{"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\/pt_pt\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Remodela\u00e7\u00e3o do parque hospitalar: Utiliza\u00e7\u00e3o de Espa\u00e7os de Sa\u00fade flex\u00edveis para manter e aumentar a capacidade."},"content":{"rendered":"

As listas de espera do NHS atingiram um m\u00e1ximo hist\u00f3rico de 7 milh\u00f5es<\/a> pessoas aguardando tratamento na Inglaterra em agosto, o maior desde o in\u00edcio dos registros. As crescentes press\u00f5es sobre cuidados eletivos t\u00eam sido um problema h\u00e1 muito tempo, mesmo antes da pausa dos cuidados eletivos no in\u00edcio da pandemia de COVID-19 de 2020. Na verdade, centenas de procedimentos de cuidados eletivos foram cancelados devido ao envelhecimento e \u00e0 perigosa infraestrutura hospitalar. Robert Naylor afirmou em 2017<\/a> que sem um investimento significativo, \u201co patrim\u00f3nio do NHS permanecer\u00e1 impr\u00f3prio para a sua finalidade e continuar\u00e1 a deteriorar-se\u201d, diminuindo futuros planos de recupera\u00e7\u00e3o eletivos. Este problema s\u00f3 dever\u00e1 aumentar nos pr\u00f3ximos meses, ap\u00f3s a revela\u00e7\u00e3o de que mais de 30 edif\u00edcios hospitalares<\/a> na Inglaterra, h\u00e1 telhados feitos de concreto aerado autoclavado refor\u00e7ado (RAAC), o que significa que esses telhados de hospitais podem estar perigosamente pr\u00f3ximos do colapso. Solu\u00e7\u00f5es de capacidade provis\u00f3ria e de substitui\u00e7\u00e3o, localizadas longe do edif\u00edcio principal do hospital, s\u00e3o necess\u00e1rias para manter e at\u00e9 aumentar a atividade eletiva, mantendo os pacientes seguros durante as extensas obras de remodela\u00e7\u00e3o que estas coberturas exigem.<\/p>\n

O n\u00famero de incidentes cl\u00ednicos resultantes de infra-estruturas hospitalares obsoletas que necessitam de renova\u00e7\u00e3o urgente triplicou nos \u00faltimos cinco anos, com incidentes incluindo um paciente inconsciente num ventilador preso dentro de um elevador durante 35 minutos, um relat\u00f3rio<\/a> pelo The Times descobriu. O relat\u00f3rio detalha as respostas aos pedidos de liberdade de informa\u00e7\u00e3o, ilustrando a verdadeira extens\u00e3o dos efeitos devastadores do \u201cestado em ru\u00ednas do NHS\u201d sobre os pacientes, destacando que a infraestrutura existente e cansada \u00e9 incapaz de acompanhar os requisitos modernos.<\/p>\n

\"\"<\/figure>\n

\u00c9 evidente que, al\u00e9m do crescente ac\u00famulo de casos pendentes na \u00e1rea da sa\u00fade, existe um significativo ac\u00famulo de servi\u00e7os de manuten\u00e7\u00e3o atrasados em todos os Trusts e Conselhos de Sa\u00fade do NHS, que precisa ser resolvido com urg\u00eancia. Naylor afirma que o patrim\u00f4nio do NHS abrange uma \u00e1rea interna bruta de 26 milh\u00f5es de metros quadrados, por\u00e9m cerca de 1.5 milh\u00f5es<\/a> metros quadrados desta \u00e1rea s\u00e3o completamente inutilizados devido ao facto de a infra-estrutura ser demasiado perigosa e obsoleta para os requisitos modernos. Al\u00e9m disso, uma pesquisa recente do YouGov com 1.000 funcion\u00e1rios de sa\u00fade privada e 750 funcion\u00e1rios do NHS descobriu que 50%<\/a> dos profissionais de sa\u00fade acreditam que o seu local de trabalho n\u00e3o pode albergar pessoal adicional devido \u00e0 falta de disponibilidade de espa\u00e7o f\u00edsico. Isto, portanto, dificulta os esfor\u00e7os de recrutamento e refor\u00e7a a afirma\u00e7\u00e3o de Naylor de que o NHS n\u00e3o pode resolver de forma mais eficaz o crescente atraso nos cuidados de sa\u00fade sem a moderniza\u00e7\u00e3o e renova\u00e7\u00e3o das infra-estruturas.<\/p>\n

Com as press\u00f5es sobre o NHS em n\u00edveis recordes e os custos de manuten\u00e7\u00e3o de \u00a3 5,5 bilh\u00f5es<\/a> para \u00a3 9,2 bilh\u00f5es<\/a> nos \u00faltimos 5 anos, a ideia de construir hospitais novos e modernizados parece atraente. Contudo, na realidade, esta \u00e9 uma iniciativa demorada e dispendiosa que n\u00e3o ir\u00e1 resolver da melhor forma as quest\u00f5es de curto prazo. Isto \u00e9 melhor demonstrado pelo exemplo do Royal Liverpool Hospital, onde os planos de remodela\u00e7\u00e3o come\u00e7aram em 2002 e ainda n\u00e3o foram conclu\u00eddos.<\/p>\n

Uma resposta recente do NHS England a um pedido de liberdade de informa\u00e7\u00e3o revelou que v\u00e1rios hospitais em toda a Inglaterra t\u00eam telhados constru\u00eddos com RAAC, um material leve e mais barato que um chefe de hospital rotulou de 'bomba-rel\u00f3gio<\/a>'. O material foi usado em mais de 30 edif\u00edcios em 20 hospitais diferentes na Inglaterra e representa uma amea\u00e7a colossal para funcion\u00e1rios e pacientes, j\u00e1 que os telhados podem desabar a qualquer momento.<\/p>\n

