{"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\/hu_hu\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endoszk\u00f3pos \u00e9s diagnosztikai v\u00e1r\u00f3list\u00e1k: mit lehet tenni"},"content":{"rendered":"

Napjaink NHS-\u00e9re sz\u00e1mos jelent\u0151s nyom\u00e1s nehezedik, bele\u00e9rtve a gyorsan n\u00f6vekv\u0151 n\u00e9pess\u00e9g el\u00f6reged\u00e9s\u00e9t \u00e9s az ezzel j\u00e1r\u00f3 t\u00e1rsbetegs\u00e9geket, a hozz\u00e1f\u00e9rhet\u0151 ell\u00e1t\u00e1s egyenl\u0151tlen elterjed\u00e9s\u00e9t az Egyes\u00fclt Kir\u00e1lys\u00e1gban, valamint a fenntarthat\u00f3bb eg\u00e9szs\u00e9g\u00fcgyi gyakorlatok ir\u00e1nti n\u00f6vekv\u0151 nyom\u00e1st. A n\u00f6vekv\u0151 v\u00e1r\u00f3list\u00e1k m\u00e1r j\u00f3val a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny el\u0151tt probl\u00e9m\u00e1t jelentettek, mivel sok tervezett gondoz\u00e1si elj\u00e1r\u00e1st t\u00f6r\u00f6ltek a f\u00e1radts\u00e1g \u00e9s aomladoz\u00f3'<\/a> k\u00f3rh\u00e1zi infrastrukt\u00fara. A diagnosztikai szolg\u00e1ltat\u00e1sok v\u00e1r\u00f3list\u00e1ival 435,000<\/a> Angli\u00e1ban 2022 janu\u00e1rj\u00e1ban egy\u00e9rtelm\u0171, hogy k\u00fcl\u00f6n\u00f6sen ezt a szakter\u00fcletet \u00e9rintett\u00e9k nagym\u00e9rt\u00e9kben az elavult infrastrukt\u00fara \u00e9s az endoszk\u00f3pos szolg\u00e1ltat\u00e1sok besz\u00fcntet\u00e9se miatti korl\u00e1toz\u00e1sok a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny sor\u00e1n.<\/p>\n

Az \u00e9vek sor\u00e1n az NHS \u00e9p\u00fcleteit a n\u00f6vekv\u0151 ig\u00e9nyekhez igaz\u00edtott\u00e1k \u00e9s fejlesztett\u00e9k az Eg\u00e9szs\u00e9g\u00fcgyi Szolg\u00e1lat 1948-as alap\u00edt\u00e1sa \u00f3ta, azonban az elavult infrastrukt\u00fara korl\u00e1tozott alkalmazkod\u00e1si k\u00e9pess\u00e9gekkel rendelkezik, hogy illeszkedjen az eg\u00e9szs\u00e9g\u00fcgyi gyakorlatok fejl\u0151d\u00e9s\u00e9hez. Val\u00f3j\u00e1ban az NHS karbantart\u00e1si lemarad\u00e1s\u00e1nak kezel\u00e9s\u00e9nek k\u00f6lts\u00e9gei meghaladt\u00e1k 9,2 milli\u00e1rd font<\/a> 2020\/21 v\u00e9g\u00e9n azonban a k\u00f6zelm\u00faltban megn\u00f6vekedett fert\u0151z\u00e9sellen\u0151rz\u00e9si int\u00e9zked\u00e9sek miatt a v\u00e1llalkoz\u00f3k egyre nehezebb\u00e9 v\u00e1ltak ilyen jelleg\u0171 munk\u00e1k elv\u00e9gz\u00e9se \u00e9l\u0151 NHS-k\u00f6rnyezetben. Az elavult infrastrukt\u00fara miatt bek\u00f6vetkezett klinikai esem\u00e9nyek sz\u00e1ma megh\u00e1romszoroz\u00f3dott<\/a> az elm\u00falt 5 \u00e9vben egy \u00fajabb jelent\u00e9s<\/a> tal\u00e1lt.<\/p>\n

