\u0107i pravi zaostatak s kojim se ova specijalnost suo\u010dava. \u0160tovi\u0161e, nedavno izvje\u0161\u0107e FOI-ja istaknulo je trenutno stanje endoskopskih usluga NHS-a Engleske, s 41% od 105 ispitanika koji su izjavili da se njihovi paketi za dekontaminaciju ili pribli\u017eavaju ili prema\u0161uju preporu\u010deni vijek trajanja od 10 godina proizvo\u0111a\u010da. Od ovih zaklada, 87% nije uspjelo ispuniti ciljeve od 6 tjedana \u010dekanja izme\u0111u travnja 2018. i o\u017eujka 2019. Ovo ilustrira da, dok su pandemija Covid-19 i pauziranje izborne skrbi u cijelom UK-u ometali bolni\u010dke liste \u010dekanja, to se ne mo\u017ee u potpunosti okriviti kako se pitanje prote\u017ee dalje.<\/p>\n

The\u00a0Britanski nacionalni popis za endoskopiju 2021<\/a>\u00a0pregledali usluge endoskopije i dekontaminacije diljem Ujedinjenog Kraljevstva, otkriv\u0161i da su 42,7% anketiranih pru\u017eatelja zdravstvenih usluga zahtijevali dodatne gra\u0111evinske radove kako bi se pove\u0107ala u\u010dinkovitost dekontaminacije do 20%. Uz to, 59% ispitanika izjavilo je da su potrebni dodatni endoskopski reprocesori i ormari za su\u0161enje kako bi se pove\u0107ao kapacitet dekontaminacije. Objekti za dekontaminaciju redovito se nalaze unutar bolni\u010dkih endoskopskih usluga, me\u0111utim, samostalni objekti mogu se instalirati i neprimjetno povezati s glavnom bolnicom kako bi se pove\u0107ao kapacitet i osigurala ve\u0107a u\u010dinkovitost endoskopskih usluga, \u010dime se smanjuju liste \u010dekanja. Ovo je posebno korisno tijekom razdoblja obnove, s uvo\u0111enjem mobilnih i modularnih objekata za dekontaminaciju radi odr\u017eavanja kapaciteta. Istraga je tako\u0111er otkrila da je nevoljkost da se prisustvuje i kasnije "nije prisustvovao ili DNK" za postupke bio na drugoj najvi\u0161oj razini od 2019., a mogu\u0107i razlog za to je bio strah od zaraze Covidom-19 prilikom posjeta bolnici. To stoga poja\u010dava potrebu za samostalnim\u00a0usluge endoskopije<\/a>, odvojene od glavne bolni\u010dke lokacije, koje pove\u0107avaju povjerenje pacijenata i stoga poma\u017eu u rje\u0161avanju lista \u010dekanja.<\/p>\n

\"\"<\/figure>\n

Prosje\u010dni \u017eivotni vijek u Velikoj Britaniji raste iz godine u godinu, raste 0.15%<\/a> izme\u0111u 2021. i 2022., i, iako je to ne\u0161to \u0161to treba slaviti, to ne zna\u010di da postoji ve\u0107i broj pojedinaca koji \u017eive s kroni\u010dnim stanjima, poput demencije i dijabetesa, kojima je potrebna dugotrajnija njega. To je stvorilo poja\u010dan pritisak na slu\u017ebe NHS-a, osobito jer je priznato da prosje\u010dni 90-godi\u0161njak ko\u0161ta oko 7 puta<\/a> o \u010demu treba brinuti nego za prosje\u010dnog 30-godi\u0161njaka. Kao rezultat toga, pojavili su se pozivi za pobolj\u0161anjem i implementacijom dijagnosti\u010dkih usluga diljem Ujedinjenog Kraljevstva kako bi se ljudima omogu\u0107ilo da dulje ostanu zdraviji i time ukloni pritisak na slu\u017ebe NHS-a. Osim toga, razvoj dijagnosti\u010dki centri u zajednici<\/a> diljem zemlje pribli\u017eit \u0107e usluge pacijentima, smanjuju\u0107i pritisak na mjesta akutnih bolnica i pozitivno utjecati na regionalne nejednakosti u zdravstvu osiguravaju\u0107i ve\u0107u dostupnost dijagnosti\u010dkih ustanova.<\/p>\n

Nadalje, nacionalni popis endoskopskih usluga u Ujedinjenom Kraljevstvu tako\u0111er je otkrio da, iako su vremena \u010dekanja na postupke i dalje u porastu, ovdje postoje jasne regionalne razlike:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, et al, Nacionalni popis endoskopskih usluga u Velikoj Britaniji 2021., Frontline Gastroenterology Objavljeno prvi put na internetu: 9. svibnja 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Regionalne nejednakosti u zdravstvenoj skrbi dugo su bile problem, me\u0111utim, pandemija Covida-19 i kasniji planirani zaostatak u skrbi dodatno su to pogor\u0161ali. Nejednakosti u zdravstvenoj skrbi vi\u0161estruk je pojam koji pokriva kako je dostupnost zdravstvene skrbi nejednako raspore\u0111ena izme\u0111u razli\u010ditih skupina ljudi. U kona\u010dnici, nejednakosti u zdravlju odnose se na utjecaj statusa pojedinca na njegovo zdravlje. To mo\u017ee uklju\u010divati zdravstveni status, dostupnost usluga skrbi, kvalitetu skrbi i \u0161ire \u0161tete po zdravlje, na primjer stanovanje. Osiguravanje da su usluge skrbi i dijagnostike dostupnije pacijentima pozitivno \u0107e utjecati na ishode pacijenata kroz ranu dijagnozu i, kao \u0161to je ranije spomenuto, to \u0107e smanjiti pritisak na glavnim bolni\u010dkim lokacijama, stoga pozitivno utje\u010du\u0107i na ishode pacijenata na listama \u010dekanja za druge specijalnosti.<\/p>\n

NHS predanost pru\u017eanju odr\u017eivije infrastrukture ogleda se u Priru\u010dnik o gra\u0111evinarstvu 2020<\/a> gdje se detaljno opisuje \u0161ira upotreba modernih metoda gradnje (MMC) kako bi se pomoglo u postizanju ciljeva neto nulte emisije ugljika. U jesen 2020. vlada se obvezala izgraditi 40 novih bolnica u Engleskoj do 2030., a sve \u0107e koristiti odr\u017eive infrastrukturne prakse koje \u0107e pomo\u0107i u kretanju prema postizanju neto nulte emisije do 2040. Osim toga, dodatnih 70 bolnica dobit \u0107e nadogradnje, a 850 milijuna funti obe\u0107ano je za pobolj\u0161anje prostora na odjelima, ustanovama za mentalno zdravlje i operacijskim dvoranama. Jasno je da velik broj endoskopskih usluga u Engleskoj treba zna\u010dajnu obnovu kako bi se pove\u0107ala u\u010dinkovitost, a uvo\u0111enje mobilnih, modularnih i mje\u0161ovitih zdravstvenih prostora, bilo da se nalaze na lokaciji bolnice ili unutar zajednice, slu\u017ei kao vremenski u\u010dinkovito i isplativo rje\u0161enje za odr\u017eavanje i pove\u0107anje kapaciteta.<\/p>","protected":false},"excerpt":{"rendered":"

S listama \u010dekanja za dijagnosti\u010dke usluge koje su u Engleskoj u sije\u010dnju 2022. dosegle 435 000, jasno je da je ova specijalnost posebno bila pod velikim utjecajem ograni\u010denja nametnutih zastarjelom infrastrukturom i prestankom endoskopskih usluga tijekom pandemije 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\/hr_hr\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\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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