{"id":608,"date":"2022-04-28T15:06:00","date_gmt":"2022-04-28T15:06:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=608"},"modified":"2023-10-20T11:38:11","modified_gmt":"2023-10-20T11:38:11","slug":"the-debilitating-effects-of-a-pandemic-on-womens-health","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/hr_hr\/the-debilitating-effects-of-a-pandemic-on-womens-health\/","title":{"rendered":"Oslabljuju\u0107i u\u010dinci pandemije na zdravlje \u017eena"},"content":{"rendered":"

Pauziranje elektivne skrbi na po\u010detku pandemije Covid-19 krajem o\u017eujka 2020. rezultiralo je najve\u0107im zaostatkom u povijesti NHS-a, s 6,1 milijun<\/a> jo\u0161 uvijek na listama \u010dekanja NHS-a do o\u017eujka 2022., uklju\u010duju\u0107i 24 000 koji \u010dekaju vi\u0161e od dvije godine. Omicron varijanta i \u010desti nedostaci osoblja tijekom zimskih mjeseci malo su pomogli situaciji, a Dr\u017eavni ured za reviziju (NAO) predvi\u0111a da \u0107e liste \u010dekanja nastaviti rasti na izme\u0111u 7 i 12 milijuna do o\u017eujka 2025<\/a>.<\/p>\n

Dok se NHS Trustovi i zdravstveni odbori diljem zemlje bore s rje\u0161avanjem zaostataka u elektivnoj zdravstvenoj skrbi, postalo je jasno da je jedna specijalnost posebno pogo\u0111ena.<\/p>\n

Zdravlje \u017eena bilo je u drugom planu tijekom pauze elektivne skrbi, a s preraspodjelom osoblja na kriti\u010dnije specijalizacije, ionako opse\u017ene liste \u010dekanja dodatno su se pove\u0107ale. Tijekom cijele pandemije, klju\u010dni fokus odjela za porodni\u0161tvo i ginekologiju (O&G) bio je pru\u017eanje sigurnih i hitnih porodiljnih usluga, daju\u0107i prioritet dijagnozi i lije\u010denju ginekolo\u0161kih karcinoma i pru\u017eanje akutnih usluga povezanih s problemima koji se javljaju u ranoj trudno\u0107i. Doista, studija koju je proveo Kraljevski koled\u017e opstetri\u010dara i ginekologa (RCOG) pokazala je da oko 53%<\/a> pru\u017eatelja zdravstvenih usluga preraspodjelu konzultanata i specijalnih suradnika specijalista (SAS) za podr\u0161ku opstetriciji, s 50%<\/a> ginekologa koji prelaze na hitno porodni\u0161tvo. To je zna\u010dilo da su klju\u010dni elementi, kao \u0161to su akutni kirur\u0161ki zahvati, skrb nakon trudno\u0107e i usluge raka kod \u017eena, postali pod prioritetom.<\/p>\n

Od po\u010detka pandemije Covid-19 liste \u010dekanja na ginekologiji nastavile su dramati\u010dno rasti, s ukupnim brojem 570,000<\/a> \u017eene na listama \u010dekanja diljem Ujedinjenog Kraljevstva do prosinca 2021. \u010cekanje je naglo poraslo 60%<\/a>, o\u0161triji od bilo koje druge specijalnosti, s vi\u0161e od 1300 samo u Engleskoj na listama \u010dekanja vi\u0161e od dvije godine, me\u0111utim LCP<\/a> sugerira da to ne odra\u017eava pravu veli\u010dinu problema o kojem se radi. Uz iscrpljuju\u0107e u\u010dinke koje takvi problemi mogu imati na svakodnevni \u017eivot, stanja kao \u0161to su endometrioza i fibroidi mogu dovesti do problema s plodno\u0161\u0107u ako se ne lije\u010de, a mnogi \u010dekaju operaciju prije po\u010detka lije\u010denja i dobnu granicu za IVF na NHS-u, mnogi \u017eene su ostavljene u katastrofalnim situacijama. U anketi koju je proveo RCOG<\/a> od 837 \u017eena, 80% \u017eena izjavilo je da su patile od utjecaja na svoje mentalno zdravlje, pri \u010demu je 61% priznalo da osje\u0107a o\u010daj zbog dugog \u010dekanja, a daljnjih 63% osje\u0107alo se ignorirano.<\/p>\n