A k\u00f3rh\u00e1zi v\u00e1r\u00f3list\u00e1k az\u00f3ta val\u00f3ban emelkednek 2009<\/a>11 \u00e9vvel azel\u0151tt, hogy a vil\u00e1gj\u00e1rv\u00e1ny megzavarta az ell\u00e1t\u00e1st. 2022 \u00e1prilis\u00e1ban a k\u00f3rh\u00e1zi v\u00e1r\u00f3list\u00e1k minden id\u0151k cs\u00facs\u00e1t, 6,2 milli\u00f3t \u00e9rtek el, \u00e9s az el\u0151rejelz\u00e9sek szerint m\u00e1rciusra tov\u00e1bbra is 10,7 milli\u00f3ra fog emelkedni. 2024<\/a>. Ehhez j\u00e1rul, hogy Angli\u00e1ban el\u00e9rte a kulcsfontoss\u00e1g\u00fa diagnosztikai vizsg\u00e1latokra v\u00e1r\u00f3 egy\u00e9nek sz\u00e1m\u00e1t 369,100<\/a> 2021 augusztus\u00e1ban, majd ez a sz\u00e1m 2022-re a fent eml\u00edtett 435 000-re emelkedett, bizony\u00edtva a val\u00f3di lemarad\u00e1st, amellyel ez a szakter\u00fclet szembes\u00fcl. Ezen t\u00falmen\u0151en egy nemr\u00e9giben k\u00e9sz\u00fclt FOI-jelent\u00e9s r\u00e1vil\u00e1g\u00edtott az NHS England endoszk\u00f3piai szolg\u00e1ltat\u00e1sainak jelenlegi helyzet\u00e9re: 105 v\u00e1laszad\u00f3b\u00f3l 41% nyilatkozott \u00fagy, hogy fert\u0151tlen\u00edt\u0151 berendez\u00e9seik megk\u00f6zel\u00edtik vagy meghaladj\u00e1k a gy\u00e1rt\u00f3 \u00e1ltal aj\u00e1nlott 10 \u00e9ves \u00e9lettartamot. Ezek k\u00f6z\u00fcl a Trust-ok k\u00f6z\u00fcl 87% nem teljes\u00edtette a 2018 \u00e1prilisa \u00e9s 2019 m\u00e1rciusa k\u00f6z\u00f6tti 6 hetes v\u00e1rakoz\u00e1si c\u00e9lt. Ez azt mutatja, hogy igen, b\u00e1r a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny \u00e9s a v\u00e1laszthat\u00f3 ell\u00e1t\u00e1s sz\u00fcneteltet\u00e9se az Egyes\u00fclt Kir\u00e1lys\u00e1gban akad\u00e1lyozta a k\u00f3rh\u00e1zi v\u00e1r\u00f3list\u00e1kat, ez nem lehet teljes m\u00e9rt\u00e9kben okolhat\u00f3 mivel a k\u00e9rd\u00e9s tov\u00e1bb ny\u00falik vissza.<\/p>\n