Para manter a seguran\u00e7a dos pacientes e dos funcion\u00e1rios, alguns hospitais optaram por instalar suportes de a\u00e7o para reduzir o risco de colapso, mas isto n\u00e3o serve como uma solu\u00e7\u00e3o permanente. \u00a3 685 milh\u00f5es<\/a> foi reservado para resolver diretamente a quest\u00e3o do telhado RAAC, e o Programa Novo Hospital procurar\u00e1 introduzir mais 40 novos hospitais que come\u00e7ar\u00e3o gradualmente a substituir a infraestrutura obsoleta. Al\u00e9m disso, solu\u00e7\u00f5es provis\u00f3rias podem ser empregadas para manter e aumentar a capacidade durante per\u00edodos de reforma. Instala\u00e7\u00f5es de sa\u00fade m\u00f3veis e modulares s\u00e3o uma solu\u00e7\u00e3o ideal para introdu\u00e7\u00e3o r\u00e1pida no ambiente hospitalar.<\/p>\n

\"\"<\/figure>\n

Em situa\u00e7\u00f5es em que \u00e9 necess\u00e1rio resolver problemas urgentes de capacidade, mas o parque hospitalar existente n\u00e3o \u00e9 suficiente para acomod\u00e1-los, podem ser implementadas solu\u00e7\u00f5es flex\u00edveis de Espa\u00e7o de Sa\u00fade. Os M\u00e9todos Modernos de Constru\u00e7\u00e3o (MMC), como os utilizados na instala\u00e7\u00e3o de instala\u00e7\u00f5es modulares de sa\u00fade, permitem a entrega acelerada de solu\u00e7\u00f5es de capacidade adicional para ampliar o parque hospitalar existente. As solu\u00e7\u00f5es m\u00f3veis, modulares e de modalidade mista do Healthcare Space podem ser instaladas durante per\u00edodos de reforma ou capacidade limitada, fornecendo uma alternativa econ\u00f4mica e sustent\u00e1vel para lidar com listas de espera crescentes e transformar o atendimento ao paciente. Al\u00e9m disso, a introdu\u00e7\u00e3o de tecnologias modernas e de infraestruturas atualizadas facilita os esfor\u00e7os de recrutamento, oferecendo maiores oportunidades para o desenvolvimento de compet\u00eancias num ambiente de trabalho moderno.<\/p>\n

Na sequ\u00eancia dos apelos do Royal College of Surgeons em 2021 para a introdu\u00e7\u00e3o de centros cir\u00fargicos, salas de cirurgia modulares foram instaladas em Newcastle e Roehampton para combater o crescente ac\u00famulo de cirurgias. A r\u00e1pida implementa\u00e7\u00e3o dessas solu\u00e7\u00f5es da Healthcare Space ampliou a infraestrutura hospitalar existente, proporcionando capacidade adicional e garantindo que os hospitais estivessem melhor equipados para lidar com suas listas de espera de cuidados intensivos em quest\u00e3o de meses, em vez de anos. As recentes demandas por capacidade aumentaram a atratividade das instala\u00e7\u00f5es MMC (Modified Medical Construction) gra\u00e7as \u00e0 natureza de sua implementa\u00e7\u00e3o acelerada e aos benef\u00edcios associados \u00e0 constru\u00e7\u00e3o fora do local, como m\u00ednima interrup\u00e7\u00e3o das atividades no canteiro de obras e economia de custos. Al\u00e9m disso, o uso de materiais mais sustent\u00e1veis, como a\u00e7o e madeira, aumenta a flexibilidade das instala\u00e7\u00f5es, garantindo que elas possam ser melhor adaptadas \u00e0s necessidades atuais, diferentemente dos edif\u00edcios tradicionais de alvenaria do NHS (Servi\u00e7o Nacional de Sa\u00fade do Reino Unido), muitos dos quais existem desde antes da cria\u00e7\u00e3o do Servi\u00e7o Nacional de Sa\u00fade em 1948.<\/p>\n

H\u00e1 muito associado aos termos \u201ctempor\u00e1rio\u201d e \u201cemerg\u00eancia\u201d, caso o NHS procure efectivamente \u201creconstruir melhor\u201d na sequ\u00eancia da pandemia, \u00e9 altura de come\u00e7ar a ver a infra-estrutura cl\u00ednica flex\u00edvel, e o MMC, como meios sustent\u00e1veis e permanentes para melhorar rapidamente o parque hospitalar existente, n\u00e3o s\u00f3 para aumentar e substituir a capacidade, mas tamb\u00e9m para melhorar os resultados dos pacientes e facilitar as iniciativas de recrutamento.<\/p>","protected":false},"excerpt":{"rendered":"

A quest\u00e3o do patrim\u00f3nio hospitalar obsoleto s\u00f3 dever\u00e1 aumentar ap\u00f3s a revela\u00e7\u00e3o de que mais de 30 edif\u00edcios hospitalares em Inglaterra t\u00eam telhados feitos de bet\u00e3o celular refor\u00e7ado autoclavado (RAAC), o que significa que estes telhados hospitalares podem estar perigosamente perto do colapso. S\u00e3o necess\u00e1rias solu\u00e7\u00f5es provis\u00f3rias para manter a capacidade e fornecer um espa\u00e7o seguro para os pacientes.<\/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\/pt_pt\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\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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