Pandemija je ukazala na pravi opseg regionalnih zdravstvenih nejednakosti u Ujedinjenom Kraljevstvu, uz izvje\u0161\u0107e Health Foundation u srpnju 2021<\/a> pokazuju\u0107i da \u0107e oni u manje imu\u0107nim i manjinskim zajednicama vjerojatnije pretrpjeti te\u017ee posljedice i Covid-19 i implikacija koje potom slijede. \u0160to se ti\u010de ginekologije, 8 od 10 najte\u017ee pogo\u0111enih grupa za klini\u010dko pu\u0161tanje u rad (CCG) bilo je smje\u0161teno na sjeverozapadu Ujedinjenog Kraljevstva, \u0161to je pogor\u0161alo potrebu rje\u0161avanja geografskih varijacija u skrbi. Nadalje, nakon poziva na dokaze od strane Ministarstva zdravstva i socijalne skrbi u o\u017eujku 2021. otkriveno je da upravo 2 u 5<\/a> \u017eene smatraju da mogu lako pristupiti lokalnim zdravstvenim uslugama. Klju\u010dni nalazi koji bi pobolj\u0161ali usluge uklju\u010divali su bolju geografsku raznolikost, pobolj\u0161ano obrazovanje lije\u010dnika op\u0107e prakse i pove\u0107anje broja stru\u010dnjaka za zdravstveno stanje \u017eena. Kako bi se uspje\u0161no uhvatilo u ko\u0161tac s rastu\u0107im zaostatkom ginekolo\u0161kih izbornih predmeta, jasno je da je potreban lokalizirani pristup za rje\u0161avanje podru\u010dja u kojima su regionalne razlike najve\u0107e, donose\u0107i 'po\u0161tanski broj lutrija<\/a>' za ginekolo\u0161ku skrb do kraja.<\/p>\n

Krajem 2021. Royal College of Surgeons (RCS) objavio je a\u00a0izvje\u0161\u0107e<\/a>\u00a0pozivaju\u0107i na uvo\u0111enje elektivnih kirur\u0161kih centara kako bi se rije\u0161ili zaostaci u elektivnoj skrbi s kojima se suo\u010davaju NHS Trustovi i zdravstveni odbori diljem Ujedinjenog Kraljevstva. Uvo\u0111enje samostalnih kirur\u0161kih objekata ne samo da brzo i u\u010dinkovito pru\u017ea dodatne klini\u010dke kapacitete, ve\u0107 i maksimizira kontrolu infekcija unutar zdravstvenih ustanova, pove\u0107avaju\u0107i povjerenje pacijenata i osoblja te time smanjuju\u0107i broj pacijenata koji se ne pojavljuju na planirane preglede. Fleksibilna priroda ovih zdravstvenih prostora osigurava da se objekti mogu prilagoditi lokalnim zahtjevima, osiguravaju\u0107i da se liste \u010dekanja u akutnoj ginekolo\u0161koj skrbi mogu rje\u0161avati u skladu s tim, osloba\u0111aju\u0107i prostor unutar glavne bolnice za slo\u017eenije postupke, poput hitne opstetricije.<\/p>\n

\"\"<\/figure>\n

Uvo\u0111enje fleksibilnih prostora za zdravstvenu skrb bilo je uspje\u0161no u podr\u017eavanju pove\u0107anja potra\u017enje za uslugama rodili\u0161ta u Nizozemskoj uvo\u0111enjem mobilnog paketa za porod u Bolnica Wilhelmina u Assenu<\/a>. Potpuno opremljena ra\u0111aonica bila je besprijekorno povezana s glavnom bolnicom i u ustanovi je ro\u0111eno 125 beba tijekom trajanja ugovora. Uvo\u0111enje ovog prilago\u0111enog rodili\u0161ta pokazuje u\u010dinkovitost pro\u0161irenja zdravstvenih ustanova za \u017eene kako bi se podr\u017eao sve ve\u0107i pritisak na rodiljne usluge i podupire \u0161ire pozive za implementaciju kirur\u0161kih centara i rje\u0161enja dodatnih kapaciteta za smanjenje lista \u010dekanja za akutnu skrb.<\/p>\n