A\u00a02021. \u00e9vi brit endoszk\u00f3pos n\u00e9psz\u00e1ml\u00e1l\u00e1s<\/a>\u00a0megvizsg\u00e1lta az endoszk\u00f3pos \u00e9s dekontamin\u00e1ci\u00f3s szolg\u00e1ltat\u00e1sokat az Egyes\u00fclt Kir\u00e1lys\u00e1gban, \u00e9s felt\u00e1rta, hogy a megk\u00e9rdezett eg\u00e9szs\u00e9g\u00fcgyi szolg\u00e1ltat\u00f3k 42,71 TP3T-j\u00e1nak tov\u00e1bbi \u00e9p\u00edt\u00e9si munk\u00e1kra volt sz\u00fcks\u00e9ge a dekontamin\u00e1ci\u00f3 hat\u00e9konys\u00e1g\u00e1nak ak\u00e1r 20%-val t\u00f6rt\u00e9n\u0151 n\u00f6vel\u00e9s\u00e9hez. Ezenk\u00edv\u00fcl a v\u00e1laszad\u00f3k 59%-a nyilatkozott \u00fagy, hogy tov\u00e1bbi endoszk\u00f3p-\u00fajrafeldolgoz\u00f3kra \u00e9s sz\u00e1r\u00edt\u00f3szekr\u00e9nyekre van sz\u00fcks\u00e9g a fert\u0151tlen\u00edt\u00e9si kapacit\u00e1s n\u00f6vel\u00e9s\u00e9hez. A dekontamin\u00e1l\u00f3 l\u00e9tes\u00edtm\u00e9nyek rendszeresen tal\u00e1lhat\u00f3k a k\u00f3rh\u00e1zi endoszk\u00f3pos szolg\u00e1ltat\u00e1sokon bel\u00fcl, azonban \u00f6n\u00e1ll\u00f3 l\u00e9tes\u00edtm\u00e9nyek telep\u00edthet\u0151k \u00e9s z\u00f6kken\u0151mentesen \u00f6sszekapcsolhat\u00f3k a f\u0151k\u00f3rh\u00e1zzal a kapacit\u00e1s n\u00f6vel\u00e9se \u00e9s az endoszk\u00f3pos szolg\u00e1ltat\u00e1sok nagyobb hat\u00e9konys\u00e1g\u00e1nak biztos\u00edt\u00e1sa \u00e9rdek\u00e9ben, ez\u00e1ltal cs\u00f6kkentve a v\u00e1r\u00f3list\u00e1kat. Ez k\u00fcl\u00f6n\u00f6sen hasznos a fel\u00faj\u00edt\u00e1si id\u0151szakokban, amikor mobil \u00e9s modul\u00e1ris fert\u0151tlen\u00edt\u0151 berendez\u00e9seket vezetnek be a kapacit\u00e1s fenntart\u00e1sa \u00e9rdek\u00e9ben. A vizsg\u00e1lat azt is felt\u00e1rta, hogy a r\u00e9szv\u00e9telt\u0151l val\u00f3 vonakod\u00e1s \u00e9s az azt k\u00f6vet\u0151 \u201enem j\u00e1rt vagy nem vett r\u00e9szt\u201d az elj\u00e1r\u00e1sokn\u00e1l a m\u00e1sodik legmagasabb szinten volt 2019 \u00f3ta, ennek lehets\u00e9ges oka a Covid-19 fert\u0151z\u00e9st\u0151l val\u00f3 f\u00e9lelem a k\u00f3rh\u00e1zl\u00e1togat\u00e1s sor\u00e1n. Ez teh\u00e1t feler\u0151s\u00edti az \u00f6n\u00e1ll\u00f3s\u00e1g sz\u00fcks\u00e9gess\u00e9g\u00e9t\u00a0endoszk\u00f3pos szolg\u00e1ltat\u00e1sok<\/a>, amelyek elk\u00fcl\u00f6n\u00fclnek a f\u0151 k\u00f3rh\u00e1zi telephelyt\u0151l, amelyek n\u00f6velik a betegek bizalm\u00e1t, \u00e9s \u00edgy seg\u00edtik a v\u00e1r\u00f3list\u00e1k kezel\u00e9s\u00e9t.<\/p>\n

\"\"<\/figure>\n

Az \u00e1tlagos v\u00e1rhat\u00f3 \u00e9lettartam az Egyes\u00fclt Kir\u00e1lys\u00e1gban \u00e9vr\u0151l \u00e9vre n\u0151, n\u00f6vekszik 0.15%<\/a> 2021 \u00e9s 2022 k\u00f6z\u00f6tt, \u00e9s b\u00e1r ezt meg kell \u00fcnnepelni, ez azt jelenti, hogy egyre t\u00f6bben \u00e9lnek olyan kr\u00f3nikus betegs\u00e9gekkel, mint p\u00e9ld\u00e1ul a demenci\u00e1val \u00e9s a cukorbetegs\u00e9ggel, akik hosszabb t\u00e1v\u00fa gondoz\u00e1st ig\u00e9nyelnek. Ez fokozott nyom\u00e1st gyakorolt az NHS szolg\u00e1lataira, k\u00fcl\u00f6n\u00f6sen mivel elismert\u00e9k, hogy az \u00e1tlagos 90 \u00e9vesek kb. 7 alkalommal<\/a> annyit kell t\u00f6r\u0151dni, mint egy \u00e1tlagos 30 \u00e9vesnek. Ennek eredm\u00e9nyek\u00e9nt felh\u00edv\u00e1sok hangzottak el a diagnosztikai szolg\u00e1ltat\u00e1sok fejleszt\u00e9s\u00e9re \u00e9s bevezet\u00e9s\u00e9re az Egyes\u00fclt Kir\u00e1lys\u00e1gban annak \u00e9rdek\u00e9ben, hogy az emberek hosszabb ideig eg\u00e9szs\u00e9gesebbek maradhassanak, \u00e9s ez\u00e1ltal cs\u00f6kkenjen az NHS-szolg\u00e1ltat\u00e1sok terhe. Emellett a fejleszt\u00e9s k\u00f6z\u00f6ss\u00e9gi diagnosztikai k\u00f6zpontok<\/a> orsz\u00e1gszerte k\u00f6zelebb hozza a szolg\u00e1ltat\u00e1sokat a betegekhez, cs\u00f6kkentve az akut k\u00f3rh\u00e1zi telephelyekre nehezed\u0151 nyom\u00e1st, \u00e9s pozit\u00edv hat\u00e1ssal lesz a region\u00e1lis eg\u00e9szs\u00e9g\u00fcgyi egyenl\u0151tlens\u00e9gekre az\u00e1ltal, hogy jobban hozz\u00e1f\u00e9rhet\u0151v\u00e9 teszi a diagnosztikai l\u00e9tes\u00edtm\u00e9nyeket.<\/p>\n

Ezenk\u00edv\u00fcl az Egyes\u00fclt Kir\u00e1lys\u00e1gban az endoszk\u00f3pos szolg\u00e1ltat\u00e1sok orsz\u00e1gos \u00f6ssze\u00edr\u00e1sa azt is felt\u00e1rta, hogy b\u00e1r az elj\u00e1r\u00e1sok v\u00e1rakoz\u00e1si ideje m\u00e9g mindig n\u00f6vekszik, egy\u00e9rtelm\u0171 region\u00e1lis k\u00fcl\u00f6nbs\u00e9gek vannak itt:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M \u00e9s munkat\u00e1rsai, 2021. \u00e9vi brit endoszk\u00f3piai szolg\u00e1ltat\u00e1sok orsz\u00e1gos \u00f6ssze\u00edr\u00e1sa, Frontline Gastroenterology Megjelent el\u0151sz\u00f6r: 2022. m\u00e1jus 9. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

A region\u00e1lis eg\u00e9szs\u00e9g\u00fcgyi egyenl\u0151tlens\u00e9gek r\u00e9g\u00f3ta probl\u00e9m\u00e1t jelentenek, azonban a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny \u00e9s az azt k\u00f6vet\u0151 tervezett ell\u00e1t\u00e1si elmarad\u00e1s tov\u00e1bb s\u00falyosb\u00edtotta ezt. Az eg\u00e9szs\u00e9g\u00fcgyi egyenl\u0151tlens\u00e9gek sokr\u00e9t\u0171 kifejez\u00e9s, amely azt takarja, hogy az eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1s hozz\u00e1f\u00e9rhet\u0151s\u00e9ge hogyan oszlik meg egyenl\u0151tlen\u00fcl a k\u00fcl\u00f6nb\u00f6z\u0151 embercsoportok k\u00f6z\u00f6tt. V\u00e9gs\u0151 soron az eg\u00e9szs\u00e9g\u00fcgyi egyenl\u0151tlens\u00e9gek az egy\u00e9n \u00e1llapot\u00e1nak az eg\u00e9szs\u00e9g\u00e9re gyakorolt hat\u00e1s\u00e1r\u00f3l sz\u00f3lnak. Ez mag\u00e1ban foglalhatja az eg\u00e9szs\u00e9gi \u00e1llapotot, a gondoz\u00e1si szolg\u00e1ltat\u00e1sok el\u00e9rhet\u0151s\u00e9g\u00e9t, az ell\u00e1t\u00e1s min\u0151s\u00e9g\u00e9t \u00e9s az eg\u00e9szs\u00e9get \u00e9r\u0151 sz\u00e9lesebb k\u00f6r\u0171 k\u00e1rokat, p\u00e9ld\u00e1ul a lakhat\u00e1st. Annak biztos\u00edt\u00e1sa, hogy a gondoz\u00e1si \u00e9s diagnosztikai szolg\u00e1ltat\u00e1sok k\u00e9nyelmesebben el\u00e9rhet\u0151ek legyenek a betegek sz\u00e1m\u00e1ra, pozit\u00edvan befoly\u00e1solja a betegek kimenetel\u00e9t a kor\u00e1bbi diagn\u00f3zis r\u00e9v\u00e9n, \u00e9s \u2013 mint kor\u00e1bban eml\u00edtett\u00fck \u2013 cs\u00f6kkenti a nyom\u00e1st a f\u0151bb k\u00f3rh\u00e1zi telephelyeken, ez\u00e1ltal pozit\u00edvan befoly\u00e1solja a t\u00f6bbi szakter\u00fcleten v\u00e1r\u00f3list\u00e1n szerepl\u0151 betegek kimenetel\u00e9t.<\/p>\n