Nadalje, procjenjuje se da je gotovo 1,5 milijuna \u017eena<\/a> imale su probire za rak dojke odgo\u0111ene izme\u0111u 2 i 7 mjeseci izme\u0111u srpnja 2020. i lipnja 2021., \u0161to je dovelo do otprilike 687<\/a> dodatni smrtni slu\u010dajevi od raka dojke, smrtni slu\u010dajevi otkriveni ekranom i DCIS. Usluge pregleda dojki obustavljene su krajem o\u017eujka 2020., a objekti su dostupni samo onima s ve\u0107im rizikom ili onima s postoje\u0107im nalazima, a to je nastavljeno tek na poziv sljede\u0107eg rujna. Kao rezultat poja\u010danih mjera kontrole infekcije, nedostatka osoblja i optere\u0107enja kapaciteta, usluge probira nisu se nastavile na prija\u0161njim razinama kapaciteta, stvaraju\u0107i dodatni rizik za nedijagnosticirane pacijente. To je dovelo do pove\u0107anja broja poziva za financiranje dijagnosti\u010dki centri u zajednici<\/a> (CDC), osobito u podru\u010djima gdje je pristup zdravstvenoj skrbi te\u017ee dostupan.<\/p>\n

Probir dojke smanjuje broj smrtnih slu\u010dajeva od raka dojke za 1,300<\/a> godi\u0161nje, isti\u010du\u0107i va\u017enost provedbe usluga u zajednici za poticanje ranog otkrivanja. Ovog je mjeseca objavljeno da su CDC-ovi isporu\u010dili vi\u0161e od 700.000 dodatnih testova u 73 centra koji ve\u0107 postoje u Engleskoj, donose\u0107i zdravstvene usluge lokalnim zajednicama i poma\u017eu\u0107i u smanjenju regionalnih zdravstvenih nejednakosti.<\/p>\n

Ima jo\u0161 puno toga za u\u010diniti u rje\u0161avanju nejednakosti spolova u skrbi diljem Ujedinjenog Kraljevstva, a RCOG poziva na preispitivanje prioriteta skrbi kako bi se prepoznala skrivena patnja koju do\u017eivljavaju zbog zdravstvenih stanja \u017eena. Izborni planovi oporavka trebali bi se baviti alarmantan rast ginekolo\u0161kih lista \u010dekanja<\/a> u usporedbi s drugim specijalnostima, uklju\u010duju\u0107i podr\u0161ku za lokalna rje\u0161enja i kori\u0161tenje kirur\u0161kih sredi\u0161ta. Fleksibilna rje\u0161enja za pove\u0107anje kirur\u0161kih kapaciteta i kapaciteta za probir, posebno u podru\u010djima gdje je pristup zdravstvenim ustanovama oskudniji, ne samo da \u0107e pomo\u0107i u smanjenju lista \u010dekanja, ve\u0107 \u0107e pridonijeti ukupnoj boljoj kvaliteti \u017eivota oboljelih \u017eena.<\/p>","protected":false},"excerpt":{"rendered":"

Pauziranje elektivne skrbi na po\u010detku pandemije Covid-19 krajem o\u017eujka 2020. rezultiralo je najve\u0107im zaostatkom u povijesti NHS-a, sa 6,1 milijuna jo\u0161 uvijek na listama \u010dekanja NHS-a do o\u017eujka 2022., uklju\u010duju\u0107i 24 000 koji \u010dekaju vi\u0161e od dvije godine. Konkretno, iscrpljuju\u0107i u\u010dinci pandemije izazvali su kaos po zdravlju \u017eena.<\/p>","protected":false},"author":1,"featured_media":609,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nThe debilitating effects of a pandemic on women\u2019s health - 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\/the-debilitating-effects-of-a-pandemic-on-womens-health\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The debilitating effects of a pandemic on women\u2019s health - Q-bital Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The pausing of elective care at the start of the Covid-19 pandemic in late March 2020 resulted in the greatest backlog in NHS history, with 6.1 million still on NHS waiting lists by March 2022, including 24,000 waiting more than two years. 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