Az NHS elk\u00f6telezetts\u00e9ge a fenntarthat\u00f3bb infrastrukt\u00fara l\u00e9trehoz\u00e1sa ir\u00e1nt t\u00fckr\u00f6z\u0151dik A 2020-as \u00e9p\u00edt\u00e9si \u00fatmutat\u00f3<\/a> ...amely r\u00e9szletezi a modern \u00e9p\u00edt\u00e9si m\u00f3dszerek (MMC) sz\u00e9lesebb k\u00f6r\u0171 alkalmaz\u00e1s\u00e1t a nett\u00f3 nulla sz\u00e9n-dioxid-kibocs\u00e1t\u00e1si c\u00e9lok el\u00e9r\u00e9s\u00e9nek el\u0151seg\u00edt\u00e9se \u00e9rdek\u00e9ben. 2020 \u0151sz\u00e9n a korm\u00e1ny \u00edg\u00e9retet tett 40 \u00faj k\u00f3rh\u00e1z \u00e9p\u00edt\u00e9s\u00e9re Angli\u00e1ban 2030-ig, mindegyik fenntarthat\u00f3 infrastruktur\u00e1lis gyakorlatot alkalmazva, amelyek el\u0151seg\u00edtik a 2040-re kit\u0171z\u00f6tt nett\u00f3 nulla kibocs\u00e1t\u00e1s fel\u00e9 val\u00f3 elmozdul\u00e1st. Ezen fel\u00fcl tov\u00e1bbi 70 k\u00f3rh\u00e1z korszer\u0171s\u00edt\u00e9sben r\u00e9szes\u00fcl, 850 milli\u00f3 fontot \u00edg\u00e9rve a k\u00f3rtermek, a ment\u00e1lhigi\u00e9n\u00e9s int\u00e9zm\u00e9nyek \u00e9s a m\u0171t\u0151k fejleszt\u00e9s\u00e9re. Egy\u00e9rtelm\u0171, hogy Anglia endoszk\u00f3pos szolg\u00e1ltat\u00e1sainak nagy r\u00e9sze jelent\u0151s fel\u00faj\u00edt\u00e1sra szorul a hat\u00e9konys\u00e1g n\u00f6vel\u00e9se \u00e9rdek\u00e9ben, \u00e9s a mobil, modul\u00e1ris \u00e9s vegyes modalit\u00e1s\u00fa eg\u00e9szs\u00e9g\u00fcgyi terek bevezet\u00e9se, ak\u00e1r a k\u00f3rh\u00e1z ter\u00fclet\u00e9n, ak\u00e1r a k\u00f6z\u00f6ss\u00e9gen bel\u00fcl tal\u00e1lhat\u00f3k, id\u0151hat\u00e9kony \u00e9s k\u00f6lts\u00e9ghat\u00e9kony megold\u00e1st jelent a kapacit\u00e1s fenntart\u00e1s\u00e1ra \u00e9s n\u00f6vel\u00e9s\u00e9re.<\/p>","protected":false},"excerpt":{"rendered":"

Mivel Angli\u00e1ban 2022 janu\u00e1rj\u00e1ban a diagnosztikai szolg\u00e1ltat\u00e1sok v\u00e1r\u00f3list\u00e1i el\u00e9rt\u00e9k a 435 000-et, egy\u00e9rtelm\u0171, hogy k\u00fcl\u00f6n\u00f6sen ezt a szakter\u00fcletet \u00e9rintett\u00e9k nagyban az elavult infrastrukt\u00fara miatti korl\u00e1toz\u00e1sok \u00e9s az endoszk\u00f3pos szolg\u00e1ltat\u00e1sok besz\u00fcntet\u00e9se a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny idej\u00e9n.<\/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\/hu_hu\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"hu_HU\" \/>\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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